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《Chinese Journal of Clinical Obstetric and Gynecology》 2005-04
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Application of new cuneiform operation to preserve the ascending uterine arteries

ZHANG Xi, WANG Yan.(Anqing Municipal Hospital, Anqing 246003, China)  
Objective To investigate the effect and safety of the new cuneiform operation of uterus to preserve the integrity of hypothalamus-pituitary-ovary-uterus axis (HPOU) when treating uterine benign disease. Methods The cuneiform operation of uterus with untouched ascending uterine arteries was performed in 30 patients with uterine benign disease (research group). Serum ovarian hormones were determined by radioimmunoassay pre- and postoperatively. Blood flow imaging of uterine arteries and the size of uterus were collected by color Doppler and ultrasound. The control group 1 recruited 25 patients undergone myomectomy and the control group 2 with 30 undergone hysterectomy in the same period and under similar conditions. The blood loss in operation, the duration of operation and the incidence of postoperative morbidity were compared between the research and control groups. Results Significant reduction in the blood flow after operation was observed in the research group. The uterus was smaller than preoperative ones and the blood flowing to the uterine slowed down. No significant change of the ovarian hormones was obtained postoperatively comparing to preoperative data. No significant difference in blood loss, duration of operation and the postoperative morbidity was found in the three groups. Conclusions The cuneiform operation of uterus with untouched ascending uterine arteries is a good option for uterine benign diseases and does not affect the ovarian functions.
【CateGory Index】: R713.4
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