摘要
Abstract
Objective To study the influence of subtotal hysterectomy with uterine artery- ascending branch preservation on Ovarian function of young and middle-age patients. Methods 120 cases treated with hysterectomy due to uterine benign lesions in our hospital from July 2012 to October 2013 were randomly divided into two groups;patients in control group were given traditional hysterectomy treatment, patients in observation group were given subtotal hysterectomy with uterine artery-ascending branch preservation;the operative time, blood loss, postoperative discharge time, postoperative hospital stay time of two groups were observed; before and 6 months after treatment, follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) levels were detected; all patients were followed up for six months, life quality and menopausal symptoms was measured by WHO quality of life measurement scale and kuppermann scale. Results The operative time, blood loss, postoperative discharge time, postoperative hospital stay time between two groups was not significantly different (P > 0.05); the FSH, LH of observation group in 6 months after treatment was significantly lower than control group (P<0.05), E2 levels were significantly higher than control group (P < 0.05). life quality scores of observation group in 6 months after treatment were higher than control group (P < 0.05), Kuppermann scores showed the proportion of moderate and severe menopausal symptoms was lower than the control group (P < 0.05). Conclusion Subtotal hysterectomy with uterine artery- ascending branch preservation has little influence on ovarian function, which will help young patients in life quality recovery and mitigation or delay of menopause symptoms, worthy of clinical application.关键词
子宫切除/子宫动脉上行支/卵巢功能/生活质量Key words
Hysterectomy/Uterine artery-ascending branch/Ovarian function/Quality of life分类
医药卫生
