The Department of Medical and Surgical Gynecology, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ, USA.
Best Pract Res Clin Obstet Gynaecol. 2011 Apr;25(2):153-6. doi: 10.1016/j.bpobgyn.2010.10.007. Epub 2010 Nov 11.
Current studies do not support any benefit of supracervical hysterectomy in reducing perioperative morbidity and adverse effects on pelvic support, sexual and urinary function. Prolapse, pelvic mass and bleeding were the most common indications for trachelectomy after supracervical hysterectomy. Vaginal trachelectomy was the preferred approach to the procedure involving the least complications.
目前的研究并未表明子宫颈以上的子宫切除术在减少围手术期发病率和对骨盆支持、性功能和尿功能的不良影响方面有任何益处。子宫颈以上的子宫切除术之后,脱垂、盆腔肿块和出血是行子宫颈环扎术最常见的指征。经阴道子宫颈环扎术是该手术首选的入路,并发症最少。