Hodges Kelly R, Davis Beth R, Swaim Laurie S
Department of Obstetrics and Gynecology, Division of Gynecologic and Obstetric Specialists, Baylor College of Medicine, Houston, Texas.
Clin Obstet Gynecol. 2014 Mar;57(1):43-57. doi: 10.1097/GRF.0000000000000004.
Hysterectomy is the most common gynecologic surgical procedure performed in the United States. Although most hysterectomies proceed without incident, complications with serious consequences may occur. This chapter reviews the incidence, predisposing factors, intraoperative risk, diagnosis, and management and prevention of complications of hysterectomy. These include hemorrhage, infection, thromboembolism, injury to viscera, and neuropathy. The prepared surgeon is familiar with anatomy, surgical risk factors, current recommendations for prophylaxis and prevention, as well as modern management of complications of hysterectomy.
子宫切除术是美国最常见的妇科外科手术。尽管大多数子宫切除术进行得很顺利，但仍可能发生具有严重后果的并发症。本章回顾了子宫切除术并发症的发生率、诱发因素、术中风险、诊断、管理以及预防。这些并发症包括出血、感染、血栓栓塞、内脏损伤和神经病变。有准备的外科医生熟悉解剖结构、手术风险因素、当前的预防建议以及子宫切除术并发症的现代管理方法。
