George J W, Ansbacher R, Otterson W N, Rabey F
Obstet Gynecol. 1975 Jan;45(1):60-3.
A prospective bacteriologic study on 67 women undergoing either vaginal or abdominal hysterectomy was done to elucidate causes of debrile morbidity. Forty-one percent of the vaginal and 35% of the abdominal hysterectomy patients met the criteria for febrile morbidity postoperatively. Preoperative and 24-hour postoperative urine samples were obtained by transvaginal bladder tap, and the freshly cut edge of the vaginal cuff was routinely swabbed following removal of the uterus. In addition, the subcutaneous layer was cultured during closure of the abdominal wound. Escherichia coli, Enterococcus, and alpha- and beta-Streptococcus were the predominant organisms recovered. The importance of routine vaginal cuff cultures at the time of surgery for the treatment of postoperative morbidity is discussed.
对67例行阴道或腹部子宫切除术的女性进行了一项前瞻性细菌学研究，以阐明发热性疾病的病因。41%的阴道子宫切除术患者和35%的腹部子宫切除术患者术后符合发热性疾病的标准。术前及术后24小时经阴道膀胱穿刺获取尿液样本，子宫切除后常规擦拭阴道断端新鲜切缘。此外，在缝合腹部伤口时对皮下层进行培养。分离出的主要微生物为大肠杆菌、肠球菌以及甲型和乙型链球菌。本文讨论了手术时常规进行阴道断端培养对治疗术后疾病的重要性。
