Adamian L V, Kulakov V I, Dzhabrailova S Sh
Akush Ginekol (Mosk). 1991 May(5):60-2.
The paper gives the results of surgical management in 65 patients with cervical stump diseases. According to the pattern of the disease, 4 groups of patients were identified: 1) those with inflammatory diseases, 2) those with endometriosis, 3) those with myoma, and 4) those with prolapse of the cervical stump. Low-quality and inadequate suture material was found to be a cause of inflammatory diseases of the cervical stump. It is concluded that it is not expedient to use capron, lavsan, and silk to suture the cervical stump during supravaginal amputation of the uterus. Catgut, vicryl, debone were shown to be an optimal suture material. The practice of surgical management of patients with inflammatory diseases, endometriosis, cervical stump myoma and prolapse indicates that it is advisable to extend indications for uterine extirpation.
本文给出了65例宫颈残端疾病患者的手术治疗结果。根据疾病类型，将患者分为4组：1）炎症性疾病患者；2）子宫内膜异位症患者；3）肌瘤患者；4）宫颈残端脱垂患者。发现低质量和不合适的缝合材料是宫颈残端炎症性疾病的一个原因。得出的结论是，在子宫经阴道上段切除术期间，使用卡普纶、拉芙桑和丝线缝合宫颈残端是不合适的。肠线、薇乔和脱钙骨胶原被证明是最佳的缝合材料。对炎症性疾病、子宫内膜异位症、宫颈残端肌瘤和脱垂患者的手术治疗实践表明，扩大子宫切除的适应证是可取的。
