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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Prophylactic bilateral oophorectomy or removal of remaining ovary at the time of hysterectomy in the United States, 1979-2004.
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Prophylactic bilateral oophorectomy or removal of remaining ovary at the time of hysterectomy in the United States, 1979-2004.

机译：1979-2004年，美国在子宫切除术时进行了预防性双侧卵巢切除术或切除了剩余的卵巢。

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OBJECTIVE: The purpose of this study was to describe national rates and trends of prophylactic bilateral oophorectomy or remaining oophorectomy (BO/RO) at hysterectomy in women without specific gynecologic disease. STUDY DESIGN: Data from the National Hospital Discharge Survey were analyzed for 1979-2004. Hysterectomies were divided into 2 groups: (1) hysterectomy with BO/RO and (2) hysterectomy alone (> or =1 ovary remaining). Age-adjusted rates (AARs) were calculated with 2000 US census data. RESULTS: Approximately 3,686,000 hysterectomies with BO/RO were performed from 1979-2004. AARs of hysterectomy with BO/RO decreased during this period; the AARs in women > or =50 years old increased. The number of hysterectomies alone was 5,461,100, and AARs of hysterectomy alone decreased significantly from 2.9 per 1000 women in from 1979-1981 to 1.1 per 1000 women in 2001 (P < .001). The proportion of women who underwent hysterectomy with BO/RO increased from 29% in 1979 to 45% in 2004. CONCLUSION: Although AARs of prophylactic BO/RO decreased from 1979-2004, the actual proportion of BO/RO at hysterectomy increased.
机译：目的：本研究的目的是描述没有特定妇科疾病的妇女在子宫切除术中进行预防性双侧卵巢切除术或剩余卵巢切除术（BO / RO）的全国比率和趋势。研究设计：分析了1979-2004年国家医院出院调查的数据。子宫切除术分为两组：（1）进行BO / RO的子宫切除术和（2）仅进行子宫切除术（剩余卵巢>或= 1）。年龄调整率（AAR）是根据2000年美国人口普查数据计算得出的。结果：从1979年至2004年，大约进行了3,686,000例BO / RO子宫切除术。在此期间行BO / RO的子宫切除术的AAR降低了。 ≥50岁的女性的AAR升高。仅子宫切除术的数目为5,461,100，仅子宫切除术的AARs从1979-1981年的每千名妇女2.9下降到2001年的每千名妇女1.1（P <.001）。结论接受BO / RO子宫切除术的女性比例从1979年的29％上升到2004年的45％。结论：尽管预防性BO / RO的AAR在1979-2004年间有所下降，但子宫切除术中BO / RO的实际比例却有所增加。

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