改良式子宫全切术后生殖内分泌功能变化研究

目的 探讨改良式子宫全切术后生殖内分泌功能变化。方法 对60例子宫肌瘤需全子宫切除者进行改良式子宫全切术(研究组)，选择同期行传统子宫全切术60例为对照组，观察两组患者术前、术后半年及术后1年血清生殖激素水平变化。结果 研究组术后半年及术后1年，血清FSH、E2与术前比较，差异均无显著性；对照组术后半年及术后1年，血清FSH、LH水平升高，E2水平下降，与术前比较，差异有显著性；与研究组比较差异也有显著性。结论 改良式子宫全切术较传统子宫全切术更有利于维持保留卵巢的正常功能，是治疗子宫良性病变一种好的手术方法。

Study on Reproductive Endocrine Function After Improved Hysterectomy

Objective To study the change of reproductive endocrine function after improved hysterectomy.Methods 60 cases of patients who received improved hysterectomy for hysteromyoma were studied as study group, and 60 cases of patients who received traditional hysterectomy during the same period were set up as control group. Serum reproductive hormones in both groups were measured before the operation, in 1/2 year and in 1 year after the operation.Results In 1/2 year and in 1 year after operation, the serum levels of FSH and E 2 in study group had no significant difference as compared with those in preoperation, and the serum levels of FSH, LH in control group were significant higher, E 2 was significant lower than those in preoperation and those in study group.Conclusions Compared with traditional hysterectomy, improved hysterectomy can preserve the function of ovary. Therefore, improved hysterectomy is a good operation for treatment of benign uterine diseases.