[摘要]目的 探讨子宫三角切除术或宫体三角并宫颈筋膜内切除术的临床应用价值。方法 子宫良性病变病人115例，根据术中情况及病人意愿分成两组。研究组65例，行新式子宫切除术:切除子宫病变部分，不切断子宫动静脉血管，成形新的“小子宫”，维持原有的卵巢血供和盆腔结构;对照组50例，行筋膜内子宫切除术。观察并比较每组病人术后的临床症状，术前术后性激素、血脂改变情况。结果 研究组97%的病人手术前后体内性激素及血脂无明显变化，93%的病人无卵巢功能减退症状，病人术后感觉良好;对照组58%的病人于术后1 周～ 2年内有不同程度的卵巢功能减退症状，术后2年内38%的病人出现性激素、14%的病人出现血脂异常。两组比较，差异有显著性( χ2 =4.67～37.12，P <0.05)。结论 新式子宫切除术能维持原有卵巢功能及盆腔正常解剖结构，使病人的损伤降到了最低程度。

    [关键词] 子宫切除术;性激素类;血脂

    RELATIONSHIP BETWEEN DIFFERENT HYSTERECTOMY PROCEDURS AND THEIR CHANGES OF HORMONES AND LIPIDS

    YUAN WEN-JUAN ， LI JIN-RONG， SUN HANG， et al

    (Department of Obstetrics and Gynecology， Qingdao Municipal Hos-pital， Qingdao 266071， China)

    [ABSTRACT]ObjectiveTo investigate the clinical value of partial triangular hysterectomy. MethodsPatients with be-nign lesions of uterus， 115 cases， were divided into experimental group (65 cases): underwent a new-style partial hysterectomy， the uterine vessels were completed reserved， a new “small uterus” rebuilt， without destroying pelvic structure or interrupting the ovarian blood supply; for the control group (50) ......