Robert Magali, Cenaiko David, Sepandj Jasmine, Iwanicki Stanislaw
Section of Pelvic Medicine, Cummings School of Medicine, University of Calgary, Clagary, AB, Canada.
Department of Obstetrics and Gynecology, Cummings School of Medicine, University of Calgary, Clagary, AB, Canada.
J Minim Invasive Gynecol. 2015 Jul-Aug;22(5):864-9. doi: 10.1016/j.jmig.2015.04.012. Epub 2015 Apr 22.
To document the success rates and complications of salpingectomy performed at the time of vaginal hysterectomy to possibly reduce ovarian cancer rates.
Retrospective cohort study (Canadian Task Force Classification II-2).
Community-based hospital with university affiliation in Calgary, Canada.
All women undergoing hysterectomy for benign conditions were offered preferentially a vaginal approach with prophylactic salpingectomy.
During the study period (October 2011 to January 2014), a total of 425 vaginal hysterectomies were performed. The overall success rate of salpingectomy was 88%. Pelvic adhesions significantly predicted the ability to perform salpingectomies (odds ratio, 6.3; 95% confidence interval, 2.8-14.3; p < .001). Age also was predictive of outcomes (p = .007), with increasing age predicting decrease success. The overall postoperative complication rate was 15%, with 3.8% possibly attributable to salpingectomy (i.e., intrapelvic complications). No associated factors were found on regression analysis.
Salpingectomy at the time of vaginal hysterectomy is a feasible procedure. Complication rates are low. Only pelvic adhesions are associated with failure to complete a salpingectomy.
记录在阴道子宫切除术时进行输卵管切除术的成功率和并发症情况，以可能降低卵巢癌发病率。
回顾性队列研究（加拿大工作组分类II-2）。
加拿大卡尔加里一所附属于大学的社区医院。
所有因良性疾病接受子宫切除术的女性均优先采用阴道入路并进行预防性输卵管切除术。
在研究期间（2011年10月至2014年1月），共进行了425例阴道子宫切除术。输卵管切除术的总体成功率为88%。盆腔粘连是输卵管切除术能否实施的显著预测因素（比值比，6.3；95%置信区间，2.8 - 14.3；p < 0.001）。年龄也是结果的预测因素（p = 0.007），年龄越大成功率越低。总体术后并发症发生率为15%，其中3.8%可能归因于输卵管切除术（即盆腔内并发症）。回归分析未发现相关因素。
阴道子宫切除术时进行输卵管切除术是一种可行的手术。并发症发生率低。只有盆腔粘连与未能完成输卵管切除术有关。
