子宫动脉栓塞术与宫腹腔镜联合术治疗子宫肌瘤对卵巢功能的影响

发布时间：2019-02-12 16:20

【摘要】：目的探讨子宫动脉栓塞术(UAE)与宫腹腔镜联合术治疗子宫肌瘤对卵巢功能的影响。方法选择2013年1月~2015年12月在河北省沧州市人民医院妇产科收治的子宫肌瘤患者205例,按治疗方法不同分为A、B组,A组(101例)行UAE治疗,B组(104例)行宫腹腔镜联合子宫肌瘤剥除术,比较两组术后有无闭经发生、月经恢复情况及术后3和6个月卵巢内分泌功能情况。结果两组术后均无闭经发生,术后1~3个月逐渐恢复月经。两组术后3个月卵巢内分泌功能相关指标比较,差异无统计学意义(P0.05)。A组术后6个月血清催乳素水平高于B组,差异有统计学意义(P0.05),其余指标组间比较差异无统计学意义(P0.05)。结论 UAE和宫腹腔镜治疗子宫肌瘤对卵巢的内分泌功能无明显影响,UAE治疗保留了生育能力,安全性高,较宫腹腔镜手术对子宫无创伤,更易被患者接受,值得临床推广。
[Abstract]:Objective to investigate the effect of uterine artery embolization (UAE) combined with hysteroscopy on ovarian function. Methods from January 2013 to December 2015, 205 patients with uterine leiomyoma treated in gynecology and obstetrics department of Cangzhou people's Hospital of Hebei Province were selected and divided into two groups according to different treatment methods: group A (101 cases) were treated with UAE. Group B (104 cases) were treated with hysteroscopy combined with hysteromyomectomy. The amenorrhea, menstrual recovery and ovarian endocrine function were compared between the two groups at 3 and 6 months after operation. Results there was no amenorrhea in both groups, and menstruation gradually recovered 1 ~ 3 months after operation. There was no significant difference in serum prolactin levels between the two groups at 3 months after operation (P0.05). The serum prolactin level in). A group was higher than that in B group at 6 months after operation (P0.05). There was no significant difference between the other groups (P0.05). Conclusion UAE and hysteroscopy have no significant effect on the endocrine function of the ovary. The treatment of UAE has the advantages of preserving fertility and high safety. It is more easily accepted by the patients than that of hysteroscopy. It is worth popularizing in clinic.
【作者单位】：河北省沧州市人民医院妇产科;河北省沧州市人民医院介入科;
【基金】：河北省沧州市科技计划项目(151302095)
【分类号】：R737.33

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