Kudo R, Yamauchi O, Okazaki T, Sagae S, Ito E, Hashimoto M
Department of Obstetrics and Gynecology, Sapporo Medical College, Japan.
Surg Gynecol Obstet. 1990 Apr;170(4):299-305.
An operative procedure for vaginal hysterectomy is reported. The procedure is performed without ligation of the paracervical ligaments to simplify and avoid ureteral injury. However, a portion of the cardinal ligament is ligated before peritoneal closure. In a study from 1955 to 1987, of 9,230 patients requiring vaginal hysterectomy, blood loss was less than 300 milliliters with this procedure in 83 per cent of the patients. Operative complications, such as bladder injury, occurred in 66 patients or 0.7 per cent. Ureteral injury occurred in only three patients or 0.03 per cent. From 1972 to 1987, only five of 2,460 patients (0.02 per cent) required postoperative hemostasis. These data indicate that vaginal hysterectomy without ligation of the paracervical ligaments is a safe and convenient operative method with fewer complications.
本文报道了一种阴道子宫切除术的手术方法。该手术不结扎子宫颈旁韧带，以简化操作并避免输尿管损伤。然而，在关闭腹膜前需结扎一部分主韧带。在一项1955年至1987年的研究中，9230例需要进行阴道子宫切除术的患者中，83%的患者采用该手术方法时失血量少于300毫升。手术并发症，如膀胱损伤，发生在66例患者中，占0.7%。输尿管损伤仅发生在3例患者中，占0.03%。1972年至1987年，2460例患者中只有5例（0.02%）需要术后止血。这些数据表明，不结扎子宫颈旁韧带的阴道子宫切除术是一种安全、简便且并发症较少的手术方法。
