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子宫切除卵巢去留问题的选择探讨山西省妇幼保健院（０３００１３）李兆艾，林大凯我们随访了１３５例子宫切除的患者，并对子宫切除术时卵巢的去留做了初浅的探讨。临床资料一、一般资料：１９８４年～１９９１年因子宫肌瘤等疾病而行子宫切除术者２７０例。其中同时切除双侧卵巢９３例，单侧卵巢１１０例，保留双侧卵巢６７例，术后随访１３５例，其中切除双侧４４例，单侧６６例；保留双侧卵巢２５例。二、随访内容：①病史。详细询问病史，术后有无更年期症状及性生活变化等。②妇科检查。观察阴道粘膜色泽，湿润度，有无点状充血等更年期阴道粘膜变化，触诊盆腔有无包块，必要时做Ｂ超检查。结果把１３５例随访病例以卵巢双切组、单切组及保留组按年龄＜４０岁，４０～４９岁，≥５０岁组进行比较。１．各年龄组不同术式和术后更年期症状，阴道粘膜改变及性生活变化。结果三组卵巢双切组更年期症状在＜４０岁组发生率１００％，以后随年龄的增长逐渐下降，在＜４０岁组、４０～４９岁组卵巢双切及卵巢单切者更年期症状高于卵巢保留组，经比较有显著差异Ｐ＜０．０１。而＞５０岁组卵巢双切，单切者更年期症状发生率相当。更年期阴道粘膜变化在＜４０岁。４０～４９岁双切组明显高于保留组，有显著
Selection of hysterectomy ovary removal problems Shanxi Provincial Maternal and Child Health Hospital (030013) Li Zhaoyi, Lin Dakai We followed 135 cases of hysterectomy patients, and hysterectomy ovarian left to do a shallow discussion. Clinical data First, the general information: 1984 ~ 1991 due to uterine fibroids and other diseases and hysterectomy in 270 cases. Among them, 93 cases of bilateral ovaries were excised simultaneously, 110 cases of unilateral ovary, 67 cases of bilateral ovary retained, 135 cases were followed up, of which 44 cases were bilateral and 66 cases unilateral. Second, follow-up content: ① history. Asked in detail about the history of postoperative menopausal symptoms and sexual life changes. ② gynecological examination. Vaginal mucosal observation of color, moisture, with or without point-like congestion and other menopausal vaginal mucosal changes, pelvic palpable with or without mass, if necessary, to do B-ultrasound. Results 135 cases of follow-up were divided into ovariectomized group, single-cut group and reserved group according to age <40 years old, 40-49 years old, ≥50 years old group. 1. Different age groups and postoperative menopause symptoms, vaginal mucosal changes and changes in sexual life. Results The climacteric symptoms in the three groups of ovary double-cut group were 100% in <40 years old group, but decreased gradually with age later. In the age group of 40 years old, 40-49 years old group had higher menopausal symptoms Ovary retention group, compared with a significant difference P <0.01. The> 50-year-old group of ovarian double-cut, single-cut menopausal symptoms similar incidence. Menopausal vaginal mucosal changes in <40 years old. 40 ~ 49 years old double-cut group was significantly higher than the retention group, significant