全子宫切除与保留子宫动脉上行支的宫体大部分切除临床对比研究  

Clinical comparative study between total hysterectomy and the majority of resection of the uterus with reserved ascending uterine artery

作　　者：韩旭 王荣毓 

机构地区：[1]北京市第一中西医结合医院妇产科,北京100026

出　　处：《中国现代医生》2017年第6期64-67,共4页China Modern Doctor

摘　　要：目的探究在子宫疾病治疗中采用保留子宫动脉上行支的宫体大部分切除术的临床效果。方法选择我院在2013年10月~2015年10月期间收治的子宫切除术患者60例作为研究对象,根据手术方法不同将其分为对照组和试验组各30例。对照组的治疗方法为常规全子宫切术,试验组的治疗方法为保留子宫动脉上行支的宫体大部分切除术,比较试验组和对照组的治疗效果。结果试验组手术时间(68.9±22.1)min、术中出血量(83.1±18.9)mL、排气时间(19.9±2.1)h、下床活动时间(17.9±8.1)h,与对照组比较,差异无统计学意义(P>0.05);试验组治疗前后性激素水平比较,差异无统计学意义(P>0.05),而对照组治疗前后性激素水平比较,差异有统计学意义(P<0.05);试验组手术并发症发生率为11.67%,与对照组13.33%比较差异无统计学意义(P>0.05);试验组更年期症状发生率为3.33%,对照组为13.33%,两组比较差异有统计学意义(P<0.05);试验组的性生活满意度为70.00%(21/30),对照组的性生活满意度为30.00%(9/30),差异有统计学意义(P<0.05)。结论保留子宫动脉上行支的宫体大部分切除术较传统的子宫全切术前的生理指标,疗效确切,适合临床推广应用。Objective To explore the clinical effect of most resection of the uterus with reserved ascending uterine artery in the treatment of uterine diseases. Methods A total of 60 patients with hysterectomy admitted in our hospital from October 2013 to October 2015 were selected as the subjects. According to the different surgical methods, the patients were divided into control group and experimental group, with 30 cases in each group. The treatment of the control group was conventional hysterectomy, and the treatment of experimental group was the majority of resection of the uterus with the retention of the uterine artery branch. The treatment effect was compared between the experimental group and the control group. Results The operation time （68.9±22.1） min, the intraoperative blood loss（83.1±18.9） mL, the exhaust time （19.9±2.1） h, and the time of bed movement （17.9±8.1） h in the experimental group, compared with the control group,the differences were no statistically significant（P〉0.05）. The sex hormone levels in the experimental group before and after treatment were compared and there was no significant difference（P〉0.05）. While the sex hormone levels in the control group between before and after treatment, and the differences were statistically significant（P〈0.05）. The incidence of surgical complications in the experimental group was 11.67%, with no statistically significant differ ence compared with 13.33% in the control group（P〉0.05）. The incidence of menopausal symptoms was 3.33% in the experimental group and 13.33% in the control group, and the difference was statistically significant（P〈0.05）. The sexual satisfaction of the experimental group was 70.00%（21/30）, the sexual satisfaction rate of the control group was 30.00% （9/30）, and the difference was statistically significant（P〈0.05）. Conclusion Most resection of the uterus body with reserved ascending uterine artery is more effective than the traditional uterine total incision, and it is suitable

关 键 词：子宫动脉阻断术 子宫重建 卵巢功能 保留子宫血供 切除病变宫体 

分 类 号：R713.42[医药卫生—妇产科学]