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目的:探究子宫切除术中同时进行双侧输卵管切除对卵巢功能的影响情况。方法:选择2015年1月-2016年1月我院收治的164例子宫良性病变者为研究对象,将其分为比两组,对照组实施子宫切除术,以此为基础,观察组患者实施双侧输卵管切除术,对两组患者的围手术期指标,手术前与手术后三个月以及半年后卵巢癌发生率情况进行全面比较。结果:和对照组相比,观察组患者的术后排气时长,手术时长,术中出血量等围手术期指标相差不大,组间数据不存在统计学差异,P>0.05.和手术前相比,两组患者手术后相关激素指标均呈现出了一定和变化,组间数据存在统计学差异,P<0.05.但两组患者术后三个月,相关指标变化不显著,P>0.05.术后半年,对两组患者的卵巢癌及盆腔包裹性积液发生情况进行全面比较,对照组患者盆腔包裹性积液发生率为11/82(13.41%),观察组患者发生率为2/82(2.43%)。和对照组相比,观察组患者盆腔包裹性积液发生率显著较低,组间数据存在统计学差异,P<0.05.结论:对于子宫良性病变且无生育要求者,建议实施子宫切除联合双侧输卵管切除术,这种方式不会对患者的内分泌造成显著影响,同时也会降低其罹患卵巢癌及盆腔包裹性积液的发生率,有利于疾病转归,可全面提升生活质量,值得进一步在临床治疗中推广使用。
Objective: To investigate the effect of simultaneous bilateral tubal resection on ovarian function during hysterectomy. Methods: One hundred and sixty-four patients with benign lesions of uterus admitted in our hospital from January 2015 to January 2016 were selected as subjects and divided into two groups. The control group was treated with hysterectomy. Based on this, the patients in observation group were enrolled Bilateral tubal resection, the two groups of patients perioperative indicators, preoperative and postoperative three months and six months after the incidence of ovarian cancer to conduct a comprehensive comparison. Results: Compared with the control group, there was no significant difference between the two groups in the perioperative parameters such as the duration of the exhaust, the duration of the operation and the amount of blood loss in the observation group. There was no significant difference between the two groups (P> 0.05) Compared with the two groups of patients after surgery showed some changes in relevant hormones, data between groups there was a statistically significant difference (P <0.05), but two groups of patients after three months, the relevant indicators did not change significantly, P> 0.05 Six months after surgery, the incidences of ovarian cancer and pelvic fluid encapsulation in the two groups were compared. The incidence of pelvic fluid in control group was 11/82 (13.41%), and the incidence of pelvic fluid in observation group was 2 /82(2.43%). Compared with the control group, the incidence of pelvic fluid encapsulation in the observation group was significantly lower, there was a statistically significant difference between the two groups, P <0.05.Conclusion: For patients with benign uterine disease and without fertility requirements, hysterectomy combined with double Side salpingectomy, this approach will not have a significant impact on the patient’s endocrine, but also reduce their risk of ovarian cancer and pelvic fluid encapsulation, is conducive to the prognosis of the disease, can enhance the quality of life, it is worth further Promote the use of clinical treatment.