Christ F, Kindermann G, Schmidt C
Geburtshilfe Frauenheilkd. 1979 Jun;39(6):460-3.
The subtotal hysterectomy is no longer indicated for the treatment of female genital disease with rare exceptions. It has been known for a long time that the remaining cervical stump has very few advantages but many potential risks. Among our patients who had cervical stumps removed 32 of 69 cases had malignant changes in the cervical stump. Decensus and prolapse was the next common abnormality. If adnexal tumors or cervical cancers do not indicate an abdominal approach for the removal, the vaginal approach for the removal of the cervical stump ist preferred since this is easier and less risky.
除极少数例外情况外，子宫次全切除术不再适用于女性生殖系统疾病的治疗。长期以来人们都知道，残留的宫颈残端益处甚少，但存在诸多潜在风险。在我们接受宫颈残端切除的患者中，69例中有32例宫颈残端发生了恶性病变。子宫脱垂是第二常见的异常情况。如果附件肿瘤或宫颈癌不表明需要采用腹部手术进行切除，那么首选经阴道途径切除宫颈残端，因为这种方法更简便且风险更低。
