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本文对130例绝经前因子宫肌瘤行子宫全切(卵巢切除或保留)术后随访2年的患者,用阴道镜观察阴道上皮与血管的变化,同时进行性激素测定、阴道涂片检查及询问更年期症状等来检测卵巢功能。并将阴道上皮血管变化与卵巢功能间的关系进行分析。同时与21例育龄妇女作对照研究。结果:33例阴道镜检查显示,阴道上皮表面完整、光滑,阴道无皱襞或皱襞极少,色苍白者称阴道上皮+,血管多数呈网状(30/33),为卵巢功能衰退、雌激素水平低落的阴道镜表现。80例阴道上皮表面完整丰厚,皱襞多、色淡红者称阴道上皮++,血管多数不清(75/80),是卵巢功能正常的阴道镜像。本研究结果提示,通过阴道镜像阴道上皮及血管的变化,可了解体内雌激素水平高低,扩大了阴道镜的使用范围。
In this paper, 130 cases of premenopausal uterine fibroids hysterectomy (ovariectomy or retention) were followed up for 2 years, with colposcopy vaginal epithelium and vascular changes, while sex hormone test, vaginal smear examination and inquiry Menopausal symptoms to detect ovarian function. Vaginal epithelial vascular changes and ovarian function were analyzed. At the same time with 21 cases of women of childbearing age as a control study. Results: 33 cases of colposcopy showed that the surface of the vaginal epithelium was complete and smooth, the vagina had no folds or folds, the vaginal epithelium + and the majority of blood vessels were reticular (30/33), which were ovarian function decline, estrogen Low colposcopy performance. 80 cases of complete vaginal epithelial surface rich, folds and more, pale red said vaginal epithelium ++, most of the blood vessels unclear (75/80), is a normal ovarian colposcopy. The results of this study suggest that vaginal mirror through the vaginal epithelium and blood vessels, can understand the level of estrogen in vivo, expanding the use of colposcopy.