妇科手术对卵巢功能及女性生活质量影响的研究进展

Research progress of influence of gynecological operation on ovarian function and female living quality

卵巢是分泌女性激素、维持女性特征及各组织功能的重要器官。妇科手术可能会导致卵巢功能不同程度的损伤,并继而影响女性的生活质量。近年来,随着妇科良恶性手术的增多,对于各种术式对卵巢功能的影响及相应的预防及治疗措施的研究逐渐受到临床医师的关注。熟悉卵巢的解剖、血运、不同术式对卵巢功能及患者心理的影响,将会有助于临床医师选择正确的治疗方案和手术方式,围术期卵巢功能的保护,预防医源性早绝经,并给予合理的治疗,可以提高女性患者术后的生活质量。

Ovary is the vital organ to female hormone secretion,the maintenance of female characteristics and organic functions.Gynecological operation may cause harm to ovarian functions at various degrees and then reduce the quality of life.In recent years,with the increase number of gynecological operation,researches about how different kinds of surgical methods influence ovarian functions and the corresponding therapeutic measures have drawn more and more attention.If a clinician is familiar with ovarian dissection and the impacts of ovarian functions and patients＇ mentality caused by different operation methods,then the doctor will be more likely to make the right choose of treatment pro grams and surgical ways.Besides,protection of ovarian functions during perioperative period,prevention of latrogenic early menopause and rational treatment can improve the qualities of life after operation.