保留子宫动脉上行支及部分子宫内膜的子宫体大部分切除术治疗子宫良性疾病的临床疗效分析  

Clinical analysis of the treatment of uterine benign disease with most of the uterus of the uterine artery ascending branch and part of the endometrium

作　　者：程金凤 Cheng Jinfeng(Wenshang County,Shandong Province Maternal and Child Health Family Planning Service Center,Jining,Shandong 272500)

机构地区：[1]山东省汶上县妇幼保健计划生育服务中心,山东济宁272500

出　　处：《中外女性健康研究》2019年第8期12-13,26,共3页Women＇s Health Research

摘　　要：目的:探讨子宫良性疾病行子宫体大部分切除术治疗的临床疗效。方法:于2017年10月至2018年10月,对本院收治的子宫良性疾病患者100例进行分析和观察,利用电脑随机的方式,将之分为可以对照的两组,即常规组、研究组,各50例。其中常规组50例患者行传统子宫全切术治疗,研究组50例患者行子宫体大部分切除术治疗,保留子宫动脉上行支及部分子宫内膜。统计分析两组手术时间、术中失血量、不良反应、手术前后血清性激素水平的变化。结果:比较手术时间、术中失血量,研究组与常规组无显著差异(P> 0.05),差异无统计学意义;研究组不良反应总发生率明显低于常规组,组间差异显著(P<0.05);术后12个月研究组LH(黄体生成素)、FSH(卵泡雌激素)水平低于常规组,且E2(雌二醇)高于常规组,组间差异显著(P<0.05)。结论:采用子宫体大部分切除术对子宫良性疾病患者进行治疗,具有效果显著、安全可靠等优势,可满足年龄女性保留生育功能的愿望。Objective:To investigate the clinical efficacy of uterine body resection for the treatment of benign uterine diseases.Methods:From October 2017 to October 2018,100 patients with benign uterine diseases admitted to our hospital participated in the study.They were randomly and evenly divided into the regular group and the study group,50 patients in the conventional group underwent conventional hysterectomy,and 50 patients in the study group underwent most of the uterus resection,retaining the ascending branch of the uterus and part of the endometrium.The operation time,intraoperative blood loss,adverse reactions,and changes of serum sex hormone levels before and after surgery were analyzed statistically.Results:There was no difference in the operation time and intraoperative blood loss between the study group and the conventional group(P>0.05).There was no statistical significance.The total incidence of adverse reactions in the study group was significantly lower than that in the conventional group.The difference between the groups was significant(P<0.05).The level of LH(luteinizing hormone)and FSH(follicle estrogen)in the study group was lower than that in the conventional group at 12 months after operation,and E2(estradiol)was higher than that in the conventional group,and the difference between the groups was significant(P<0.05).Conclusion:The treatment of patients with benign uterine diseases by uterine body resection has obvious advantages,safety and reliability,and can meet the desire of women of age to retain fertility.

关 键 词：子宫良性疾病 子宫体大部分切除术 治疗效果 

分 类 号：R713.42[医药卫生—妇产科学]