一项关于有或无卵巢切除术的子宫切除术后3年结局的前瞻性研究。
A prospective study of 3 years of outcomes after hysterectomy with and without oophorectomy.
作者信息
Farquhar Cynthia M, Harvey Sally A, Yu Yi, Sadler Lynn, Stewart Alistair W
机构信息
Department of Obstetrics and Gynecology, National Women's Hospital, Auckland, New Zealand.
出版信息
Am J Obstet Gynecol. 2006 Mar;194(3):711-7. doi: 10.1016/j.ajog.2005.08.066.
OBJECTIVE
This study was undertaken to determine the outcomes of hysterectomy with and without conservation of the ovaries.
STUDY DESIGN
Data were collected prospectively for 3 years from 257 women undergoing hysterectomy (group 1) and 57 women undergoing hysterectomy with oophorectomy (group 2).
RESULTS
Pelvic pain, abdominal pain, and depression scores were reduced in the 3 years after hysterectomy. Twenty-one percent of the women in group 1 and 43% in group 2 regretted the loss of fertility 3 years after hysterectomy. Satisfaction with the operation was greater than 90% after 3 years in both groups. New symptoms of pelvic pain were infrequent in groups 1 (3%) and 2 (5%).
CONCLUSION
Three years after undergoing hysterectomy with and without oophorectomy, satisfaction is high although some women regret the loss of fertility.
目的
本研究旨在确定保留卵巢和不保留卵巢的子宫切除术的结果。
研究设计
前瞻性收集了257例行子宫切除术的女性（第1组）和57例行子宫切除加卵巢切除术的女性（第2组）3年的数据。
结果
子宫切除术后3年，盆腔疼痛、腹痛和抑郁评分降低。第1组21%的女性和第2组43%的女性在子宫切除术后3年后悔丧失生育能力。两组术后3年对手术的满意度均超过90%。第1组（3%）和第2组（5%）出现盆腔疼痛新症状的情况较少。
结论
在接受保留或不保留卵巢的子宫切除术后3年，尽管一些女性后悔丧失生育能力，但满意度较高。
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