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[肿瘤妇科服务开展的非妇科外科手术]

[Nongynecological surgical procedures performed by an oncological gynecology service].

作者信息

Saleh Montalvo T, Reyna Hinojosa R, Corona Castillo L, González Diaz O A

机构信息

Departamento de Ginecología, Instituto Mexicano del Seguro Social, Hospital de Gineco-Obstetricia Dr. Ignacio Morones Prieto, Monterrey, Nuevo León, México.

出版信息

Ginecol Obstet Mex. 1991 Oct;59:299-301.

PMID:1752447
Abstract

From March, 1987 to July 1990, 1,568 surgical procedures, were done at Oncological Gynecology Service; 206 of them (13.1%) were considered as "non-gynecological" surgical procedures; 182 (88.3%) were secondary to a malignity diagnosis, being the most frequent one ovarian carcinoma (54.4%). As to benign lesions, 11.7% caused "non gynecological" surgery, most frequent were severe pelvic adhesions, 41.6%, and severe endometriosis, 25%. "Non-gynecological" surgical procedure carried out most frequently was pelvic lymphadenectomy. Morbidity was 3.8%, and mortality, 0.48% due to acute myocardial infarction. The acceptance for oncologic gynecologist is justified in this series, based on survival and morbi-mortality, which permits the participation in a multidisciplinary team.

摘要

1987年3月至1990年7月,肿瘤妇科进行了1568例外科手术;其中206例(13.1%)被视为“非妇科”外科手术;182例(88.3%)继发于恶性肿瘤诊断,最常见的是卵巢癌(54.4%)。至于良性病变,11.7%导致“非妇科”手术,最常见的是严重盆腔粘连(41.6%)和严重子宫内膜异位症(25%)。最常进行的“非妇科”外科手术是盆腔淋巴结清扫术。发病率为3.8%,因急性心肌梗死导致的死亡率为0.48%。基于生存情况和发病率-死亡率,本系列中肿瘤妇科医生的参与是合理的,这使得他们能够参与多学科团队。

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