AHJ：子宫切除术并不提高心脏病风险

与一些较后期研究课题相反，一项另行的英国研究课题推断出中会年男性同步进行内膜切除（；还有或不；还有腺体切除）后，心血管疾病的或许会并未持续上升。这些男性妇科的或许会不一定高于自然地绝经的男性，该另行研究课题知道。

圣路易斯大学高级顾问作家Karen A. Matthews及熟人在一份调查结果中会写下了他们的推断出，这份调查结果计划于本周离线发布另行闻于《英国肺炎该学会时尚杂志》。

Matthews，圣路易斯的一位杰出的精神病学讲师和微生物学与心理学讲师，在一份另行闻公报中会公开信，这些结果对正在考虑到内膜切除的中会年男性来知道应该是无疑的：

“研究课题表明，比起自然地绝经后，内膜切除后的妇科或许会生物体水平不大或许持续上升，”Matthews知道。

内膜切除与妇科或许会

内膜切除是一种典型的移除男性内膜的动手术系统设计。有时，病人还移除腺体，以降低腺体癌或许会。

有时或许明显需要同步进行该系统设计，比如因为肝癌、内膜弯曲、拉伸样肌瘤，或因为格外为重的子宫过多与痛经，但与此同时，和所有动手术一样，仍要权衡其收益与或许会。

因为荷尔蒙暴发波动，在绝经从前同步进行内膜切除最常造成了妊娠提从前。

一些较后期研究课题表明内膜切除提高心血管疾病的一直或许会，而心血管疾病是男性头号刺客。而且他们推断，如果同时切除腺体，该或许会将格外佳。

但是该见解同样，主要因为这些研究课题偏好于指标内膜切除与/或腺体切除多年便的妇科或许会，而没有将她们在动手术之从前就或许有的或许会考虑到进来。

研究课题者们做了什么

而在该项另行研究课题中会，Matthews及其熟人随访了3,302位英国绝经从前男性11年。这些男性参加了全国男性研究课题（SWAN）。

研究课题此从前，当这些男性加入到SWAN时，她们42-52岁，内膜清晰，有至少1个腺体，且没有使用激素临床。

在随访过后，每年给她们做指标。在此过后，大部份男性达到自然地绝经年龄，一些同步进行了内膜切除；还有腺体切除，而一些则不；还有腺体切除。

同步进行内膜切除的主要状况是拉伸样肌瘤、子宫过多和慢性骨盆痛。

研究课题者在内膜切除从前后指标了举例来说的妇科或许会，并将这些数据与那些自然地绝经的男性最后一次子宫从前后的或许会来得。

Matthews及其熟人知道，他们的研究课题是这两项多民族研究课题，了同步进行内膜切除与自然地绝经的男性的妇科或许会生物体的每年预想暴发波动。

推断出了什么

该分析看出内膜切除从前后与自然地绝经从前后心血管或许会生物体暴发波动，在不同性状，内膜切除者与自然地绝经者波动方式上大不相同；同时，总体波动方式上看出内膜切除者心血管或许会并未持续上升，研究课题者们知道。并且，此情况在所有白人组都一样。

并且，即使在调整或许的冲击生物体——比如人体质量指数（BMI）——便，情况仍一样。内膜切除；还有腺体切除后，BMI确实有所持续上升。

状况是什么

Mathews知道他们不一定确定为什么他们的推断出与看出内膜切除增高妇科或许会的较后期研究课题不同。

一个状况或许是，他们没有将年长男性扩及研究课题，而格外较早同步进行内膜切除造成了的妇科或许会格外佳。

另一个状况，Matthews知道，或许是因为该研究课题排除了因为肝癌而同步进行内膜切除的男性。

SWAN由发展中国家老年医学研究课题所、国立护理研究课题所、国立卫生研究课题院、男性健康研究课题室和必需与替代医学中会心共同完成发起。

2011年，《内科学档案》时尚杂志写道，来自洛杉矶加利福尼亚大学的研究课题者们引述，他们推断出同步进行了内膜切除；还有腺体切除的男性暴发腺体癌的或许会降低，并且暴发其它类型肝癌、肺炎或髋骨折的或许会并未增高。

与内膜切除相关的扩张选读：

译文选读：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."