McNulty B, Roberts W S
South Med J. 1987 Aug;80(8):984-6. doi: 10.1097/00007611-198708000-00012.
We retrospectively compared elective cesarean hysterectomy and vaginal hysterectomy for cervical intraepithelial neoplasia. Sixteen patients had cesarean hysterectomy and 53 had vaginal hysterectomy. There were no deaths in either group and no neonatal complications in the cesarean hysterectomy group. Major and minor complications were comparable in the two groups except that urinary tract infection was statistically more common in the cesarean hysterectomy group. The mean hospital stay for the two groups was comparable. The estimated blood loss and transfusion rate were higher in the cesarean hysterectomy group. The transfusion rate was probably artificially increased because of overzealous intraoperative transfusion. Elective cesarean hysterectomy does not cause unacceptably high morbidity, and it is an acceptable alternative to interval vaginal hysterectomy for cervical intraepithelial neoplasia in poorly compliant patients.
我们回顾性比较了择期剖宫产子宫切除术和经阴道子宫切除术治疗宫颈上皮内瘤变的情况。16例患者接受了剖宫产子宫切除术，53例接受了经阴道子宫切除术。两组均无死亡病例，剖宫产子宫切除术组无新生儿并发症。除剖宫产子宫切除术组尿路感染在统计学上更为常见外，两组的主要和次要并发症相当。两组的平均住院时间相当。剖宫产子宫切除术组的估计失血量和输血率更高。输血率可能因术中过度积极输血而人为升高。择期剖宫产子宫切除术不会导致不可接受的高发病率，对于依从性差的宫颈上皮内瘤变患者，它是间隔期经阴道子宫切除术的可接受替代方案。
