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目的探讨全子宫切除术后对卵巢血流及卵巢功能的影响。方法年龄≤46岁的未绝经子宫肌瘤患者69例,分成2组:A组,共38例,<40岁;B组,共31例≥40岁。分别在术前、术后3月、术后6月观察卵巢血流的变化,测定血清中卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)、孕酮(P)观察卵巢功能的变化。结果两组治疗后3月、6月的卵巢血流RI及PI值明显较术前增高(P<0.05)。两组患者术前FSH、LH、E2、P均在同一水平(P>0.05);术后6月B组的E2水平明显低于术前水平(P<0.05)。结论全子宫切除术可影响术后患者血流及卵巢的内分泌功能,在临床中应加强术后随访。
Objective To investigate the effect of hysterectomy on ovarian blood flow and ovarian function. Methods 69 cases of uterine fibroids without menopause of age ≤46 years were divided into two groups: group A, a total of 38 cases, <40 years old; group B, a total of 31 cases ≥40 years. The changes of ovarian blood flow were observed before operation, 3 months after operation and 6 months after operation. The levels of serum FSH, LH, E2, Observe ovarian function changes. Results After 3 months and 6 months of treatment, the ovarian blood flow RI and PI were significantly increased (P <0.05). The levels of FSH, LH, E2 and P in the two groups were all at the same level before operation (P> 0.05). The levels of E2 in B group after 6 months were significantly lower than those before operation (P <0.05). Conclusion Hysterectomy can affect the postoperative blood flow and ovarian endocrine function, and should be followed up in the clinic.