Study on Impact of Laparoscopic Triangle Hysterectomy on Ovarian Function

Objective To explore the effect of laparoscopic triangle hysterectomy on ovarian function.Methods We prospectively and randomly collected 40 patients underwent laparoscopic triangle hysterectomy and 40 patients underwent total hysterectomy due to dysfunctional uterine bleeding hospitalized in Zhuhai Municipal Maternal and Child Health Hospital from January 2007 to December 2010.Follicle-stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),inhibin B and anti-mullerian hormone(AMH) were detected and compared before and three months after the surgery.Results No statistically significant difference was found in FSH,LH,E2,inhibin B and AMH of laparoscopic triangle hysterectomy group between before and after the surgery.Three months after the surgery,FSH and E2 in total hysterectomy group were significantly increased,while inhibin B and AMH were significantly decreased.As compared with total hysterectomy group,FSH and E2 of laparoscopic triangle hysterectomy group were significantly decreased,while inhibin B and AMH were significantly increased three months after the surgery.Conclusions Laparoscopic triangle hysterectomy is superior to total hysterectomy in the protection of ovarian function.