Профілактична сальпінгектомія – необхідність чи варіант норми?
DOI:
https://doi.org/10.15574/99905Ключові слова:
гістеректомія, сальпінгектомія, рак яєчників, оваріальний резервАнотація
У статті показана необхідність проведення симультанної сальпінгектомії пацієнткам під час гістеректомії. За даними аналізу публікацій описано наукове обґрунтування операції при різному ступені ризику розвитку серозного раку яєчників. Дискутується роль методу у підвищенні ефективності лікування безплідності. Аналіз літературних даних свідчить, що після сальпінгектомії може сформуватися вторинна недостатність яєчників. Це закономірно пояснюється негативними наслідками дефіциту естрогенів, які можуть перевищувати користь від зниження захворюваності на рак яєчників та профілактики запальних захворювань органів малого таза.
Ключові слова: гістеректомія, сальпінгектомія, рак яєчників, оваріальний резерв.
Посилання
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