腔镜手术与开腹手术对妇科盆腔手术患者术后生殖系统功能影响的对照研究

目的：观察及比较腔镜手术与开腹手术对妇科盆腔手术患者术后生殖系统功能的影响。方法：选取2010年9月至2013年4月于本院进行妇科盆腔手术治疗的98例患者为研究对象,将其根据手术方式分为A组（开腹手术组）49例和B组（腔镜手术组）49例,然后将两组患者手术前和手术后1个月、3个月的卵巢功能指标、国际女性性功能评估量表评分及月经异常发生率进行比较。结果：B组手术后的卵巢功能指标波动均小于A组,国际女性性功能评估量表评分均好于A组,月经异常发生率低于A组,P均〈0.05,均有显著性差异。结论：腔镜手术对妇科盆腔手术患者术后生殖系统功能的不良影响小于开腹手术,临床应用价值相对更高。

Influence of endoscopic operation and laparotomy on the reproductive function of patients after gynecological pelvic operations

Objectives：To observe and compare the influence of endoscopic operation and laparotomy on the reproductive function of patients after gynecological pelvic operations.Method：98 patients receiving gynecological pelvic operations between September 2010 and April 2013 were divided into group A（the laparotomy group） and group B（the endoscopic operation group,with 49 patients in each goup.Then we compared the ovarian function indexes,evaluation of the female sexual function index and incidence of abnormal menstruation in the 2 groups one month and 3 months before and after operation.Results：As for Group B,the fluctuation of ovarian function indexes were smaller,the evaluation of the female sexual function index were better and the incidence of abnormal menstruation were lower than those in group A.The differences were statistically significant（P〈0.05）.Conclusion：The endoscopic operation had relatively high clinical value as its influence on the reproductive function of patients was less severe.