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本文观察了170例因子宫肌瘤而切除子宫者术后半年至5年的更年期综合征发生率、卵巢功能及所保留卵巢发生肿物的情况。据阴道脱落细胞水平及部分病例术后2年内的血清FSH、LH水平分析,作者认为:40岁后卵巢功能逐渐衰退。在所观察的23例中,术后4～5年卵巢仍保持一定的功能,无1例发生卵巢癌。仅有1例发生囊肿。因此(1)切除子宫时应尽量保留健康的卵巢及同侧的输卵管;(2)切除双侧卵巢适合的年龄是绝经后或将绝经时。
This article observed 170 cases of uterine fibroids and resection of the uterus from six months to five years after the occurrence of menopausal syndrome, ovarian function and tumor retention of ovarian tumors. According to the level of vaginal exfoliated cells and serum FSH and LH levels within 2 years after surgery, the authors believe that ovarian function gradually declines after 40 years of age. Of the 23 cases observed, the ovaries remained functional for 4 to 5 years after surgery, and none of the ovarian cancers occurred. Only 1 case of cyst occurred. Therefore, (1) the uterus should be kept as far as possible to retain a healthy ovarian and ipsilateral fallopian tubes; (2) the age of removal of the bilateral ovaries is postmenopausal or will be menopause.