Gellé P, Crëpin G, Delahousse G, Decocq J, Wadoux C
Service de Gynécologie-Obstétrique, Centre Hospitelier, 59100 Roubaix, France.
Rev Fr Gynecol Obstet. 1974 May;69(5):329-36.
With reference to 70 patients, the authors studied the pathology of the stump of the cervix left after subtotal hysterectomy. The wide range of disorders presented by women after partial hysterectomy included metrorrhagia (44.2 percent of cases), pelvic pain, leucorrhoea, cervical pain, and functional disorders related to prolapse. Lesions found on the stump of the cervix included: cancer in 15.7 percent of cases, of which the clinical symptoms were not specific to the stump of the cervix: however, the methods of treating such cancers, of the usual methods are used, raise complex problems; prolapse was found after subtotal hysterectomy in 27.1 percent of cases and the symptomatology was not unusual. Here also, the absence of the uterus increases the difficulties of surgery. Thus subtotal hysterectomy appears to present more dangers than advantages and, except in particular cases, the authors prefer total hysterectomy.
作者对70例患者进行了研究,观察了次全子宫切除术后宫颈残端的病理情况。部分子宫切除术后女性出现的一系列病症包括子宫出血(占病例的44.2%)、盆腔疼痛、白带异常、宫颈疼痛以及与脱垂相关的功能紊乱。宫颈残端发现的病变包括:15.7%的病例为癌症,其临床症状并非宫颈残端所特有;然而,治疗此类癌症的方法,采用常规方法会引发复杂问题;27.1%的病例在次全子宫切除术后出现脱垂,症状并无异常。同样,子宫缺失也增加了手术难度。因此,次全子宫切除术似乎弊大于利,除特殊情况外,作者更倾向于全子宫切除术。