The Effect Of Prophylactic Bilateral Hysterectomy On Ovarian Function During Hysterectomy

Hysterectomy is a common gynecological surgery,in the past,for benign uterine lesions,in the hysterectomy,not conventional removal of bilateral fallopian tubes.In recent years,the origin of ovarian cancer research has made a breakthrough,this paper reviewed the epithelial ovarian cancer and the mechanism of "prophylactic bilateral salpingectomy" on the ovarian function,the results show that: 1.ovarian cancer origin "monism" And "The dualistic paradigm","monism" view that different types of ovarian cancer are from the ovaries,but this theory can not explain why the same source of tumor in biological behavior,clinical manifestations and prognosis and other aspects of significant differences."Binary" view: epithelial ovarian cancer is divided into type I and type II,both in epidemiology,genetic risk factors,precursors,transmission patterns,tumor events,molecular events,and response to chemotherapy sensitivity and prognosis Obvious differences,the difference shows that different types of ovarian cancer is in accordance with the different molecular pathways and development,to guide people from different angles to find the origin of epithelial ovarian cancer,under the guidance of this theory,found a high level of serous ovarian cancer;2.prophylactic bilateral tubal resection can significantly reduce the risk of ovarian cancer,and do not increase the risk of surgery and additional costs,and even reduce the risk of long-term pelvic complications;3.simple fallopian tube Resection of ovarian function is controversial,some scholars believe that simple tubal resection has no effect on ovarian function,some scholars believe that simple oviduct resection to ovarian response and ovarian reserve function decreased performance for the reduction of AMH;4.hysterectomy in the line of prophylactic bilateral salpingectomy can reduce the risk of ovarian cancer,but this The effect of one-step operation on ovarian function remains controversial: most scholars believe that prophylactic bilateral salpingectomy has no significant effect on ovarian function during hysterectomy,and a small number of scholars believe that the above-mentioned operation further reduces ovarian blood supply and affects ovarian Endocrine function.