经腹鞘内子宫三角形切除术21例临床分析

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目的:比较传统全子宫切除术与经腹鞘内子宫三角形切除术术后恢复情况及对性激素的影响。方法:选择行经腹鞘内子宫三角形切除术21例患者为观察组,选择同期采用传统全子宫切除术切除子宫的21例患者作对照组,观察两组术后恢复情况,术前、术后3、6月血清FSH、LH、E2含量的变化情况。结果:观察组术后病率明显降低(P<0.05);观察组术前、术后血清FSH、LH、E2含量差异无统计学意义(P>0.05)。观察组术后FSH、LH含量较对照组低(P<0.05),E2含量较对照组高(P<0.01)。结论:经腹鞘内子宫三角形切除术术后恢复好,对卵巢功能影响小。 Objective: To compare the effect of traditional hysterectomy and intra-abdominal intrathecal hysterectomy on the recovery of sex hormones. Methods: Twenty-one patients who underwent intra-abdominal intrathecal hysterectomy were selected as the observation group. Twenty-one patients who underwent hysterectomy by conventional hysterectomy during the same period were selected as the control group. The postoperative recovery of the two groups were observed. Preoperative and postoperative 3 , 6 months of serum FSH, LH, E2 content changes. Results: The postoperative morbidity in the observation group was significantly lower than that in the observation group (P <0.05). There was no significant difference in the serum levels of FSH, LH and E2 before and after operation in the observation group (P> 0.05). The levels of FSH and LH in the observation group were lower than those in the control group (P <0.05), and the levels of E2 in the observation group were higher than those in the control group (P <0.01). Conclusion: The transvaginal hysterectomy hysterectomy postoperative recovery is good, little effect on ovarian function.
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