子宫切除术对卵巢功能的影响及对策

Hysterectomy Influence on Ovarian Function and the Countermeasures

传统的全(次全)子宫切除术可影响卵巢血供,使卵巢的内分泌功能下降,卵巢衰竭的年龄比自然绝经者早4年。针对以上情况,已出现保留血管的次全子宫切除术可减少对卵巢功能的影响。在药物治疗方面,西医的激素替代治疗可改善这一现状,但常规使用有争议。中医药治疗因疗效肯定,不良反应小易被患者接受,有广泛的应用前景,但还存在辨证分型、诊断和疗效判定标准等问题,还需要临床医师长期的临床观察和深入研究。

The traditional total（subtotal）hysterectomy can affect ovarian blood supply,cause ovarian endocrine function drop,4 years earlier ovarian failure than natural menopause.To counter the above situation,there are already blood-vessel-reserved subtotal hysterectomy which can reduce the influence on ovarian function.In terms of drug therapies,western medicine of hormone replacement therapy can improve the situation,but regular use is still controversial.Traditional Chinese medicine is more acceptable by the patients due to its affirmative effect and less adverse reaction,which is expected to have wide application field,but there are still problems such as the dialectical classification,diagnosis and outcome standard,which require long-term clinical observation and deeper study of clinical physicians.