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本文报道对年龄小于45岁的100例子宫肌瘤患者全子宫切除术中保留卵巢、切除卵巢及自然绝经作阴道涂片,并测定血清中FSH、LH、E_2及T的均值。切除卵巢组与自然绝经组FSH及LH的均值较正常卵泡期显著升高(P<0.001),E_2均值显著下降(P<0.05)并有不同程度更年期综合征。保留一侧卵巢者,各类激素均值与正常妇女卵泡期水平相仿,有轻度更年期综合征,但无残余卵巢综合征。故对绝经前妇女以保留一侧健康卵巢为宜。
This article reports on 100 cases of uterine fibroids younger than 45 years of age in patients with hysterectomy retained ovaries, ovaries and vaginal smears of natural menopause, and determination of serum FSH, LH, E_2 and T mean. The average values of FSH and LH in ovariectomized and spontaneous menopause groups were significantly higher than those in normal follicular phase (P <0.001), and the mean values of E_2 were significantly decreased (P <0.05). There were different degrees of climacteric syndrome. Retained ovarian side, the average of all kinds of hormones and normal women follicular phase level with mild menopause syndrome, but no residual ovarian syndrome. Therefore, it is advisable for premenopausal women to keep healthy ovaries on one side.