McNeeley S G, Elkins T E
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor.
Obstet Gynecol. 1989 Aug;74(2):155-8.
A multidisciplinary clinic recognizing the reproductive health concerns of mentally handicapped women was organized in 1985. Thirty-three of the 300 women seen in the clinic required surgery. Thirty-seven operations, including 13 major abdominal and two major vaginal operations, were performed. Uterine leiomyoma and ovarian neoplasm were the most common gynecologic conditions requiring major surgery. No complications developed in women undergoing minor procedures; however, six patients undergoing major abdominal procedures developed significant postoperative complications. Because thorough and complete pelvic examinations are often difficult to accomplish in mentally handicapped women, these patients may have increased risk for the delayed diagnosis of gynecologic conditions that require major abdominal or vaginal surgery. Mentally handicapped women with significant physical handicaps are at increased risk of developing postoperative complications, and the postoperative stay may be prolonged.
1985年成立了一个多学科诊所，该诊所关注智障妇女的生殖健康问题。在诊所接待的300名妇女中，有33人需要手术。共进行了37台手术，包括13台腹部大手术和2台阴道大手术。子宫平滑肌瘤和卵巢肿瘤是需要进行大手术的最常见妇科疾病。接受小手术的妇女未出现并发症；然而，6名接受腹部大手术的患者出现了严重的术后并发症。由于对智障妇女进行全面彻底的盆腔检查往往很难完成，这些患者可能增加了需要进行腹部或阴道大手术的妇科疾病延迟诊断的风险。有严重身体残疾的智障妇女发生术后并发症的风险增加，术后住院时间可能延长。
