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子宫肌瘤剥除术后患者FSH、LH、E2、AMH水平变化意义分析
作者:王泽琴1  童静2 
单位:1. 武汉市第九医院 妇产科, 湖北 武汉 430081;
2. 湖北省妇幼保健院 妇产科, 湖北 武汉 430070
关键词:子宫肌瘤 子宫肌瘤剥除术 全子宫切除术 内分泌 
分类号:R711
出版年·卷·期(页码):2018·46·第二期(197-200)
摘要:

目的:探究子宫肌瘤剥除术后患者性激素和抗苗勒氏管激素(AMH)水平的变化及意义。方法:选取2014年1月至2017年1月我院收治的育龄期子宫肌瘤患者62例,根据手术方式不同分为观察组和对照组各31例,观察组实施子宫肌瘤剥除术,对照组实施全子宫切除术。另取同期参加体检的健康育龄期女性志愿者31例作为空白组。比较各组手术一般资料,治疗前后血清卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)和AMH水平,记录患者术后6个月内分泌紊乱相关表现。结果:观察组手术时间、术中出血量、术后引流量、肛门排气时间及住院时间均小于对照组,差异均有统计学意义(P < 0.05)。术后6个月,3组血清FSH和LH水平由高到低依次为对照组、观察组和空白组,差异有统计学意义(P < 0.05);E2和AMH水平由高到低依次为空白组、观察组和对照组,差异有统计学意义(P < 0.05)。随访期间,观察组盗汗、脱发、便秘、阴道干燥和性格改变的比例均低于对照组(P < 0.05)。结论:对于育龄期子宫肌瘤患者,子宫肌瘤剥除术对卵巢内分泌功能及患者生活质量影响较小,在把握适应证的基础上应尽量避免全子宫切除。

Objective: To explore the significance of follicle-stimulating hormone(FSH), luteinizing hormone(LH), estrogen(E2) and anti-mullerian hormone(AMH) in patients undergoing stripping of uterine leiomyoma. Methods: 62 cases of patients with uterine leiomyoma treated in our hospital from Jan.2014 to Jan.2017 were selected. They were divided into observation group(31 cases) and control group(31 cases) according to the different operation methods. The observation group underwent stripping of uterine leiomyoma, and the control group was given panhysterectomy. Another 31 cases of healthy volunteers were selected as blank group. The clinical data was compared among the 3 groups. Results: The operation time, intraoperative bleeding, postoperative flow, anal exhausting time and hospitalization time in observation group was lessthan that in the control group(P < 0.05). 6 months after operations, the levels of FSH and LH high to low were the control group, the observation group and the blank group from; the levels of E2 and AMH from high to low were the blank group, the observation group and the control group (P < 0.05). The rates of night sweats, hair loss, constipation, vaginal dryness and personality changes in the observation group were all lower than those in the control group(P < 0.05). Conclusions: For patients with uterine fibrods in childbearing age, the uterine fibroids stripping surgery for the ovarian endocrine function and the quality of life of the patients is less, and we should try to avoid total hysterectomy while considering the indications.

参考文献:

[1] 聂磊.子宫全切除手术对患者卵巢内分泌功能、围绝经期症状及生存质量的影响[J].中国医药指南,2016,14(28):84-85.
[2] PEIGNE M,DECANTER C.Serum AMH level as a marker of acute and long-term effects of chemotherapy on the ovarian follicular content:a systematic review[J].Reprod Biol Endocrinol,2014,26(12):26.
[3] 丁森君,路俊兰,张薏女.子宫肌瘤子宫全切术后患者卵巢内分泌功能的变化与研究[J].中国性科学,2015,24(1):26-28.
[4] 柳芳.子宫肌瘤剔除术与子宫全切术对卵巢功能影响的对比研究[J].社区医学杂志,2013,11(15):1-3.
[5] 朱红霞.探究子宫肌瘤患者行子宫全切术后对其卵巢内分泌功能的影响[J].航空航天医学杂志,2016,27(3):336-337.
[6] 张梅霞,康丽娜,李文东,等.绝经前子宫肌瘤患者行子宫全切术后对卵巢功能的影响[J].热带医学杂志,2017,17(4):517-519.
[7] 常喜梅,李国芸,赵孟军,等.不同子宫手术方案对生育期妇女卵巢功能的影响[J].现代生物医学进展,2016,16(22):4322-4324.
[8] GOKGOZOGLU L,ISLIMYE M,TOPCU H O,et al.The effects of total abdominal hysterectomy on ovarian function-serial changes in serum anti-mullerian hormone,FSH and estradiol levels[J].Adv Clin Exp Med,2014,23(5):821-825.
[9] 王翠兰.比较子宫肌瘤剥除术、行子宫全切术对子宫肌瘤患者内分泌功能及性功能的影响[J].中国妇幼保健,2015,30(25):4396-4398.
[10] 余荷花.子宫全切术对女性内分泌功能的影响[J].中国医药指南,2014,12(23):245-246.

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