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目的探讨保留子宫双侧动脉在子宫切除术中的临床应用价值。方法将60例行单纯子宫切除术患者随机分为保留子宫动脉筋膜内子宫切除组(简称改进组)和筋膜内常规全子宫切除组(简称传统组),每组各30例。探讨两组术后相关恢复指标及对卵巢功能、性激素等的影响。结果改进组与传统组之间的手术及术后恢复情况,各指标的差异无统计学意义(P>0.05)。对于血清FSH、E2,传统组术后与术前相比,差异有统计学意义(P<0.05);改进组术后与术前相比,差异无统计学意义(P>0.05)。结论保留子宫动脉行子宫切除术,对近期卵巢功能影响小,不易引起更年期症状。其远期疗效仍需深入研究。
Objective To investigate the clinical value of preserving bilateral uterine arteries in hysterectomy. Methods Sixty patients undergoing simple hysterectomy were randomly divided into three groups: the preserved hysterectomy group (30 cases) and the conventional total hysterectomy group (30 cases). To investigate the postoperative related recovery indexes and their effects on ovarian function, sex hormones and so on. Results There was no significant difference in the indexes of operation and postoperative recovery between the improved group and the traditional group (P> 0.05). There were significant differences in the serum levels of FSH and E2 between the traditional group and the preoperative ones (P <0.05). There was no significant difference in the FSH and E2 levels between the two groups (P> 0.05). Conclusion Uterine artery hysterectomy line reservation, the recent ovarian function is small, not easy to cause menopausal symptoms. Its long-term efficacy still needs further study.