Abstract：Objective To study the influence of laparoscopic uterine artery ascending branch blocking assisted hysteromyomectomy on ovarian function and sexual function.Methods The data of 60 patients with uterine myoma who were confirmed in our hospital from January 2014 to January 2017 were retrospectively analyzed.All the patients were divided into group A and group B according to the different surgical methods,with 30 cases in each group.Group A underwent laparoscopic uterine artery ascending branch blocking assisted hysteromyomectomy.Group B underwent laparoscopic total hysterectomy(TLH).After two surgical procedures,the ovarian function,sexual life quality and other indicators were analyzed.Results The intraoperative blood loss in group A was less than that in group B,the operation time,postoperative exhaust time and hospitalization time were shorter than those in group B(P＜0.05).There were no statistically significant differences in follicle-stimulating hormone(FSH),luteinizing hormone(LH)and estrogen(E2)of group A at postoperational 6 months in contrast with those before operation(P＞0.05).FSH and LH levels of group B were significantly higher than those before operation,and E2of group B was significantly lower than that before operation,with statistically significant difference (P＜0.05).After operation the FSH and LH levels in group A were lower than those in group B,E2 levels was higher than that in group B,with statistically significant difference(P＜0.05).The sexual function of group A was higher than that of group B(P＜0.05).Conclusion Laparoscopic uterine artery ascending branch blocking assisted hysteromyomectomy is featured with less haemorrhage,rapid recovery,less impact on ovarian function and sexual function,and retention of fertility,which enables patients to have higher quality of life,and is worthy of clinically rational use.
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