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目的 了解不同手术范围与术后更年期症状的发生率 ,症状出现时间、程度及术后性激素水平的关系。方法 对 55例手术治疗的子宫内膜异位症患者 ,进行术后随访其更年期症状与激素水平。结果 切除卵巢组织越多 ,更年期症状出现的时间越早 ,频率越高 ,程度越重 ,且术后雌激素E2 水平越低。结论 因疾病需要作卵巢切除时要慎重 ,尽可能保留卵巢组织及其血供 ,保留卵巢组织越多越好 ,对手术后妇女的健康影响小。对于术后激素替代治疗 ,较为合适的时间是在术后 6个月 ,其用量以激素水平维持在相当于有一侧卵巢的水平。
Objective To investigate the incidence of postoperative climacteric symptoms, the time and degree of symptoms, and the postoperative sex hormones in different operative fields. Methods Fifty-five patients with endometriosis who underwent surgery were followed up for their menopausal symptoms and hormone levels. Results The more ovarian tissue resection, the earlier the symptoms of menopause appeared, the higher the frequency, the more severe, and the lower the estrogen E2 level after surgery. Conclusion Due to illness need to be taken for ovariectomy caution, as much as possible to retain the ovarian tissue and its blood supply, keep the ovarian tissue as possible, the health of women after surgery is small. For postoperative hormone replacement therapy, a more appropriate time is 6 months after surgery, the amount of hormone levels maintained at the equivalent level of ovarian side.