Controlled Study on Efficacy of Hysterectomy with Preservation of the Uterine Artery
Objective To investigate the efficacy of hysterectomy with preservation of the uterine artery. Methods 70 premenopausal women with benign uterine diseases were randomly divided into two groups. 35 cases received hysterectomy with preservation of the uterine artery in the study group,and 35 cases underwent standard hysterectomy in the control group. The ovarian function, perimenopause syndromes and modified Kupperman scores of the two groups were compared after the operations. Results There were no significant differences in operation time.intraop-erative blood loss,and postoperative morbidity. None of the patients had postoperative complications. Before the operation , there were no significant difference in the levels of E2, FSH, and LH between the two groups. Six months after the operation,the level of E2 in the study group was significantly higher than that in the control group, and the levels of FSH and LH in the study group were significantly lower than those in the control group. In the study group,the level of E2 decreased,and FSH and LH increased after the operation,but the changes were not significant (3 cases FSH> 10 IU/L). Whereas,in the control group, the level of E2 decreased significantly after the surgery while the levels of FSH and LH increased significantly(13 cases FSH>10 1U/L; 1 case FSH>40 IU/L and E2<30 ng/L). Conclusions hysterectomy with preservation of the uterine artery is safe and feasible, and preserves the o-varian function of the patients.
NETL
NSTL
万方数据
维普
