Effects of LM and LAVH on Sexual Function of Patients with Huge Leiomyoma Uterus
Objective:To explore the effects of laparoscopic myomectomy(LM)and laparoscopic assisted vaginal hysterectomy(LAVH)on sexual function in patients with huge leiomyoma uterus(HLU).Method:A total of 125 HLU patients admitted to the Department of Gynecology of Xingguo Hospital Affiliated to Gannan Medical College from March 2019 to March 2022 were selected as research subjects,they were divided into the LM group(61 cases)and the LAVH group(64 cases)by random number table method.The surgical indexes,postoperative recovery,sex hormones,sexual function,immune indexes and postoperative complications were compared between the two groups.Result:The surgery time,hospital stay in the LAVH group were shorter than those in the LM group,time to get out of bed,and time to pass gas were all earlier in the LAVH group than those in the LM group,with the anmount of intraoperative blood loss was less than that in the LAVH group,the differences were statistically significant(P<0.05).Two months after surgery,levels of estradiol(E2),follicle stimulating hormone(FSH),luteinizing hormone(LH)in both groups decreased compared to those before surgery,and sexual function scores were higher than those before surgery,the differences were statistically significant(P<0.05).Two months after surgery,levels of IgA,IgG,IgM in both groups decreased compared to those before surgery,the immune function indicators in the LAVH group were higher than those in the LM group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the LAVH group was lower than that in the LM group,the difference was statistically significant(P<0.05).Conclusion:Compared to LM,LAVH can reduce surgical trauma and the incidence of complications in patients with HLU,as well as mitigate the impact on sexual function.
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