保留部分子宫内膜的子宫体部分切除子宫成形术的临床应用  

Clinical Application of Partial Excision of Uterine body with Reservation of Partial Endometria

作　　者：唐国珍[1] 谢江燕[1] 李娅[1] Tang Guozhen Xie Jiangyan Li Ya.(Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China)

机构地区：[1]成都医学院第一附属医院产科,成都610500

出　　处：《成都医学院学报》2016年第4期443-445,451,共4页Journal of Chengdu Medical College

摘　　要：目的探讨保留部分子宫内膜的子宫体部分切除子宫成形术的临床应用和效果。方法选取行保留部分子宫内膜的子宫体部分切除子宫成形术的51例患者作为观察组,随机选取同期行子宫次全切除手术的51例患者作为对照组,比较并分析两组患者术后Kupperman评分,生殖及内分泌功能指标雌二醇(E2)、孕激素(P)、卵泡刺激素(FSH)、黄体生成素(LH)水平。结果术后半年、1年两组Kupperman评分比较,差异均有统计学意义(P<0.05);术后半年和1年,观察组E2、P水平均明显高于对照组,差异有统计学意义(P<0.05);术后1年,观察组FSH及LH水平均明显低于对照组,差异有统计学意义(P<0.05)。结论保留部分子宫内膜的子宫体部分切除子宫成形术是一种保留生理、生殖功能的理想术式,适合年轻、要求保留子宫的良性病变患者。Objective To investigate the clinical application and efficacy of partial excision of uterine body with reservation of partial endometria.Methods 51 cases treated with partial excision of uterine body with reservation of partial endometria were selected and divided into the observation group,while the other 51 cases treated with subtotal hysterectomy in the corresponding period were selected randomly and divided into the control group.The analysis was made by comparing the Kupperman score and the reproductive and endocrine function indexes such as estradiol,progesterone,follicule-stimulating hormone,and luteinizing hormone.Results There were significant differences in Kupperman scores between the two groups after half a year and a year of the operation respectively（P〈0.05）.The levels of estradiol and progesterone in the observation group were significantly higher than those in the control group after half a year and a year of the operation respectively（P〈0.05）,but the levels of follicule-stimulating hormone and luteinizing hormone in the observation group were significantly lower than those in the control group after a year of the operation（P〈0.05）.Conclusion Partial excision of uterine body with reservation of partial endometria is an ideal surgical treatment of retaining the physiological and reproductive function for the young patients with benign uterine diseases,who have the demand of retaining the uterus.

关 键 词：子宫体部分切除 子宫内膜 保留 卵巢残余综合征 

分 类 号：R713[医药卫生—妇产科学]