2001-2015年澳大利亚良性疾病子宫切除路径和附件切除的变化:一项基于全国人群的研究

IF 1.3 Q3 SURGERY
Minimally Invasive Surgery Pub Date : 2018-05-31 eCollection Date: 2018-01-01 DOI:10.1155/2018/5828071
Natalie De Cure, Stephen J Robson
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引用次数: 17

摘要

目的:近年来子宫切除术率有所下降,是否应该进行输卵管切除术以降低卵巢癌的终生风险仍存在争议。我们研究了2001年至2015年间澳大利亚附件切除和子宫切除术的趋势。方法:数据来自国家子宫切除术手术数据集(阴道,子宫切除术;腹部,啊;腹腔镜下,LH)和附件切除率,以及子宫内膜消融。两个年龄组的女性人口总数(“年轻年龄组”,35至54岁,“年长年龄组”,55至74岁)来自澳大利亚统计局。结果:年轻组(61.7比45.2/10000/年,p < 0.005)和老年组(38.8比33.2/10000/年,p < 0.005)子宫切除术率均下降。在这两个年龄组中,VH和AH的发病率均显著下降(年轻年龄组下降53%,年长年龄组下降29%),AH的发病率分别下降53%和55%。低龄组LH增加153%,高龄组LH增加307%。总体而言,子宫切除术合并附件切除的比例增加(31%比65%,p < 0.005;44%对58%,p < 0.005)。这一增长几乎全部发生在2011年之后。结论:子宫切除术越来越不常见,阴道和腹部子宫切除术正在被腹腔镜子宫切除术所取代。切除附件现在在年轻女性中更为常见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Changes in Hysterectomy Route and Adnexal Removal for Benign Disease in Australia 2001-2015: A National Population-Based Study.

Changes in Hysterectomy Route and Adnexal Removal for Benign Disease in Australia 2001-2015: A National Population-Based Study.

Changes in Hysterectomy Route and Adnexal Removal for Benign Disease in Australia 2001-2015: A National Population-Based Study.

Changes in Hysterectomy Route and Adnexal Removal for Benign Disease in Australia 2001-2015: A National Population-Based Study.

Objective: Hysterectomy rates have fallen over recent years and there remains debate whether salpingectomy should be performed to reduce the lifetime risk of ovarian cancer. We examined trends in adnexal removal and route of hysterectomy in Australia between 2001 and 2015.

Methods: Data were obtained from the national procedural dataset for hysterectomy approach (vaginal, VH; abdominal, AH; and, laparoscopic, LH) and rates of adnexal removal, as well as endometrial ablation. The total female population in two age groups ("younger age group," 35 to 54 years, and "older age group," 55 to 74 years) was obtained from the Australian Bureau of Statistics.

Results: The rate of hysterectomy fell in both younger (61.7 versus 45.2/10000/year, p < 0.005) and older (38.8 versus 33.2/10000/year, p < 0.005) age groups. In both age groups there were significant decreases in the incidence rates for VH (by 53% in the younger age group and 29% in the older age group) and AH (by 53% and 55%, respectively). The rates of LH increased by 153% in the younger age group and 307% in the older age group. Overall, the proportion of hysterectomies involving adnexal removal increased (31% versus 65% in the younger age group, p < 0.005; 44% versus 58% in the older age group, p < 0.005). The increase occurred almost entirely after 2011.

Conclusion: Hysterectomy is becoming less common, and both vaginal and abdominal hysterectomy are being replaced by laparoscopic hysterectomy. Removal of the adnexae is now more common in younger women.

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CiteScore
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