摘要
目的 对腹式子宫切除术进行临床评价。 方法 回顾分析 347例因良性病变行腹式子宫切除术的临床资料。 结果 腹式子宫切除术是临床常用的术式 ,子宫肌瘤、子宫腺肌病是腹式子宫切除术的主要指征 ,主要手术并发症为泌尿系及直肠损伤。 结论 对巨大子宫肌瘤或合并盆腔严重粘连者行子宫切除时应选择经腹途径 ;对于宫颈光滑、有条件进行宫颈癌筛查的 40岁以下妇女行子宫切除时可考虑保留宫颈 ;术中有关卵巢的去留 ,应根据患者年龄、原发病变、治疗目的、卵巢外观。
Objective[WT5”BZ] To evaluate abdominal hysterectomy. [WT5”HZ]Methods [WT5”BZ]We analysed retrospectively the clinical data of 347 abdominal hysterectomy cases with benign tumor.[WT5”HZ] Results[WT5”BZ] Abdominal hysterectomy was a common procedure. Its main indications were fibromyomata and endometriosis.And common complications included injury of the urinary system and rectum.[WT5”HZ] Conclusion [WT5”BZ]Abdominal hysterectomy is suitable for big fibromyomata and cases with a severely adherent pelvic.Subtotal hysterectomy is considered for younger patients who can be re-examined regularly.The conservation of the ovary must be based on the patient's age,primary disease,appearance of the ovary, and requirements of the patient and her families.
出处
《中国现代手术学杂志》
2000年第2期132-134,共3页
Chinese Journal of Modern Operative Surgery
