Effects of hysterectomy on ovarian function in patients with retaining uterine blood vessel

Objective: To evaluate the effect of hysterectomy of reserving the uterine blood supply on uterine artery hemodynamics, blood lipids level and the degree of sexual satisfaction before and after operation. Methods: One hundreds of patients with benign lesions of uterus were randomly divided into subtotal hysterectomy of maintaining uterine vessels group, STHMUV (research group, n=50) and traditional subtotal resection of uterine group, SROU (the control group, n=50), comparing the recent impact of two operation on sexual life satisfaction and changes of uterine artery blood flow in two groups,blood tests were taken to check the serum blood lipid levels before and after operation three months, six months, one year and two years at the same time respectively. Results: There was no significant difference between the two groups in operation time, bleeding volume, postoperative fever, and residual polyps; There was no significant difference among research group before and after operation in serum lipid level (P>0.05), total cholesterol (TC), triglyceride (TG) and low density lipoprotein (LDL) level increased significantly in control group (P<0.05), high density lipoprotein (HDL) level decreased (P<0.05) in Control group and no significant difference between the two groups in sexual life quality. Comparison between Va and Vb in Research group before and after operation shows obvious difference. Conclusion: The effect of uterus hysterectomy for retaining blood supply on ovarian endocrine function is less than that of the traditional total hysterectomy, this operation is very important for preserving ovarian function and delaying ovarian decline.