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1
Combination of Laparoscopic Salpingectomy and Endometrial Ablation: A Potentially Underused Procedure.腹腔镜输卵管切除术与子宫内膜去除术联合应用：一种可能未得到充分利用的手术方法。
J Gynecol Surg. 2021 Feb 1;37(1):89-91. doi: 10.1089/gyn.2020.0097. Epub 2021 Feb 10.
2
Cost-effectiveness of opportunistic salpingectomy vs tubal ligation at the time of cesarean delivery.剖宫产时行随机输卵管切除术与输卵管结扎术的成本效益比较。
Am J Obstet Gynecol. 2019 Jan;220(1):106.e1-106.e10. doi: 10.1016/j.ajog.2018.08.032. Epub 2018 Aug 28.
3
Frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation: a 10-year follow-up.全滚球子宫内膜切除术术后症状性子宫角积血和消融后输卵管绝育综合征的发生率：一项10年随访研究
Am J Obstet Gynecol. 2002 Jun;186(6):1274-80; discussion 1280-3. doi: 10.1067/mob.2002.123730.
4
Endometrial ablation in the management of abnormal uterine bleeding.子宫内膜去除术在异常子宫出血管理中的应用
J Obstet Gynaecol Can. 2015 Apr;37(4):362-79. doi: 10.1016/s1701-2163(15)30288-7.
5
Postablation-tubal sterilization syndrome.消融术后输卵管绝育综合征
J Am Assoc Gynecol Laparosc. 1996 May;3(3):435-8. doi: 10.1016/s1074-3804(96)80078-8.
6
The impact of opportunistic salpingectomy on ovarian cancer mortality and healthcare costs: a call for universal insurance coverage.预防性输卵管切除术对卵巢癌死亡率和医疗保健成本的影响：呼吁普遍保险覆盖。
Am J Obstet Gynecol. 2021 Oct;225(4):397.e1-397.e6. doi: 10.1016/j.ajog.2021.03.032. Epub 2021 Mar 31.
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ACOG Committee Opinion No. 774: Opportunistic Salpingectomy as a Strategy for Epithelial Ovarian Cancer Prevention.美国妇产科医师学会委员会意见 No.774：机会性输卵管切除术作为上皮性卵巢癌预防策略。
Obstet Gynecol. 2019 Apr;133(4):e279-e284. doi: 10.1097/AOG.0000000000003164.
8
ACOG Committee Opinion No. 774 Summary: Opportunistic Salpingectomy as a Strategy for Epithelial Ovarian Cancer Prevention.美国妇产科医师学会委员会意见第 774 号概要：作为上皮性卵巢癌预防策略的机会性输卵管切除术。
Obstet Gynecol. 2019 Apr;133(4):842-843. doi: 10.1097/AOG.0000000000003165.
9
The Trend, Feasibility, and Safety of Salpingectomy as a form of Permanent Sterilization.输卵管切除术作为一种永久性绝育形式的趋势、可行性和安全性。
J Minim Invasive Gynecol. 2019 Nov-Dec;26(7):1363-1368. doi: 10.1016/j.jmig.2019.02.003. Epub 2019 Feb 13.
10
Risk-Reducing Salpingectomy Versus Standard Tubal Sterilization: Lessons From Offering Women Options for Interval Sterilization.降低风险的输卵管切除术与标准输卵管绝育术：为女性提供间隔期绝育选择的经验教训。
South Med J. 2018 Mar;111(3):173-177. doi: 10.14423/SMJ.0000000000000779.

本文引用的文献

1
ACOG Committee Opinion No. 774: Opportunistic Salpingectomy as a Strategy for Epithelial Ovarian Cancer Prevention.美国妇产科医师学会委员会意见 No.774：机会性输卵管切除术作为上皮性卵巢癌预防策略。
Obstet Gynecol. 2019 Apr;133(4):e279-e284. doi: 10.1097/AOG.0000000000003164.
2
Growth in salpingectomy rates in the United States since 2000.自2000年以来美国输卵管切除术率的增长情况。
Am J Obstet Gynecol. 2016 Nov;215(5):666-667. doi: 10.1016/j.ajog.2016.07.055. Epub 2016 Aug 3.
3
Salpingectomy as a means to reduce ovarian cancer risk.输卵管切除术作为降低卵巢癌风险的一种手段。
Cancer Prev Res (Phila). 2015 May;8(5):342-8. doi: 10.1158/1940-6207.CAPR-14-0293. Epub 2015 Jan 13.
4
Committee opinion no. 620: Salpingectomy for ovarian cancer prevention.委员会意见第 620 号：预防性输卵管切除术治疗卵巢癌。
Obstet Gynecol. 2015 Jan;125(1):279-281. doi: 10.1097/01.AOG.0000459871.88564.09.
5
Tubal ligation and salpingectomy and the risk of epithelial ovarian cancer and borderline ovarian tumors: a nationwide case-control study.输卵管结扎与输卵管切除术及上皮性卵巢癌和卵巢交界性肿瘤的风险：一项全国性病例对照研究
Acta Obstet Gynecol Scand. 2015 Jan;94(1):86-94. doi: 10.1111/aogs.12516. Epub 2014 Oct 17.
6
Opportunistic salpingectomy: uptake, risks, and complications of a regional initiative for ovarian cancer prevention.机会性输卵管切除术：卵巢癌预防区域倡议的接受度、风险和并发症。
Am J Obstet Gynecol. 2014 May;210(5):471.e1-11. doi: 10.1016/j.ajog.2014.01.003. Epub 2014 Jan 9.
7
Endometrial ablation: postoperative complications.子宫内膜消融术：术后并发症。
Am J Obstet Gynecol. 2012 Oct;207(4):242-7. doi: 10.1016/j.ajog.2012.04.011. Epub 2012 Apr 6.
8
Long-term outcome of hysteroscopic endometrial ablation without endometrial preparation.未进行子宫内膜预处理的宫腔镜子宫内膜切除术的长期结局
Eur J Obstet Gynecol Reprod Biol. 2008 Jun;138(2):222-5. doi: 10.1016/j.ejogrb.2007.08.013. Epub 2007 Oct 29.
9
The incidence of endometrial cancer after endometrial ablation in a low-risk population.低风险人群子宫内膜切除术后子宫内膜癌的发病率。
J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):492-4. doi: 10.1016/s1074-3804(05)60081-3.
10
A double-blind randomized trial comparing the Cavaterm and the NovaSure endometrial ablation systems for the treatment of dysfunctional uterine bleeding.一项比较Cavaterm和NovaSure子宫内膜消融系统治疗功能失调性子宫出血的双盲随机试验。
Fertil Steril. 2003 Jul;80(1):203-8. doi: 10.1016/s0015-0282(03)00549-1.

腹腔镜输卵管切除术与子宫内膜去除术联合应用：一种可能未得到充分利用的手术方法。

Combination of Laparoscopic Salpingectomy and Endometrial Ablation: A Potentially Underused Procedure.

作者信息

Greer Polite Florencia, DeAgostino-Kelly Mary, Marchand Greg J

机构信息

Division of General Obstetrics and Gynecology Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Marchand Institute for Minimally Invasive Surgery, Mesa, Arizona, USA.

出版信息

J Gynecol Surg. 2021 Feb 1;37(1):89-91. doi: 10.1089/gyn.2020.0097. Epub 2021 Feb 10.

DOI:10.1089/gyn.2020.0097
PMID:35153453
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8828547/
Abstract

Despite the advantages of a decreased risk of epithelial-cell ovarian cancer and the extremely minimally invasive nature of the procedure, combined salpingectomy and endometrial ablation is a potentially underused procedure in the United States to treat abnormal uterine bleeding and desired sterilization. The lack of utilization of this combined procedure might be based on factors other than clinical considerations, including slow acceptance and adoption of Committee Opinions expressing the value of salpingectomy over sterilization. Committee Opinions and randomized clinical trials have demonstrated the benefit of salpingectomy for sterilization and epithelial-cancer risk reduction, and there could be an additional protection against postablation tubal sterilization syndrome. This Commentary discusses the advantages and rationale for consideration of expanding usage of the combined approach.

摘要

尽管输卵管切除术联合子宫内膜切除术具有降低上皮细胞性卵巢癌风险的优势，且手术具有极低的侵入性，但在美国，该联合手术在治疗异常子宫出血和实现绝育方面的应用可能不足。这种联合手术未得到充分利用，其原因可能并非基于临床考虑，包括对表达输卵管切除术优于绝育术价值的委员会意见接受和采用缓慢。委员会意见和随机临床试验已证明输卵管切除术在绝育和降低上皮癌风险方面的益处，并且可能对消融后输卵管绝育综合征有额外的保护作用。本评论讨论了扩大联合手术应用的优势和理由。