腹腔镜下子宫动脉上行支阻断术辅助腹腔镜子宫肌瘤剔除术对患者性功能影响的临床研究

目的:研究腹腔镜下子宫动脉上行支阻断术辅助腹腔镜子宫肌瘤剔除术对患者性功能影响,旨在为临床提供科学有效的手术方法。方法:选取我院2012年1月至2015年1月我院收治的160例子宫肌瘤患者作为受试对象,随机分为观察组和对照组,每组各80例。观察组行腹腔镜下子宫动脉上行支阻断术辅助腹腔镜子宫肌瘤剔除术,对照组行常规腹腔镜子宫肌瘤剔除术。测定患者手术前以及手术后6个月患者雌二醇(E2)、促卵泡生成素(FSH)、促黄体生成素(LH)、FSH/LH比值以及窦状卵泡(AFC)数量,以及术后6个月两组患者的性生活质量,同时记录两组患者手术时间、术中出血量以及术后并发症的发生率。结果:对照组和观察组在手术前,E2、FSH、LH、FSH/LH以及AFC上没有显著差异(P0.05),两组患者在经过不同手术方案治疗后,两组患者血清中E2、FSH、LH、FSH/LH以及AFC水平也没有显著性差异(P0.05)。两组患者在手术后6个月患者在性欲、高潮频数、性满意度、性焦虑、配偶高潮频数以及配偶性满意度均没有显著差异(P0.05)。观察组术中出血量、术后排气时间、术后平均住院时间以及术后并发症发生率上均显著低于对照组。结论:腹腔镜下子宫动脉上行支阻断术辅助腹腔镜子宫肌瘤剔除术能够显著减少患者的术中出血量、术后排气时间以及术后住院时间,并可降低术后并发症的发生率,且不会显著改变患者的卵巢功能相关激素水平和性功能水平,值得临床参考。

Effect of ascending uterine artery blocking laparoscopic-assisted laparoscopic myomectomy on sexual function of patients

Objectives:To study the effect of ascending uterine artery blocking laparoscopic-assisted laparoscopic myomectomy on sexual function of patients,so as to provide scientific and effective surgical method for clinical treatment.Methods:160 patients with uterine fibroids in our hospital from January 2012 to January 2015 were selected and randomly divided into observation group and control group,with 80 cases in each group.Observation group received ascending uterine artery blocking laparoscopic-assisted laparoscopic myomectomy,and control group received conventional laparoscopic myomectomy.Estradiol (E2),follicle stimulating hormone (FSH),luteinizing hormone (LH),FSH / LH ratio,antral follicles (AFC) number and postoperative quality of sex life were detected before surgery and 6 months after surgery.The surgery duration,blood loss and incidence of postoperative complications were recorded.Results:There was no significant difference (P ＞ 0.05) on E2,FSH,LH,FSH /LH and AFC between control group and observation group before surgery.After different surgical treatment the serum E2,FSH,LH,FSH / LH levels and AFC in two groups also had no significant difference (P ＞ 0.05).6 months after surgery,libido,orgasm frequency,sexual satisfaction,sexual anxiety,spouse orgasm frequency and spouse sexual satisfaction of two groups had no significant difference (P ＞ 0.05).Blood loss,postoperative exhaust time,the average hospital stay and postoperative complication rate in observation group were significantly lower than these of control group.Conclusion:Ascending uterine artery blocking laparoscopic-assisted laparoscopic myomectomy can significantly reduce blood loss,postoperative exhaust time,postoperative hospital stay and postoperative complications incidence,while not significantly alter ovarian function,hormone levels and sexual function levels,which is worthy of application.