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中年女性机会性子宫或附件切除:利与弊

张瑶 马颖 张淑兰

张瑶, 马颖, 张淑兰. 中年女性机会性子宫或附件切除:利与弊[J]. 协和医学杂志, 2021, 12(2): 172-178. doi: 10.12290/xhyxzz.2020-0041
引用本文: 张瑶, 马颖, 张淑兰. 中年女性机会性子宫或附件切除:利与弊[J]. 协和医学杂志, 2021, 12(2): 172-178. doi: 10.12290/xhyxzz.2020-0041
ZHANG Yao, MA Ying, ZHANG Shu-lan. Selective Removal of Uterus or Bilateral Adnexa of Middle-aged Female: Advantages and Disadvantages[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 172-178. doi: 10.12290/xhyxzz.2020-0041
Citation: ZHANG Yao, MA Ying, ZHANG Shu-lan. Selective Removal of Uterus or Bilateral Adnexa of Middle-aged Female: Advantages and Disadvantages[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 172-178. doi: 10.12290/xhyxzz.2020-0041

中年女性机会性子宫或附件切除:利与弊

doi: 10.12290/xhyxzz.2020-0041
详细信息
    通讯作者:

    张淑兰  电话:024-96615-41211,E-mail:zsl0909@sina.com

  • 中图分类号: R71

Selective Removal of Uterus or Bilateral Adnexa of Middle-aged Female: Advantages and Disadvantages

More Information
    Corresponding author: ZHANG Shu-lan  Tel: 86-24-96615-41211, E-mail: zsl0909@sina.com
  • 摘要: 近年来,随着人们生活质量的提高及对疾病认知的加深,机会性子宫或附件切除已成为临床医生及患者关注的热点问题。本文通过回顾现有研究证据,进行利弊分析,指出全子宫切除术可降低宫颈癌或子宫内膜癌高危人群发病风险,但有可能对患者的盆底功能、性生活满意度及心理产生负面影响。中年女性绝经后因附件良性肿物在切除患侧附件时,是否同时行机会性全子宫切除,需考虑患者宫颈癌及子宫内膜癌发病风险、周身状况及术者经验,在与患者及家属充分协商的基础上综合评估;对因良性疾病而计划行子宫切除术的女性,应考虑进行机会性输卵管切除术,以降低上皮性卵巢癌的发病率,但对已确诊乳腺癌患者,如计划行子宫切除术,应行机会性双侧附件切除,以降低乳腺癌的死亡率。
    作者贡献:张瑶负责资料收集、初稿撰写及论文修订;马颖负责文献资料分析及整理;张淑兰负责论文构思及审核。
    利益冲突:  无
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出版历程
  • 收稿日期:  2020-12-13
  • 录用日期:  2021-02-04
  • 刊出日期:  2021-05-30

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