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目的探讨绝经前子宫切除术对患者雌激素及甲襞微循环的影响。方法测定患者手术前后血清雌二醇 (E2 )水平及进行甲襞微循环检测 ,并与对照组进行比较。结果切除子宫后 12 0天与术前及对照组比较 ,E2 水平明显下降 (P<0 .0 1)。甲襞微循环发生明显障碍。结论绝经前子宫肌瘤患者尽量不做子宫全切术 ,可行子宫肌瘤剔除术 ,如必须全切 ,应尽量保护卵巢血管 ,同时术后应补充雌激素。
Objective To investigate the effect of premenopausal hysterectomy on estrogen and formazan microcirculation in patients. Methods The level of serum estradiol (E2) and the microcirculation of formazan in the patients before and after operation were measured and compared with those of the control group. Results On the 120th day after the uterus resection, the E2 level was significantly lower than that before operation and the control group (P <0.01). Nail 襞 microcirculation obvious obstacles. Conclusion Premenopausal uterine fibroids patients try not to hysterectomy, feasible myomectomy, such as the need to cut, should try to protect ovarian blood vessels, and postoperative estrogen should be added.