腹腔镜子宫肌瘤剥除术和腹腔镜次全子宫切除术对患者卵巢功能及其性功能的影响  

Impact of laparoscopic uterine leiomyoma stripping surgery and laparoscopic subtotal hysterectomy on the ovarian function and sexual function of patients

作　　者：谢秋娴[1] 杨纯[1] 谢昭雄[1] 陈婵玉[1] 刘潮坚[1] 

机构地区：[1]南方医科大学附属潮州市中心医院妇科,广东潮州521000

出　　处：《中国性科学》2015年第4期3-5,共3页Chinese Journal of Human Sexuality

摘　　要：目的:研究腹腔镜子宫肌瘤剥除术与腹腔镜次全子宫切除术对患者卵巢功能及其性功能的影响。方法:选取100例宫肌瘤患者并分为两组进行手术,对观察组50例进行次全子宫切除术,对对照组50例进行全子宫切除术,手术后观察并比较两组患者的卵巢功能和性功能的情况。结果:对照组中雌二醇(E2)和促卵泡激素(FSH)的水平均低于观察组,两组患者有明显差异具有统计学意义(P<0.05);观察组的性功能方面也要强于对照组,两组患者有明显差异具有统计学意义(P<0.05)。结论:两组患者会受到不同手术方式的影响,次全子宫切除术对卵巢功能和性功能的影响远小于全子宫切除术,所以临床上应选择次全子宫切除术给患者进行手术较为合适。Objectives： To study the impact of laparoscopic uterine leiomyoma stripping surgery and laparoscopic subtotal hysterectomy on the ovarian function and sexual function of patients. Methods： 100 uterine fibroids patients were divided into two groups for operation,the observation group of 50 cases for subtotal hysterectomy,and the control group of 50 cases for total hysterectomy. The ovarian function and sexual function of the two groups after operation were compared. Results： In the control group estradiol（ E2） and follicle stimulating hormone（ FSH） levels were lower than those in the observation group,with statistically significant difference（ P〈 0. 05）; the sexual function of observation group was better than the control group,with statistically significant difference（ P〈 0. 05）.Conclusion： The patients in the two groups will be affected by different operation modes. The effect of subtotal hysterectomy surgery on ovarian function and sexual function is much smaller than the total hysterectomy,so subtotal hysterectomy is more suitable for patients.

关 键 词：子宫肌瘤 全子宫切除术 次全子宫切除术 卵巢功能 性功能 

分 类 号：R713.42[医药卫生—妇产科学]