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| The influence of laparoscopic total Hysterectomy, subtotal hysterectomy, and deltoid hysterectomy for treating patients with uterine fibroids on their pelvic floor function and sex hormones |
| Qingyang People's Hospital, Qingyang, Gansu Province, 745000 |
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Abstract Objective: To investigate the influence of laparoscopic total Hysterectomy (LTH), laparoscopic subtotal hysterectomy (LSH), and laparoscopic deltoid hysterectomy (LDH) patients with uterine fibroids on their pelvic floor function and sex hormones. Methods: 146 patients with uterine fibroids were divided into three groups according to the different surgery methods, which included LTH group (n=52, total hysterectomy), LSH group (n=48, subtotal hysterectomy) and LDH group (n=46, deltoid hysterectomy) from June 2017 to May 2018. Results: The operation time, volume of intraoperative blood loss, and hospitalization days of patients in LDH group were significant lower than those of patients in LSH group and LTH group (P<0.05), while no difference was found in the postoperative anal exhaust time among the three groups (P>0.05). The degree of top-vaginal prolapse, rectocele, or stress incontinence of patients in LDH group was significantly lower than that of patients in LSH group and LTH group (P<0.05). The levels of estradiol (E2), follicle-stimulating hormone and luteinizing hormone of patients in LDH group were significant higher than those of patients in LSH group and LTH group (P<0.05). Conclusion: LDH used for treating patients with uterine fibroids has significant benefit on their pelvic floor function rehabilitation and maintenance of sex hormone levels, which is worthy of clinical promotion.
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