Abstract：Objective: To evaluate the efficacy of vaginal hysterectomy, laparoscopic hysterectomy and abdominal hysterectomy in the treatment of uterine fibroids and its effect on female ovarian function. Methods: Sixty patients who underwent hysterectomy for uterine fibroids treated in our hospital from March 2014 to March 2017 (with a three-year increase in time span) were selected as study subjects and were divided into vaginal hysterectomy according to the surgical procedure. According to different operation methods, 20 cases were divided into vaginal hysterectomy (vaginal group), laparoscopic hysterectomy (endoscopic group) and transabdominal hysterectomy (transabdominal group). The changes of E2, FSH, LH, ovarian function score and general sexual function score were compared before and 6 months after treatment. The incidence of perimenopausal symptoms and sexual life disorder was statistically analyzed. Results: The operation time, blood loss, anus exhaust time, length of hospital stay and total cost of the vaginal group were significantly less than those of the abdominal group. The amount of blood loss, hospitalization time and total cost were significantly less than those of the other two groups, and the differences were statistically significant. (P<0.05); E2 levels in the three groups decreased significantly compared with those before treatment, while FSH and LH levels increased significantly. There was a significant difference in E2, FSH, and LH levels between the three groups (P<0.05). After treatment, the ovarian function scores of all three groups were increased, and the overall sexual function scores were decreased. The total sexual function scores of the vaginal and endoscopic groups were significantly higher than that of the abdominal group (P<0.05). There was no significant difference in the incidence of perimenopausal symptoms and sexual dysfunction after treatment between the three groups (P>0.05). Conclusions: The three types of hysterectomy all have negative effects on the ovarian function of patients. Vaginal hysterectomy has good clinical effect on patients and has little effect on the ovarian function of patients. Worth promotion.
李睿. 三种方式子宫切除术治疗子宫肌瘤患者的疗效及对女性卵巢功能的影响[J]. 河北医学, 2018, 24(10): 1696-1700.
LI Rui. Effect of three-way Hysterectomy on Uterine Leiomyoma and its Influeace on Ovarian Function in Women. HeBei Med, 2018, 24(10): 1696-1700.
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2018, Vol. 24 
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