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腹腔镜子宫肌瘤切除手术对子宫肌瘤患者术后卵巢功能恢复的影响

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目的 探究腹腔镜子宫肌瘤切除手术对子宫肌瘤患者术后卵巢功能恢复的影响.方法 选取62例子宫肌瘤患者,根据手术方法不同分为对照组(行开腹子宫肌瘤切除手术)与研究组(行腹腔镜子宫肌瘤切除手术),每组31例,比较两组的临床疗效.结果 研究组的术中出血量为(72.35±7.19)ml,手术时间为(89.63±7.49)min,引流管留置时间为(1.14±0.15)d,住院时间为(5.39±0.71)d,分别与对照组的(101.34±9.37)ml、(95.03±7.38)min、(2.05±0.27)d、(7.13±0.79)d对比,差异有统计学意义(P<0.05).术后,研究组雌二醇(E2)水平为(242.14±18.03)pmol/L,促黄体生成素(LH)水平为(21.25±2.08)IU/L,卵泡刺激素(FSH)水平为(23.71±2.48)IU/L、并发症发生率为3.23%,分别与对照组的(251.38±17.37)pmol/L、(19.05±2.62)IU/L、(21.47±2.35)IU/L、19.35%对比,差异有统计学意义(P<0.05).结论 对子宫肌瘤患者实施腹腔镜子宫肌瘤切除手术能够取得良好成效,安全性高,可加快其卵巢功能恢复速度,值得临床推广.
Effect of laparoscopic myomectomy on ovarian function recovery in patients with hysteromyoma
Objective to analyze the effect of laparoscopic myomectomy on ovarian function recovery in patients with hysteromyoma.Methods 62 patients with uterine fibroids were selected and divided into control group(laparotomy)and study group(laparoscopic hysteromyectomy)according to different surgical methods,with 31 cases in each group.The clinical efficacy of the two groups was compared.Results In the study group,the amount of intraoperative blood loss was(72.35±7.19)ml,the operation time was(89.63±7.49)min,the retention time of drainage tube was(1.14±0.15)d,and the length of hospitalization was(5.39±0.71)d.Compared with the control group,there was statistical significance in(101.34±9.37)ml,(95.03±7.38)min,(2.05±0.27)d and(7.13±0.79)d,respectively(P<0.05).After operation,the estradiol(E2)level of the study group was(242.14±18.03)pmol/L,luteinizing hormone(LH)level was(21.25±2.08)IU/L,follicle stimulating hormone(FSH)level was(23.71±2.48)IU/L,and the complication rate was 3.23%.Compared with the control group(251.38±17.37)pmol/L,(19.05±2.62)IU/L,(21.47±2.35)IU/L,19.35%,respectively,the difference was statistically significant(P<0.05).Conclusion Laparoscopic hysteromyomectomy for patients with uterine fibroids can achieve good results,high safety,and speed up the recovery of ovarian function,which is worthy of clinical promotion.

Laparoscopic myomectomyAbdominal myomectomyUterine myomaOvarian functionComplications

陈超

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江苏大学附属武进医院(徐州医科大学武进临床学院)妇产科,江苏 常州 213100

腹腔镜子宫肌瘤切除手术 开腹子宫肌瘤切除手术 子宫肌瘤 卵巢功能 并发症

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

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年,卷(期):2024.11(12)