绝经前子宫全切患者卵巢功能评价

目的 研究子宫全切而保留卵巢患者远期更年期症状及骨密度情况。方法 子宫全切保留单侧卵巢者48例，保留双侧卵巢者15例，对照组30例。所有观察对象均详细询问各种期症状的情况，并测定骨密度值。结果 两手术组更年期多种症状的发生率均显著高于对照组（P＜0．01或P＜0．05），单侧卵巢保留组骨密度值显著低于对照组（P＜0．05）。结论 子宫全切保留单侧或双侧卵巢患者远期卵巢功能下降，表现为更年期症状发生提前，单侧卵巢保留者骨密度值下降。

Effects of premenopausal hysterectomy with one or two ovaries conservation on health

Objective To investigate the incidence of climacteric symptoms and bone density of women who had premenopausal hysterectomy with one or two ovary conservation. Method Forty eight women with one ovary conservation and 15 women with two ovary conservation were recruited. Thirty women with regular menstruation as control group were randomly selected .Women were asked carefully and bone mineral density was examined. Results The incidences of all kinds of climacteric symptoms in the two groups were significantly higher than that of control group. The bone density of women with only one ovary conservation was significantly lower than that of the control group. Conclusion The long term ovarian function is reduced in hysterectomized women despite one or two ovary conservation.