摘要
目的探讨腹腔镜下子宫肌瘤剔除术对子宫肌瘤患者内分泌情况的影响。方法选取60例子宫肌瘤患者,按照随机数字表法分成对照组和研究组,各30例。研究组采用腹腔镜下子宫肌瘤剔除手术,对照组实施腹腔镜下子宫全切手术治疗。对比两组卵巢功能情况、内分泌指标。结果手术前,两组抗苗勒管激素(AMH)、促卵泡激素(FSH)及促黄体生成素(LH)指标比较,差异无统计学意义(P>0.05);手术后1、6个月,研究组AMH、FSH及LH指标改善均优于对照组,差异有统计学意义(P<0.05)。手术前,两组睾酮(T)、雌二醇(E_(2))指标比较,差异无统计学意义(P>0.05);手术后6个月,研究组T、E_(2)指标明显低于对照组,差异有统计学意义(P<0.05)。结论子宫肌瘤患者实施腹腔镜下子宫肌瘤剔除手术的效果显著,可降低手术对子宫肌瘤患者卵巢功能和内分泌功能造成的影响。
Objective To analyze the effect of laparoscopic myomectomy on the endocrine status of patients with uterine fibroids.Methods 60 patients with uterine fibroids were randomly divided into control group and study group,with 30 cases in each group.The study group was treated with laparoscopic myomectomy,while the control group was treated with laparoscopic total hysterectomy.Ovarian function and endocrine indexes were compared between the two groups.Results Before operation,there was no significant difference in anti-Mullerian hormone(AMH),follicle stimulating honnone(FSH)and luteinizing hormone(LH)between the two groups(P>0.05).At 1 and 6 months after operation,the improvement of AMH,FSH and LH indexes in the study group were better than those in the control group,and the differences were statistically significant(P<0.05).Before operation,there was no significant difference in testosterone(T)and estradiol(E_(2))between the two groups(P>0.05).At 6 months after operation,T and E_(2) indexes in the study group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The eflFect of laparoscopic myomectomy in patients with uterine fibroids is significant,which can reduce the effect of surgery on ovarian function and endocrine function in patients with uterine fibroids.
作者
张淑萍
闫晶晶
赵琼艳
Zhang Shuping;Yan Jingjing;Zhao Qiongyan(Department of Gynecology,General Hospital of Xinjiang Military Command,Urumqi 830000,China;Clinical Laboratory of Urumqi Chengyu Cihui Comprehensive Outpatient Department,Urumqi 830000,China)
出处
《实用妇科内分泌电子杂志》
2022年第7期18-20,共3页
Electronic Journal of Practical Gynecological Endocrinology
