子宫肌瘤术中卵巢去留和对内分泌的影响  

Discussion of retaining or removing ovaries in the treatment of hysteromyoma and the effect on endocrine system

作　　者：曲雯雯[1] 黄薇[1] 

机构地区：[1]四川大学华西第二医院妇产科,四川成都610041

出　　处：《中国计划生育和妇产科》2012年第3期46-48,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：对于围绝经或绝经后妇女而言,因子宫肌瘤进行子宫切除的妇女,术中同时行预防性卵巢切除避免卵巢肿瘤的发生。但是,作为女性内分泌器官的卵巢,即使功能降低或停止,在手术切除后仍会引起妇女急性卵巢功能衰竭而出现相关症状,对妇女以后的生活产生不良影响。因此,子宫肌瘤行子宫切除时是否预防性切除卵巢一直存在争议。Elective bilateral salpingo -oophorectomy is routinely performed with hysterectomy for benign hysteromyoma as a strategy to decrease the rate of ovarian cancer. Prophylactic oophorectomy in perimenopausal women, even in postmenopausal women, should result in an immediate as well as significant loss of sex hormones produced from ovary, and climacteric related - symptoms would be presented. Meanwhile, long - term deficiency of estrogen should increase the risk of cardiovascular disease and osteoporosis. Despite of the potential benefit in decreasing ovarian cancer, routine prophylactic oophorectomy at the time of hysterectomy has remained controversial.

关 键 词：子宫肌瘤 子宫切除 卵巢 内分泌 

分 类 号：R711.74[医药卫生—妇产科学]