Junge W D, Ketscher K D, Töwe J
Zentralbl Gynakol. 1979;101(7):485-92.
There is reported about 2279 gynaecological operations at women, aged 60 years and more, in a period from 1960 to 1974, divided into three 5-years-groups. The part of geriatric operations increased from 5,3% to 7,0% of all operations. The division into high risk-groups took place after points given by Loskant. 41,1% of all patients where classified into group III. Group IV has the highest postoperative mortality rate (5,3%). The postoperative mortality rate altogether was 2,2%. In the years from 1960 to 1974 it decreased from 2,6% to 1,9%. 25,1% of the surgical operations where carried out abdominaly. The high part of vaginal operations comes off by placing curettages into the analysis. Under that aspect must be seen the postoperative mortality rate 7,1% at abdominal and 0,7% at vaginal operations. In the main point indications for operation were malignant tumours (37,3%), haemorrhages (25,4%), benign tumours (17,6%), and position variations of the genitals (10,6%).
据报道，1960年至1974年期间，对60岁及以上女性进行了约2279例妇科手术，分为三个5年组。老年手术在所有手术中的占比从5.3%增至7.0%。根据洛斯坎特给出的标准对患者进行高风险分组。所有患者中有41.1%被归为III组。IV组术后死亡率最高（5.3%）。总体术后死亡率为2.2%。1960年至1974年期间，该死亡率从2.6%降至1.9%。25.1%的手术通过腹部进行。阴道手术占比高是因为将刮宫术纳入了分析。从这方面来看，腹部手术的术后死亡率为7.1%，阴道手术为0.7%。手术的主要指征为恶性肿瘤（37.3%）、出血（25.4%）、良性肿瘤（17.6%）以及生殖器位置异常（10.6%）。
