经阴道子宫切除术时行输卵管卵巢切除术成功的预测因素。
Predictors of successful salpingo-oophorectomy at the time of vaginal hysterectomy.
机构信息
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, USA.
出版信息
J Minim Invasive Gynecol. 2012 Jan-Feb;19(1):58-62. doi: 10.1016/j.jmig.2011.09.008. Epub 2011 Nov 4.
STUDY OBJECTIVE
To determine prognostic factors related to successful salpingo-oophorectomy in menopausal women at the time of vaginal hysterectomy.
DESIGN
Retrospective cohort study (Canadian Task Force Classification II-2).
SETTING
Tertiary care center.
PATIENTS
A total of 309 postmenopausal ≥60 years old with pelvic floor disorders.
INTERVENTIONS
Vaginal hysterectomy with attempted prophylactic salpingo-oophorectomy.
MEASUREMENTS
Factors associated with ability to achieve vaginal salpingo-oophorectomy.
MAIN RESULTS
203 (65.7%) achieved successful removal of 1 or both ovaries, and 106 (34.3%) were not amenable to removal. Younger age and shorter cervical length were predictors of salpingo-oophorectomy. Cervical elongation of ≥7 cm, exteriorized cervical/uterine prolapse, and anterior vaginal wall prolapse beyond the hymen were associated with lower likelihood of achieving salpingo-oophorectomy.
CONCLUSIONS
Patient age and cervical length are independent factors that influence the success of accomplishing salpingo-oophorectomy at the time of vaginal hysterectomy.
研究目的
确定在阴道子宫切除术中对绝经后女性进行输卵管卵巢切除术成功的相关预测因素。
设计
回顾性队列研究（加拿大卫生保健研究协会分类 II-2 级）。
地点
三级保健中心。
患者
309 名患有盆底功能障碍的绝经后≥60 岁女性。
干预措施
阴道子宫切除术并尝试预防性输卵管卵巢切除术。
测量
与实现阴道输卵管卵巢切除术能力相关的因素。
主要结果
203 例（65.7%）成功切除了 1 个或 2 个卵巢，106 例（34.3%）无法切除。年龄较轻和宫颈长度较短是输卵管卵巢切除术的预测因素。宫颈延长≥7cm、宫颈/子宫外突、处女膜外前阴道壁脱垂与输卵管卵巢切除术成功率较低相关。
结论
患者年龄和宫颈长度是影响阴道子宫切除术中输卵管卵巢切除术成功的独立因素。
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