预防性输卵管切除的循证医学证据

Evidence-based medical evidence of prophylactic bilateral salpingectomy

临床资料已经证实输卵管是高级别浆液性卵巢癌的发源地,对绝经前妇女行预防性输卵管切除可降低卵巢癌的发生,并已作为卵巢癌的一级预防。近年来,人们日益关注输卵管预防性切除术在卵巢癌预防中的价值。文章将从循证医学的角度,探讨预防性输卵管切除对降低卵巢癌发生的价值,以及输卵管切除术对卵巢功能的影响。

Clinical data indicated that the fallopiantube may be related to high-level serous ovarian cancer.Current studies show that prophylactic bilateral sal-pingectomy can reduce the risk of ovarian cancer inpremenopausal women and it has been used as a pri-mary prevention of ovarian cancer.In recent years,much more attention has been paid to the value ofprophylactic bilateral salpingectomy in preventingovarian cancer.We will discuss the value of prophy-lactic bilateral salpingectomy and its effect on ovarianfunction.