摘要
通过观察５２例子宫肌瘤患者不同手术范围对其骨密度的影响，以期为手术后骨质丢失的预防及治疗提供一定的理论依据。应用ＤＰＸ－Ｌ型双能Ｘ线吸收测量技术仪测量不同术式子宫肌瘤患者的骨密度值及正常人的骨密度值，得出全子宫切除组骨密度与未绝经组骨密度无显著差异，而全子宫加单侧附件切除组和全子宫加双侧附件切除组骨密度均较未绝经组显著为低，且全子宫加双附件切除组骨密度亦较全子宫加单侧附件切除组骨密度为低。因此对那些患有子宫肌瘤的妇女，尽可能采用非手术治疗，必须手术者，无论一侧卵巢或双侧卵巢切除，均需及时给予治疗，以延缓骨丢失，减少骨质疏松及骨折的发生。
The authors observed the effects of different extents of operation on the bone mineral density(BMD)in 52 cases of uterine myoma, hoping to provide some theoretical basis for preventing and treating postoperative bone loss. The BMD were measured by DPX-L type dual X-ray absorptiometry in women receiving different extents of operation for uterine myoma, and in normal con trols. The results showed that there was no significant difference between the BMD in total hysterectomy group and that in unmenopausal group, the BMD in total hysterectomy plus unilateral or bilateral adnexectomy group were significantly lower thanin unmenopausal group. The BMD in total hysterectomy and bilateral ovariectomy groups was also lower than that in unilateral adnexectomy group. We should avoid operation on the women suffering from uterine myoma as far as possiable. If the operation is necessary, no matter unilateral or bilateral ovariectmy, we must treat the patients in time in order to delay the bone loss and to decrease osteoporosis and fracture.
出处
《中国骨质疏松杂志》
CAS
CSCD
1996年第2期50-52,共3页
Chinese Journal of Osteoporosis
