子宫肌瘤患者保留附件的子宫切除对卵巢组织学及功能的影响  

The influence of hysterectomy but reserving uterine arteries in patients with hysteromyoma on ovarian histology and function

作　　者：刘曼华[1] 程英[1] 管卫群[1] 陶潜[1] 郑艳丽[1] 杨其昌[1] 

机构地区：[1]南通医学院第二附属医院,226001

出　　处：《中国妇幼保健》2005年第4期441-442,共2页Maternal and Child Health Care of China

摘　　要：　目的: 探讨子宫动脉对卵巢组织学及功能的影响。方法: ①对子宫肌瘤需手术患者 30例采用保留双侧子宫动脉的大部子宫切除成型手术方式 (研究组), 同期进行 30例常规全子宫切除 (对照组 1)、30例子宫次全切除作为对照 (对照组2), 3组手术前及手术后 3个月、6个月及 12个月性激素测定; ②进行兔实验, 手术后 3月取兔卵巢标本行病理学检查。结果:3手术组术前性激素比较无明显差异P>0 05, 2对照组手术后 6个月开始出现的内分泌改变, 12个月后出现明显改变P<0 05;子宫切除的兔卵巢组织 3月后有缺氧改变。结论: 子宫动脉是卵巢的主要血液来源, 直接影响卵巢组织功能。Objective:To explore the influence of uterine arteries on ovarian histology and function Methods:①30 patients underwent partial hysterectomy but reserving uterine arteries were taken as study group , 30 ones underwent routine total hysterectomy as control group I and 30 ones underwent subtotal hysterectomy as control group II The sex hormone before and at the 3rd, 6th and 12th month after operation in three groups were determined ②The rabbit experiment was conducted to check the pathological changes of rabbits' ovarian samples at 3rd month after operation Results:There was no significant difference in sex hormone among three groups before operation ( P >0 05) There were endocrine changes at the 6th month after operation, and there were significant changes at the 12th month after operation ( P <0 05) in the two control groups There were anoxic changes in rabbits' ovarian tissue at the 3rd month after hysterectomy Conclusion:The uterine arteries should be the main source of blood and directly influence the ovarian histology and function

关 键 词：子宫平滑肌瘤 性激素 卵巢 组织病理学 

分 类 号：R713.4[医药卫生—妇产科学]