目的 对比分析腹腔镜下子宫肌瘤剔除术、全子宫切除术及次全子宫切除术治疗子宫肌瘤的效果。方法 选择2015年5月—2017年4月接受子宫肌瘤剥除术治疗的40例子宫肌瘤患者40例作为A组,同期医院确诊并符合全子宫切除指征的40例子宫肌瘤患者作为B组,同期确诊并符合次全子宫切除指征的子宫肌瘤患者40例作为C组。对比三组术后6个月卵巢功能及性功能变化情况。结果 术前三组卵巢功能比较,差异无统计学意义(P＞0.05);术后6个月A组患者卵巢功能较术前无明显变化(P＞0.05);B组及C组卵巢功能比较术前有明显降低(P＜0.05),且B组与C组间比较,差异无统计学意义(P＞0.05);术前,三组患者性功能评分比较,差异无统计学意义(P＞0.05);术后6个月,A组评分高于B组及C组,差异有统计学意义(P＜0.05);B、C两组比较,差异无统计学意义(P＞0.05)。结论 子宫肌瘤患者施以腹腔镜下子宫肌瘤剔除术对患者卵巢功能无明显影响,可帮助患者性功能得到显著改善,在患者各手术指征明确的前提下,可作为子宫肌瘤治疗首选术式。

Objective To compare the effects of laparoscopic myomectomy, total hysterectomy, and subtotal hysterectomy on uterine fibroids.Methods Patients with uterine fibroids who underwent laparoscopic myomectomy (n=40, group A), who met the indications for total hysterectomy (n=40, group B), and who met the indications for subtotal hysterectomy (n=40, group C) were selected from The Second People’s Hospital of Huishan District from May 2015 to April 2017.After six months of surgery, the changes of ovarian function and sexual function were compared among the three groups.Results Before surgery, there was no statistical difference in ovarian function among the three groups (P>0.05); after six months of surgery, the ovarian function of group A had no significant changes compared with that before surgery (P>0.05); the ovarian functions of group B and group C were lower than before (P<0.05), and there was no statistical difference between group B and group C (P>0.05).Before surgery, there was no statistical difference in the score of sexual function among the three groups (P>0.05); after six months of surgery, the score of group A was higher than the scores of group B and group C (P<0.05), and there was no statistical difference between group B and group C (P>0.05).Conclusion Laparoscopic myomectomy for patients with uterine fibroids has no significant effect on ovarian function, and can improve sexual function of patients.Under the premise of clear surgical indications, it can be the first choice for the treatment of uterine fibroids.