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目的探讨子宫次全切除术和子宫全切术对子宫肌瘤患者卵巢功能及性功能的影响。方法选取2015年2月至2016年2月间海南省东方市人民医院收治的80例子宫肌瘤患者为研究对象,根据手术方法的不同将所有患者分为观察组与对照组,每组40例。观察组患者采用子宫次全切除术治疗,对照组患者采用子宫全切术治疗,观察分析两组患者的临床效果、卵巢功能改善情况和性功能改善评分。结果观察组患者治疗总有效率为95.0%,明显高于对照组患者的77.5%,卵巢功能改善评分和性功能改善评分均好于对照组患者,差异均有统计学意义(均P<0.05)。结论与子宫全切术相比,子宫次全切除术治疗效果较好,且可改善子宫肌瘤患者的卵巢功能和性功能。
Objective To investigate the effect of subtotal hysterectomy and hysterectomy on ovarian function and sexual function in patients with uterine fibroids. Methods Totally 80 patients with uterine fibroids treated in Dongfang People’s Hospital of Hainan Province from February 2015 to February 2016 were selected as study subjects. All patients were divided into observation group and control group according to different surgical methods, 40 cases in each group . The patients in the observation group were treated with subtotal hysterectomy. The patients in the control group were treated with hysterectomy. The clinical effects, ovarian function improvement and improvement of sexual function were observed and analyzed in both groups. Results The total effective rate of observation group was 95.0%, which was significantly higher than that of the control group (77.5%). Ovarian function improvement score and sexual function improvement score were better than those of the control group (all P <0.05) . Conclusion Compared with hysterectomy, subtotal hysterectomy is effective and can improve ovarian function and sexual function in patients with uterine fibroids.