University of Colorado School of Medicine, Aurora, Colorado.
Menopause. 2019 Sep;26(9):1059-1061. doi: 10.1097/GME.0000000000001407.
Ovarian cancer is a common gynecologic malignancy with a poor prognosis and a lack of screening for women at average risk. Focus has therefore shifted toward strategies for risk-reducing surgery to prevent the development of ovarian cancer. This Practice Pearl describes the evidence supporting opportunistic salpingectomy at the time of hysterectomy or tubal sterilization as a strategy to reduce the risk of ovarian cancer, the risks and benefits associated with the procedure, and the methods used.
卵巢癌是一种常见的妇科恶性肿瘤,预后不良,且针对普通风险女性的筛查方法匮乏。因此,人们将重点转向旨在降低风险的手术策略,以预防卵巢癌的发生。本实践要点描述了在子宫切除术或输卵管绝育术时行随机输卵管切除术作为降低卵巢癌风险的策略的证据,包括该手术的相关风险和获益,以及所用方法。