CAJ | 학술논문

目的：探究围绝经期妇女子宫良性疾病行子宫切除术同时切除双侧输卵管对术后妇女的影响，为良性疾病切除子宫时双侧输卵管是否保留提供参考。方法选择医院2000年1月～2010年12月因子宫良性疾病行子宫全切除术或次全切除术者共436例，随访至术后24个月，失访24例，完成随访412例。其中同时行双侧输卵管切除术共194例（观察组），保留双侧输卵管共218例（对照组）。观察两组患者手术后血清性激素水平变化、围绝经期症状的发生情况。结果术后第12个月及第24个月两组血清性激素水平差异具有统计学意义，术后12个月及24个月两组围绝经期症状的发生具有显著差异。结论为提高围绝经期子宫良性病变妇女术后生活质量，行子宫切除术时应避免同时行双侧输卵管切除术。
목적：탐구위절경기부녀자궁량성질병행자궁절제술동시절제쌍측수란관대술후부녀적영향，위량성질병절제자궁시쌍측수란관시부보류제공삼고。방법선택의원2000년1월～2010년12월인자궁량성질병행자궁전절제술혹차전절제술자공436례，수방지술후24개월，실방24례，완성수방412례。기중동시행쌍측수란관절제술공194례（관찰조），보류쌍측수란관공218례（대조조）。관찰량조환자수술후혈청성격소수평변화、위절경기증상적발생정황。결과술후제12개월급제24개월량조혈청성격소수평차이구유통계학의의，술후12개월급24개월량조위절경기증상적발생구유현저차이。결론위제고위절경기자궁량성병변부녀술후생활질량，행자궁절제술시응피면동시행쌍측수란관절제술。
Objective Explore affecting on postoperative women with uterine hysterectomy with bilateral tubal resection for benign disease,provide a reference for the fate of bilateral tubal.Methods Selection from maternal and child health hospital in Guangzhou city,in January 2000 to December 2010, 436 cases were undergoinghysterectomy or sub hysterectomydue to uterine benign diseases.Complete follow-up in 412 cases.meanwhile,194 cases were also underwent bilateral salpingectomy and a total of 218 cases of tubal reserved.Changes in serum sex hormone levels and Perimenopausal symptoms was observed after surgery.Results After the first 12 months and 24 months in the observation,group and the control group,serum sex hormone levels were statistically significant differences;After 12 months and 24 months of observation,group and control group have significant difference of perimenopausalsymptoms. Conclusion To improve the postoperative quality of life for women,doctorshould avoid simultaneous bilateral salpingectomy.