Demos T C, Churchill R, Flisak M E, Poor C T, Schuster G A
Crit Rev Diagn Imaging. 1984;22(1):43-94.
673,000 hysterectomies were done in the United States in 1981. The mortality rate of 16.4/100,000 was less than that for appendectomy. Gynecologic surgery, however, is the most common surgical cause of complications related to the urinary tract with the reported incidence varying from less than 1 to 10%. We reviewed the charts of 1403 patients who had 736 abdominal, 315 vaginal and 143 radical or modified radical hysterectomies. Seventy (5%) patients had complications. Thirty-two (2.2%) patients had 35 complications related to the urinary tract. Complications directly related to surgery were grouped into ureteral injuries (13), fistulas (10), post surgical fluid collections (13), and hydronephrosis following radical hysterectomy. Characteristic images obtained by radiography, sonography (US), computed tomography (CT), and nuclear medicine (NM) are presented, and their use in each group of complications is summarized in the conclusion.
1981年，美国进行了67.3万例子宫切除术。其死亡率为16.4/10万，低于阑尾切除术的死亡率。然而，妇科手术是与泌尿道相关并发症最常见的手术原因，报告的发病率从不到1%到10%不等。我们回顾了1403例患者的病历，这些患者接受了736例腹部子宫切除术、315例阴道子宫切除术以及143例根治性或改良根治性子宫切除术。70例（5%）患者出现并发症。32例（2.2%）患者出现35例与泌尿道相关的并发症。与手术直接相关的并发症分为输尿管损伤（13例）、瘘管（10例）、术后积液（13例）以及根治性子宫切除术后的肾积水。文中展示了通过X线摄影、超声检查（US）、计算机断层扫描（CT）和核医学（NM）获得的特征性图像，并在结论中总结了它们在每组并发症中的应用。
