输卵管切除用于预防卵巢癌课件.ppt

LOGO Company name 科室质量控制会议 add your subheading * Contents 1 Introduction 2 Strategy 3 Challenges Forward 4 Conclusion 输卵管切除用于预防卵巢癌 * 美国妇产科医师协会委员会在提出“切除输卵管可能预防卵巢癌”这一观点。 Obstet Gynecol. 2015;125:279-281. Full text Committee on Gynecologic Practice?This document reflects emerging clinical and scientific advances as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. * Counseling women who are undergoing routine pelvic surgery about the risks and benefits of salpingectomy should include an informed consent discussion about the role of oophorectomy and bilateral salpingo-oophorectomy.“ The opinion specifically addresses women at population risk for ovarian cancer, meaning women who do not have an elevated genetic risk for ovarian cancer but who are having routine pelvic surgery for benign disease. * 对于卵巢癌“大” 进行常规盆腔手术的女性，对于输卵管切除风险和好处的咨询应该包括卵巢切除术和双侧输卵管切除术的一个知情同意书。 * Salpingectomy at the time of hysterectomy or as a means of tubal sterilization appears to be safe, without an increase in pared with hysterectomy alone or tubal ligation, the committee writes. 妇产科医师协会认为，与单纯子宫切除术或输卵管结扎术相比，在子宫切除时行输卵管切除术或者输卵管绝育术似乎是安全的，不会增加并发症。 * n women considering laparoscopic sterilization, physicians can discuss the fact that bilateral salpingectomy provides effective contraception, while pointing out that this procedure eliminates the option of tubal reversal. 对于考虑腹腔镜绝育手术的妇女，医生应知会患者双侧输卵管切除术可提供有效的避孕方法，同时指出这一手术后不可再行输卵管复通术。 * 妇科癌症中，卵巢癌死亡率最高；在现在女性癌症死亡率排名中已上升到第五名。卵巢癌存活率在最近 50 年中并没有明显改善 * More randomized controlled trials are needed to support the use of salpingectomy in reducing ovarian cancer 有关使用输卵管切除术预防卵巢癌的做法，还需要更多的随机对照试验进行验证。 * The committee urges surgeons to continue to use minimally invasive techniques. For now, the possible benefit of salpingectomy should not sway decisions about which technique to use for hysterectomy and sterilization. For