卵巢子宫切除术

Objective To discuss the appropriate method of dealing with ovary in hysterectomy.

目的 探讨子宫切除术中对卵巢的正确处理方式。

Objective To investigate the hysterectomy influence on ovarian functions, and the need for and effectiveness of hormone replacement therapy.

目的 探讨子宫切除术对卵巢功能的影响及性激素补充疗法的必要性和有效性。

The goal of this study was to compare long-term health outcomes and mortality after oophorectomy or ovarian conservation in 29,380 women participants of the Nurses' Health Study who had a hysterectomy for benign disease. Of these, 16,345 (55.6%) had hysterectomy with bilateral oophorectomy, and 13,035 (44.4%) had hysterectomy with ovarian conservation.

这项研究的目的在於比较卵巢切除术或是卵巢保留，对参与护理人员健康研究之29，380位因良性原因切除子宫之女性的影响；在这些病患中，16，345位（55.6%）接受子宫摘除与双侧卵巢切除，而13，035位（44.4%）接受子宫摘除与卵巢保留。

Objective To explore the value of laparoscopic operation in the treatment of gynecologic diseases.Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

目的 探讨妇科腹腔镜手术的临床应用价值方法回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，多囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

TV laparoscopy was applied in 64 gynecology operations, including salpingectomy, salpin-gostomy, dilatation of fimbriae tubae, tubal ligation, ovariectomy, adnexectomy, ovariocystectomy, oophoro-plasty, ovariopuncture, hysteromyomectomv and so on.

应用电视腹腔镜施行妇科手术64例，包括输卵管切除术、输卵管造口术、输卵管伞端扩张术、输卵管扎管术、卵巢或附件切除术、卵巢囊肿剥出成形术、卵巢穿刺术、卵巢冠囊肿切除术、子宫肌瘤挖除术及盆腔粘连分解术等。

Methods seventy-two 15-week-old sd rats were divided into six groups,included control group and five ovariectomized model groups.the model groups were fed with different-dose lycopene［10,15,20 mg/］ for 12weeks.then related indexes including length bone mineral density,bone mineral,serum estradiol,sertum alp and uterus index were analyzed.results compared with model group,three different dose groups and nilestriol［1.05mg/］ group showed increased bone mineral density,bone mineral,serum estradiol and uterus index,but decreased serum alp (p.05).conclusion as a female sex hormone-like component,lycopene may ameliorate the bone quality and inhibit osteoporosis in ovariectomized rat.

将72只15周龄sd大鼠随机分为6组，空白组做假手术，其余5组做卵巢切除术，术后用药12周后处死，测定右侧股骨骨密度、骨矿含量、血清雌二醇、碱性磷酸酶含量及子宫湿重。结果番茄红素高［20mg/］、中［15mg/］、低剂量组［10mg/］、尼尔雌醇组［1.05mg/kg·bw］能对抗骨密度、骨矿含量、血清雌二醇的下降、血清碱性磷酸酶的升高，与模型组比较，p.05；番茄红素各剂量组、尼尔雌醇组能对抗子宫指数的减轻，与模型组比较，p.05。结论番茄红素可以改善骨质量，抑制大鼠去卵巢骨质疏松的发生。具有类似雌激素的效应。

A summary was given to 35 cases of gynecologic operation ( the success rate was 100%), including ovarian tumor removal under TV abdominoscope, adnexectomy, oviducal ectopic gestation, ostomy of fimbria end of fullopian tube (with tubal patent test by liquid instillation on two sides), lytic operation for pelvic adhesion, avarian endometriosis and sterilizing operation.

总结在电视腹腔镜下行卵巢囊肿剔除术、附件切除术、输卵管异位妊娠手术、输卵管伞端闭锁造口、盆腔粘连分开术和并盆腔、卵巢子宫内膜异位症和绝育手术共 3 5例资料，成功率为 10 0 %。

When a malignant tumor is present, a thorough abdominal exploration, total abdominal hysterectomy,bilateral salpingo-oophorectomy,lymphadenectomy, omentectomy, and removal of all gross cancer are standard therapy.

当是恶性肿瘤，腹部探查术，子宫全切术，双测输卵管卵巢切除术，淋巴结切除术，大网膜切除术和所有可见肿瘤的摘除术都是标准的治疗。

When a malignant tumor is present, a thorough abdominalexploration, total abdominal hysterectomy,bilateralsalpingo-oophorectomy,lymphadenectomy, omentectomy, and removal of allgross cancer are standard therapy.

当是恶性肿瘤，腹部探查术，子宫全切术，双测输卵管卵巢切除术，淋巴结切除术，大网膜切除术和所有可见肿瘤的摘除术都是标准的治疗。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。