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子宫切除术中卵巢的切除或保留:六年回顾

Removal or preservation of ovaries during hysterectomy: a six year review.

作者信息

Loizzi P, Carriero C, Di Gesù A, Greco P, Nappi R

机构信息

Institute of Obstetrics and Gynecology II Clinic, University of Bari, Italy.

出版信息

Int J Gynaecol Obstet. 1990 Mar;31(3):257-61. doi: 10.1016/0020-7292(90)91020-q.

Abstract

During six years (1982-1987) in our Department 965 consecutive hysterectomies were performed: 583 abdominal and 260 vaginal hysterectomies performed for benign indications (total = 843) have been reviewed. Preservation of ovaries was chosen in 234 cases (27.8%), while 609 women had their ovaries removed (72.2%). Indications and choice of surgical procedure have shown more significant correlation with ovariectomy than different age groups and parity. Incidence of subsequent signs and symptoms of menopause and osteoporosis has been detected and compared between premenopausal patients who had oophorectomy and those who had not. In removed ovaries no undiagnosed malignant ovarian diseases were found.

摘要

在我们科室的六年时间里(1982 - 1987年),连续进行了965例子宫切除术:其中583例为经腹子宫切除术,260例为经阴道子宫切除术,均因良性指征进行(总计843例),现对这些病例进行回顾。234例(27.8%)患者选择保留卵巢,而609例女性(72.2%)进行了卵巢切除。手术指征和手术方式的选择与卵巢切除术的相关性,比不同年龄组和产次的相关性更为显著。我们对绝经前接受卵巢切除术和未接受卵巢切除术的患者,检测并比较了后续绝经症状和骨质疏松症的发生率。在切除的卵巢中,未发现未被诊断出的恶性卵巢疾病。

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