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目的研究腹腔镜子宫肌瘤剔除手术中对患者采用宫动脉阻断术对其妊娠率及卵巢功能的影响。方法按入院顺序选取郑州市第一人民医院2014年6月至2015年6月收治并采用腹腔镜子宫肌瘤剔除手术治疗的106例子宫肌瘤患者,并根据其是否行动脉阻断术分为两组,对照组53例仅采用剔除手术治疗,研究组53例实施动脉阻断手术。统计记录两组患者术中情况、治疗后的卵巢功能、E2(雌二醇)、LH(黄体生成素)、FSH(促卵泡生成素)等水平和卵泡数目情况及患者妊娠率。结果研究组患者手术时间和出血量等情况明显少于对照组,差异有统计学意义(P<0.05);手术治疗前后两组患者的血液检测E2、LH、FSH水平情况及AFC数均无明显差异(P>0.05);随访统计可知,两组术后妊娠情况相比,差异无统计学意义(P>0.05)。结论腹腔镜子宫肌瘤剔除手术中对患者采用宫动脉阻断术对肌瘤患者妊娠率和卵巢功能无明显影响。
Objective To study the effect of uterine artery occlusion on pregnancy rate and ovarian function in patients undergoing laparoscopic myomectomy. Methods According to the order of hospital admission, the First People’s Hospital of Zhengzhou City, from June 2014 to June 2015, admitted to our hospital and treated with laparoscopic myomectomy in 106 cases of uterine fibroids patients, and according to whether they were treated with arterial occlusion In both groups, 53 patients in the control group were treated with excision only, and 53 patients in the study group were treated with arterial occlusion. Statistics were recorded in the two groups of patients undergoing surgery, ovarian function after treatment, E2 (estradiol), LH (luteinizing hormone), FSH (follicle stimulating hormone) and other follicles and the number of cases and pregnancy rates. Results The operation time and bleeding volume in the study group were significantly less than those in the control group (P <0.05). There was no significant difference in the blood levels of E2, LH, FSH and AFC between the two groups before and after operation (P> 0.05). Follow-up statistics showed that there was no significant difference in postoperative pregnancy between the two groups (P> 0.05). Conclusion Laparoscopic myomectomy surgery in patients with uterine artery occlusion on the pregnancy rate of patients with fibroids and ovarian function had no significant effect.