Webb M J, Symmonds R E
Obstet Gynecol. 1979 Mar;53(3):290-2.
From 1956 through 1975, 610 radical hysterectomies with pelvic lymphadenectomy were performed at the Mayo Clinic. Eighty-eight of these operations were done after conization of the cervix: 7, within 7 days; 74, between 8 and 28 days; and 7, on or after the 29th day. Operative febrile morbidity was not increased in the patients who had conization, and they also required fewer blood transfusions than the patients without previous conization. Incidences of all postoperative complications except pulmonary embolism were lower in the patients with cone biopsy than in those without. Of the 88 patients, 77% received antibiotics prophylactically during the operative period. There appeared to be no serious contraindications to performing radical hysterectomy and pelvic lymphadenectomy at any interval after diagnostic conization of the cervix.
1956年至1975年期间，梅奥诊所进行了610例根治性子宫切除术并盆腔淋巴结清扫术。其中88例手术是在宫颈锥切术后进行的：7例在7天内；74例在8至28天之间；7例在第29天或之后。宫颈锥切术患者的手术发热发病率并未增加，而且与未行宫颈锥切术的患者相比，他们所需的输血次数也更少。除肺栓塞外，锥切活检患者的所有术后并发症发生率均低于未行锥切活检的患者。在这88例患者中，77%在手术期间接受了预防性抗生素治疗。在宫颈诊断性锥切术后的任何时间段进行根治性子宫切除术和盆腔淋巴结清扫术似乎都没有严重的禁忌证。
