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目的探讨保留子宫血管治疗功能失调性子宫出血(功血)及多发性子宫肌瘤的临床价值。方法行保留子宫动脉上行支的子宫部分切除术患者34例为观察组,同期行次全子宫切除术患者97例为对照组。观察两组疗效。结果两组手术时间、出血量、肠功能恢复时间、复发率比较,差异均无统计学意义(P>0.05)。手术前后比较,对照组雌二醇(E2)、孕酮(P)、卵泡刺激素(FSH)、黄体生成素(LH)水平差异有统计学意义(P<0.05),观察组差异无统计学意义(P>0.05)。两组更年期症状差异有统计学意义(P<0.01)。结论保留子宫动脉上行支的子宫部分切除术优于传统次全子宫切除术,值得临床推广。
Objective To investigate the clinical value of preserving uterine vessels in the treatment of dysfunctional uterine bleeding (DUB) and multiple uterine fibroids. Methods 34 cases underwent uterine partial excision of the uterine artery in the ascending branch of the uterine artery in the observation group and 97 cases of hysterectomy in the same period as the control group. The two groups were observed. Results There was no significant difference in operative time, bleeding volume, recovery time of intestinal function and recurrence between the two groups (P> 0.05). The levels of estradiol (E2), progesterone (P), follicle stimulating hormone (FSH) and luteinizing hormone (LH) in the control group were significantly different before and after operation (P <0.05) Significance (P> 0.05). There were significant differences in menopausal symptoms between the two groups (P <0.01). Conclusion The partial uterine resection of uterine artery with superior branch is better than traditional subtotal hysterectomy, which is worthy of clinical promotion.