Gupta Vineeta, Agarwal Shivangi, Chaudhari Priyanka, Saxena Namrata, Nimonkar Shweta
Department of Obstetrics and Gynaecology, SGRRIHM&S and Shri Mahant Indiresh Hospital, Patel Nagar, Dehradun, Uttarakhand 248001 India.
J Obstet Gynaecol India. 2023 Feb;73(1):62-68. doi: 10.1007/s13224-022-01709-9. Epub 2022 Oct 21.
There are conflicting reports on status of ovarian function after hysterectomy and opportunistic salpingectomy in premenopausal women. The present study was undertaken to understand the effect of salpingectomy done at the time of hysterectomy on ovarian reserve and function as measured by serum AMH and FSH levels before and after the surgery.
This was a prospective study conducted on 60 women who underwent hysterectomy at our tertiary care centre, Shri Guru Ram Rai Institute of medical and health sciences, Dehradun, from January 2020 to September 2021. Serum AMH and FSH levels were monitored preoperatively and 3 months postoperatively in patients undergoing hysterectomy with bilateral salpingectomy and hysterectomy without salpingectomy.
The mean age of the patients was 41.83 yrs in group 1 and 43.73 yrs in group 2 [ value = 0.078]. Most common indication of hysterectomy was AUB-L in both the groups (86% and 80%, respectively). Mean operative time was 115.50 min in group 1 and 114.40 min in group 2 [ value = 0.823]. Mean intra-operative blood loss was 214 ml in group 1 and 199.33 ml in group 2 [ value = 0.087]. Serum AMH and FSH were insignificantly decreased in both the groups post-operatively after 3 months, and the difference between both groups was also not statistically significant.
Salpingectomy done at the time of hysterectomy for benign indications with preservation of ovaries did not have any short-term adverse effects on ovarian reserve and function.
关于绝经前女性子宫切除术后及机会性输卵管切除术后卵巢功能状态的报道存在矛盾。本研究旨在了解子宫切除时行输卵管切除术对卵巢储备及功能的影响，通过手术前后血清抗苗勒管激素（AMH）和卵泡刺激素（FSH）水平来衡量。
这是一项前瞻性研究，对2020年1月至2021年9月在我们位于德拉敦的三级医疗中心——什里·古鲁·拉姆·莱伊医学与健康科学研究所接受子宫切除术的60名女性进行。对行双侧输卵管切除术的子宫切除患者和未行输卵管切除术的子宫切除患者，在术前及术后3个月监测血清AMH和FSH水平。
第1组患者的平均年龄为41.83岁，第2组为43.73岁[P值 = 0.078]。两组子宫切除最常见的指征均为月经过多伴长周期（分别为86%和80%）。第1组的平均手术时间为115.50分钟，第2组为114.40分钟[P值 = 0.823]。第1组的平均术中失血量为214毫升，第2组为199.33毫升[P值 = 0.087]。术后3个月，两组血清AMH和FSH均有轻微下降，且两组间差异无统计学意义。
因良性指征行子宫切除时保留卵巢的同时进行输卵管切除术，对卵巢储备及功能没有任何短期不良影响。
