腹腔镜下微创手术治疗特殊部位子宫肌瘤的效果及对卵巢内分泌功能的影响(1)
摘要：目的 探讨腹腔镜下微创手术治疗特殊部位子宫肌瘤的效果及对卵巢内分泌功能的影响。方法 选取我院2017年9月～2018年9月收治的特殊部位子宫肌瘤患者94例，随机分为观察组和对照组，每组47例。对照组行开腹子宫肌瘤切除术治疗，观察组行腹腔镜下微创手术治疗。对比两组治疗效果和治疗后卵巢内分泌功能各指标(E2、LH、FSH)水平。结果 观察组治疗总有效率高于对照组(97.87% vs 89.36%)，差异具有统计学意义(P<0.05)。观察组治疗后E2水平高于对照组[(251.39±24.87)pmol/L vs (232.48±21.69)pmol/L]，LH和FSH水平低于对照组[(18.96±2.41)U/L vs (22.46±2.11)U/L，(20.38±2.05)U/L vs (24.96±2.13)U/L]，差异具有统计学意义(P<0.05)。结论 特殊部位子宫肌瘤可接受腹腔镜下微创手术治疗，效果确切，能够有效改善患者卵巢内分泌功能。
关键词：腹腔镜;微创手术;开腹子宫肌瘤切除术;特殊部位子宫肌瘤;卵巢内分泌功能
, http://www.100md.com
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.11.029
文章编号：1006-1959(2019)11-0106-02
Abstract：Objective To investigate the effect of laparoscopic minimally invasive surgery on uterine fibroids in special sites and its effect on ovarian endocrine function.Methods A total of 94 patients with uterine fibroids from our department from September 2017 to September 2018 were randomly divided into observation group and control group， with 47 cases in each group. The control group underwent open uterine myomectomy， and the observation group underwent laparoscopic minimally invasive surgery. The therapeutic effects of the two groups and the levels of ovarian endocrine function (E2， LH， FSH) were compared.Results The total effective rate of the observation group was higher than that of the control group (97.87% vs 89.36%)，the difference was statistically significant (P<0.05). The E2 level in the observation group was higher than that in the control group [(251.39±24.87) pmol/L vs (232.48±21.69) pmol/L]， and the LH and FSH levels were lower than the control group [(18.96±2.41) U/L vs (22.46±2.11) U/L， (20.38±2.05) U/L vs (24.96±2.13) U/L]， the difference was statistically significant (P<0.05).Conclusion Specialized uterine fibroids can be treated with laparoscopic minimally invasive surgery， which is effective and can effectively improve the ovarian endocrine function.
, 百拇医药
Key words：Laparoscopic;Minimally invasive surgery;Open uterine myomectomy;Special site uterine fibroids;Ovarian endocrine function
子宮肌瘤(hysteromyoma)是一种由于子宫平滑肌细胞增生而引起的疾病，近年来临床发病率有所增长。子宫肌瘤发病机制较为复杂，有研究报道[1]，性激素、生长因子异常等因素均可诱发该病。手术是治疗该病的首选方式，常见的如开腹子宫肌瘤切除术、腹腔镜下微创手术等，但前者为患者带来了较大的创伤，不利于患者的预后，患者接受程度较低。后者则具有微创性，并且治疗效果较为理想。基于此，本研究主要探讨腹腔镜下微创手术治疗特殊部位子宫肌瘤的效果及对卵巢内分泌功能的影响。, 百拇医药(张伟娜 黄晓华)
关键词：腹腔镜;微创手术;开腹子宫肌瘤切除术;特殊部位子宫肌瘤;卵巢内分泌功能
, http://www.100md.com
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.11.029
文章编号：1006-1959(2019)11-0106-02
Abstract：Objective To investigate the effect of laparoscopic minimally invasive surgery on uterine fibroids in special sites and its effect on ovarian endocrine function.Methods A total of 94 patients with uterine fibroids from our department from September 2017 to September 2018 were randomly divided into observation group and control group， with 47 cases in each group. The control group underwent open uterine myomectomy， and the observation group underwent laparoscopic minimally invasive surgery. The therapeutic effects of the two groups and the levels of ovarian endocrine function (E2， LH， FSH) were compared.Results The total effective rate of the observation group was higher than that of the control group (97.87% vs 89.36%)，the difference was statistically significant (P<0.05). The E2 level in the observation group was higher than that in the control group [(251.39±24.87) pmol/L vs (232.48±21.69) pmol/L]， and the LH and FSH levels were lower than the control group [(18.96±2.41) U/L vs (22.46±2.11) U/L， (20.38±2.05) U/L vs (24.96±2.13) U/L]， the difference was statistically significant (P<0.05).Conclusion Specialized uterine fibroids can be treated with laparoscopic minimally invasive surgery， which is effective and can effectively improve the ovarian endocrine function.
, 百拇医药
Key words：Laparoscopic;Minimally invasive surgery;Open uterine myomectomy;Special site uterine fibroids;Ovarian endocrine function
子宮肌瘤(hysteromyoma)是一种由于子宫平滑肌细胞增生而引起的疾病，近年来临床发病率有所增长。子宫肌瘤发病机制较为复杂，有研究报道[1]，性激素、生长因子异常等因素均可诱发该病。手术是治疗该病的首选方式，常见的如开腹子宫肌瘤切除术、腹腔镜下微创手术等，但前者为患者带来了较大的创伤，不利于患者的预后，患者接受程度较低。后者则具有微创性，并且治疗效果较为理想。基于此，本研究主要探讨腹腔镜下微创手术治疗特殊部位子宫肌瘤的效果及对卵巢内分泌功能的影响。, 百拇医药(张伟娜 黄晓华)