AHJ：子宫结扎并不增加心脏病风险

与一些要到期科学研究也就是说，一项原先的澳大利亚科学研究断定出当出头妇女展开阴道截肢术（友或不友**截肢）后，高血压疾病的危险性未能升高。这些妇女妇科的危险性非常高于大自然绝经的妇女，该原先科学研究感叹。

匹兹堡医学院助理剧作家Karen A. Matthews及同僚在一份统计数据当中所作了他们的断定出，这份统计数据原先于本周在线公布于《澳大利亚心肌梗塞学会时尚杂志》。

Matthews，匹兹堡的一位杰出的精神病学讲师和流行病学与社会心理学讲师，在一份原先闻公报当中声明，这些结果对刚刚考虑阴道截肢术的当出头妇女来感叹必要是令人难忘的：

“科学研究结果表明，相对于大自然绝经后，阴道截肢术后的妇科危险性q低水平有可能会升高，”Matthews感叹。

阴道截肢术与妇科危险性

阴道截肢术是一种常见的移出妇女阴道的手术转换。有时，病人还移出**，以提高**癌危险性。

有时可能会显着所需展开该转换，比如因为结核病、阴道卷曲、表皮所发肌瘤，或因为极其为重的月经过多与醒经，但与此同时，和所有手术一所发，仍要取舍其盈余与危险性。

因为雌激素扭转，在绝经前展开阴道截肢术常引致更年期延后。

一些要到期科学研究表明阴道截肢术减少高血压疾病的长期危险性，而高血压疾病是妇女头号职业杀手。而且他们断定，如果同时截肢**，该危险性将低。

但是该见解某种程度，主要因为这些科学研究个人主义于风险评估阴道截肢术与/或**截肢术多年再次的妇科危险性，而并未将她们在手术以后就可能会有的危险性考虑进去。

科学实证们认真了什么

而在该项原先科学研究当中，Matthews及其同僚随访了3,302位澳大利亚绝经前妇女11年。这些妇女参加了全国妇女科学研究（SWAN）。

科学研究伊始，当这些妇女转为到SWAN时，她们42-52岁，阴道完整，有至少1个**，且并未使用激素疗法。

在随访期间，每年给她们认真风险评估。此后，极少妇女达致大自然绝经岁数，一些展开了阴道截肢术友**截肢术，而一些则不友**截肢术。

展开阴道截肢术的主要或许是表皮所发肌瘤、月经过多和慢性骨盆醒。

科学实证在阴道截肢术前后风险评估了组织者的妇科危险性，并将这些数据与那些大自然绝经的妇女最后一次月经前后的危险性比起。

Matthews及其同僚感叹，他们的科学研究是首项多民族语言科学研究，了展开阴道截肢术与大自然绝经的妇女的妇科危险性q的每年在短期内扭转。

断定出了什么

该分析显示阴道截肢术前后与大自然绝经前后高血压危险性q时有发生变异，在不尽相同个体，阴道截肢术者与大自然绝经者变异模式值得注意；同时，总体变异模式显示阴道截肢术者高血压危险性未能升高，科学实证们感叹。并且，此具体情况在所有种族组都一所发。

并且，即使在微调可能会的影响q——比如体内运动速度指数（BMI）——再次，具体情况仍一所发。阴道截肢术友**截肢术后，BMI无论如何大大升高。

或许是什么

Mathews感叹他们非常考虑到为什么他们的断定出与显示阴道截肢术升高妇科危险性的要到期科学研究不尽相同。

一个或许可能会是，他们并未将年轻妇女设为科学研究，而更要到展开阴道截肢术引致的妇科危险性低。

另一个或许，Matthews感叹，可能会是因为该科学研究排除了因为结核病而展开阴道截肢术的妇女。

SWAN由国家所老年医学科学研究员、国立医疗科学研究员、国立医疗卫生科学社会科学院、妇女有益科学研究组和补充与替代医学当中心共同策动。

2011年，《内科学档案》时尚杂志写道，来自旧金山加利福尼亚医学院的科学实证们报道，他们断定出展开了阴道截肢术友**截肢术的妇女时有发生**癌的危险性提高，并且时有发生其它类型结核病、心肌梗塞或髋骨折的危险性未能升高。

与阴道截肢系统性的扩大阅读：

书名阅读：Hysterectomy does not increase risk of cardiovascular diseasePositive findings differ from previous studies on hysterectomy, heart disease riskHing a hysterectomy with or without ovary removal in mid-life does not increase a woman's risk of cardiovascular disease compared to women who reach natural menopause, contrary to many previously reported studies, according to research published online today in the Journal of the American College of Cardiology."Middle-aged women who are considering hysterectomy should be encouraged because our results suggest that increased levels of cardiovascular risk factors are not any more likely after hysterectomy relative to after natural menopause," said Karen A. Matthews, PhD, lead author of the study and a distinguished professor of psychiatry and professor of epidemiology and psychology at the University of Pittsburgh.Hysterectomy is the surgical removal of a woman's uterus; it is sometimes accompanied by the removal of the ovaries to decrease the risk of ovarian cancer. Hysterectomy is a common surgical procedure for women, but the benefits must be weighed against potential long-term related health consequences. Cardiovascular disease is the number one killer of women and many studies he shown increased risk of cardiovascular disease to be a health risk associated with hysterectomy, especially accompanied by ovary removal. Researchers in those studies usually evaluated cardiovascular disease risk factors years after hysterectomy and/or ovary removal and did not assess individual risk factor levels pre-surgery.For this study, investigators followed 3,302 premenopausal women between the ages of 42-52 for 11 years who were enrolled in the Study of Women's Health across the Nation (SWAN). Researchers compared cardiovascular disease risk factors in women prior to and following elective hysterectomy with or without ovary removal to the risk factors prior to and following final menstrual period in women who underwent natural menopause.This is the only multiethnic study that has tracked prospective annual changes in cardiovascular disease risk factors relative to hysterectomy or natural menopause.Investigators found that several cardiovascular disease risk factor changes differed prior to and following hysterectomy, compared to changes prior to and following a natural menopause, but those changes did not suggest an increased cardiovascular disease risk following hysterectomy, independent of body mass index, which did increase after hysterectomy with removal of ovaries. These effects were similar in all ethnic groups in the study.Dr. Matthews said it is unclear why this study's findings differed from other studies exploring hysterectomy and cardiovascular risk, but likely factors include the age of participants since hysterectomy that occurs earlier in life may present more cardiovascular risk. Also, earlier studies included women who had hysterectomy for any reason, whereas the SWAN study excluded women who had hysterectomy because of cancers. "This study will prove very reassuring to women who he undergone hysterectomy," said American College of Cardiology CardioSmart Chief Medical Expert JoAnne Foody, MD, FACC. "As with anything, if a woman is concerned about her risk for heart disease she should discuss this with her health care provider."