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目的:探讨子宫肌瘤手术去留卵巢临床效果。方法:选用我院于2012年1月~2014年12月收治的395例子宫肌瘤患者进行回顾性分析,行子宫全切术患者有200例,占50.6%;行次全切的有195例,占49.4%,其中单侧卵巢切除142例,双侧卵巢切除10例,占5%;双侧卵巢保留48例,占24%。结果:保留单侧卵巢142例,其中有7例出现绝经综合征,双侧卵巢切除10例,患者均有不同程度的绝经综合征,有一例患者未出院即出现症状,其中患老年性阴道炎2例。结论:对围绝经期子宫肌瘤患者,在手术当中保留一侧卵巢是非常重要的,在卵巢去留的问题上严格对手术指征进行掌握,预防并发症的发生。
Objective: To investigate the clinical effect of uterine fibroid surgery to ovary preservation. Methods: A retrospective analysis was performed on 395 cases of uterine fibroids treated in our hospital from January 2012 to December 2014. 200 cases underwent hysterectomy, accounting for 50.6%. There were 195 cases , Accounting for 49.4%, of which 142 cases of unilateral ovariectomy, bilateral ovariectomy in 10 cases, accounting for 5%; 48 cases of bilateral ovarian retention, accounting for 24%. Results: There were 142 cases of unilateral ovary preserved, of which 7 cases had menopause syndrome and 10 cases of bilateral ovariectomy. All patients had different degree of menopause syndrome. One case had symptoms of senile vaginitis 2 cases. Conclusion: It is very important to preserve one ovary during operation in perimenopausal patients with uterine fibroids. It is necessary to strictly control the operation indications on the ovary removal and prevent the occurrence of complications.