Zhao Ling-Jun, Wang Ping, Li Xiu-Ying
Departments of Gynecology, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Disease of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2017 Mar;48(2):314-317.
To explore the clinical value of resection of bilateral fallopian tubes in patients with benign uterine diseases who received (laparoscopic) hysterectomy or subhysterectomy through the postoperative pathologic analysis of resected fallopian tubes.
A retrospective analysis was conducted to review the histopathological examination results in 1 272 women who underwent (laparoscopic) total hysterectomy or subtotal hysterectomy and the removal of bilateral fallopian tube simultaneously due to uterine leiomyoma, adenomyosis and other benign lesions from December 2010 to December 2015.
Of the 1 272 patients, laparoscopic resection was underwent in 1 005 patients (79.01%) and laparotomy in 267 patients (20.99%). In the attachment area, 334 patients (26.26%) had tenderness signs, and 401 patients (31.53%) had signs of thickening. Total 2 498 fallopian tubes were removed. There were 1 654 tubal with no obvious abnormal appearance (66.21%), 636 tubal with lumen part of the uplift (25.46%), 128 fallopian tube with congestion and swelling (5.12%), 80 fallopian tube atrophy adhesions (3.20%). Pathological.
showed 2 386 (95.52%) fallopian tubes with chronic fallopian tube inflammation, 988 (39.55%) of fallopian tube cyst, 80 (3.20%) of normal fallopian tube, 78 (3.12%) of tubal effusion, 48 (1.92% ) of tubal hyperplasia, 4 (0.26%) of tubal benign tumor, 8 (0.32%) of tubal mucosa atypical hyperplasia change and 2(0.08%) of tubal cancer. In the 10 cases of fallopian tube cancer and atypical hyperplasia, 8 had obvious changes of chronic inflammation in the contralateral fallopian tube, including 7 cases of atypical hyperplasia and 1 case of fallopian tube cancer.
Prophylactic salpingectomy can prevent the occurrence of tubal inflammation and removal cancer incentives.
通过对切除的输卵管进行术后病理分析，探讨在接受（腹腔镜）子宫切除术或次全子宫切除术的良性子宫疾病患者中切除双侧输卵管的临床价值。
对2010年12月至2015年12月期间因子宫肌瘤、子宫腺肌病和其他良性病变同时接受（腹腔镜）全子宫切除术或次全子宫切除术及双侧输卵管切除术的1272例女性的组织病理学检查结果进行回顾性分析。
1272例患者中，1005例（79.01%）接受腹腔镜切除，267例（20.99%）接受开腹手术。在附着区域，334例（26.26%）有压痛体征，401例（31.53%）有增厚体征。共切除2498条输卵管。其中1654条输卵管外观无明显异常（66.21%），636条输卵管管腔部分隆起（25.46%），128条输卵管充血肿胀（5.12%），80条输卵管萎缩粘连（3.20%）。病理结果显示，2386条（95.52%）输卵管有慢性输卵管炎，988条（39.55%）输卵管有囊肿，80条（约3.20%）输卵管正常，78条（3.12%）输卵管有积液，48条（1.92%）输卵管有增生，4条（0.26%）输卵管有良性肿瘤，8条（0.32%）输卵管黏膜有非典型增生改变，2条（0.08%）输卵管有癌。在10例输卵管癌和非典型增生病例中，8例对侧输卵管有明显的慢性炎症改变，其中7例为非典型增生，1例为输卵管癌。
预防性输卵管切除术可预防输卵管炎症的发生并消除致癌因素。
