Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Science, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.
Department of Gynecology, Gansu Provincial Maternity and Child-care Hospital, Lanzhou City, Gansu Province, People's Republic of China.
J Ovarian Res. 2019 Mar 27;12(1):27. doi: 10.1186/s13048-019-0504-6.
To analyze the clinicopathological characteristics of subsequent pelvic masses after hysterectomy for benign diseases, and to compare the masses following hysterectomy with or without simultaneous bilateral salpingectomy.
This study retrospectively analyzed patients undergone reoperation for pelvic mass subsequently to previous hysterectomy for benign disease from January 2012 to December 2016 in Peking Union Medical College Hospital.
A total of 247 patients were enrolled in this study, of which 80.16% (n = 198) received simple hysterectomy, and 5.67% (n = 14) underwent hysterectomy with bilateral salpingectomy. The clinicopathological data of patients undergone simple hysterectomy or simultaneous bilateral salpingectomy was compared. In the former group, we found that 68.18% (n = 135) of the pelvic massed were benign, and the remaining 31.82% (n = 63) were malignant. In latter group, 57.10% (n = 8) were benign (8%) and 42.90% (n = 6) were malignant. Univariate analysis showed that the age of surgery for pelvic masses in patients undergoing hysterectomy with simultaneous bilateral salpingectomy was significantly younger than that in patients without salpingectomy (median, 44.5 vs 50 years, P < 0.0001), and the time interval between hysterectomy and onset of pelvic masses was also significantly shorter (median, 2 vs 5 years, P < 0.0001). And the probability of pelvic encapsulated effusion was significantly higher for the salpingectomy group. Multivariate analysis showed that there was no significant difference of the age of resection of pelvic mass, the time interval hysterectomy and pelvic mass onset, and the probability of pelvic encapsulated effusion between the two groups.
The results showed that the incidence of secondary benign pelvic masses may be reduced when hysterectomy was performed with simultaneous bilateral salpingectomy. However, there was no statistical difference in the clinical characteristics and pathological types of pelvic masses between patients received hysterectomy with or without salpingectomy.
分析良性疾病子宫切除术后继发盆腔包块的临床病理特征，并比较因良性疾病行子宫切除术后同时行或不行双侧输卵管切除术患者的盆腔包块特点。
本研究回顾性分析 2012 年 1 月至 2016 年 12 月在北京协和医院因良性疾病行子宫切除术后再次因盆腔包块行手术的患者资料。
共纳入 247 例患者，其中 80.16%（198 例）行单纯子宫切除术，5.67%（14 例）行子宫切除术同时行双侧输卵管切除术。比较单纯子宫切除术和同时行双侧输卵管切除术患者的临床病理资料。单纯子宫切除术组中，68.18%（135 例）的盆腔包块为良性，31.82%（63 例）为恶性；同时行双侧输卵管切除术组中，57.10%（8 例）为良性（8%），42.90%（6 例）为恶性。单因素分析显示，行双侧输卵管切除术的患者的盆腔包块手术年龄显著小于未行输卵管切除术的患者（中位数 44.5 岁比 50 岁，P<0.0001），且子宫切除术后至盆腔包块发病的时间间隔也显著缩短（中位数 2 年比 5 年，P<0.0001）。同时行输卵管切除术的患者发生盆腔包裹性积液的概率也显著增高。多因素分析显示，两组患者的盆腔包块切除年龄、子宫切除术至盆腔包块发病的时间间隔、盆腔包裹性积液发生概率差异均无统计学意义。
结果显示，同时行双侧输卵管切除术可能降低良性疾病子宫切除术后继发盆腔良性包块的发生率，但行子宫切除术同时行或不行双侧输卵管切除术患者的盆腔包块临床特征及病理类型差异无统计学意义。
