腹腔镜下子宫动脉上行支阻断术辅助子宫肌瘤剔除术对卵巢功能的影响  

Effects of laparoscopic uterine artery occlusion assisted myomectomy for ovarian

作　　者：张建萍[1] 葛文娣[1] 景芳芳[1] 

机构地区：[1]晋城煤业集团总医院妇科,山西省晋城048006

出　　处：《中国基层医药》2015年第9期1387-1390,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 研究腹腔镜下子宫动脉上行支阻断术辅助子宫肌瘤剔除术对卵巢功能的影响.方法 选取90例存在手术适应证的子宫肌瘤患者作为研究对象,按数字表法随机将患者分为对照组45例和研究组45例,对照组患者接受腹腔镜子宫剔除术,研究组患者接受腹腔镜下子宫动脉上行支阻断术辅助腹腔镜子宫肌瘤剔除术,比较两组患者手术疗效及对卵巢功能和性功能的影响.结果 对照组手术时间为（72.03±13.53）min,显著长于研究组的（60.05±10.32） min（t=4.722,P＜0.05）;对照组术中出血量（125.43±17.69）mL,多于研究组的（82.46±13.89） mL（t=12.816,P＜0.05）;两组术后排气时间和术后住院时间差异均无统计学意义（t =0.711、0.466,均P＞0.05）.对照组术后3个月卵泡刺激素（FSH）、雌二醇（E2）分别为（6.08±1.35） U/L、（80.31±5.36） pmol/L,研究组术后3个月FSH、E2分别为（6.85±1.42） U/L、（72.39±5.35） pmol/L,两组差异均有统计学意义（t=2.636、7.015,均P＜0.05）;两组术后性功能评分均显著高于术前,两组间差异无统计学意义（P＞0.05）.结论 腹腔镜下子宫动脉上行支阻断术辅助腹腔镜子宫肌瘤剔除术对患者卵巢功能的影响可快速恢复,安全可靠.Objective To study the laparoscopic uterine artery occlusion effect of assisted myomectomy for ovarian function.Methods 90 cases of existing operation indications ofuterine leiomyoma patients were selected as the research objects and divided into 45 cases of the control group and 45 cases of the study group.The control group received laparoscopic uterine myomectomy,the study group received laparoscopic uterine artery occlusion assisted laparoscopic myomectomy comparison between the two groups,the curative effects of the patients with operation and influence on ovarian function and sexual function.Results In the control group,the operation time （72.03 ± 13.53） min was longer than that of the study group（60.05 ± 10.32） min（t =4.722,P 〈0.05）;control group,amount of bleeding during the operation was （125.43 ± 17.69） mL,more than that of the study group （82.46 ± 13.89） mL （t =12.816,P 〈 0.05）;the two group of exhaust time after operation （t =0.711,P 〉 0.05） the time of hospitalization and postoperative （t =0.466,P 〉 0.05） showed no significant differences.The control group after 3 months of follicle stimulating hormone （FSH）,estradiol （E2） were （6.08 ± 1.35） U/L,（80.31 ± 5.36） pmol/L,the study group after 3 months of FSH,E2 were （6.85 ± 1.42） U/L,（72.39 ± 5.35） pmol/L,the difference between the two groups was statistically significant（t =2.636,t =7.015,P 〈0.05）;sexual function in patients of the two groups after scores were significantly higher than those before operation,there were no statistically significant differences between the two groups （P 〉 0.05）.Conclusion Laparoscopic uterine artery blocking effects of laparoscopic assisted myomectomy in patients with ovarian function can recover quickly,safely and reliably.

关 键 词：腹腔镜检查 子宫动脉 子宫肌瘤 卵巢 

分 类 号：R737.33[医药卫生—肿瘤]