Richter K, Eiermann W
Geburtshilfe Frauenheilkd. 1983 Apr;43(4):209-12. doi: 10.1055/s-2008-1037089.
From 1973 to 1982 a total of 99 Caesarean hysterectomies and 105 Caesarean sections with subsequent tubal coagulation were performed. This represents 6.5% and 6.9%, respectively, of all Caesarean sections. After excluding the emergency cases, 86 planned Caesarean hysterectomies and 99 Caesarean sections combined with tubal coagulation remained. Statistical evaluation showed that the postoperative course was more favourable and less febrile with Caesarean hysterectomy than with tubal coagulation after Caesarean section. The somewhat greater loss of blood after hysterectomy is practically without any sequel. Hysterectomy saves the patient from subsequent uterine diseases, ascending infections, menstrual anaemias, problems of hygiene, etc. Caesarean hysterectomy appears to be the method of choice if surgical sterilisation is deemed appropriate besides performing the Caesarean section; if the patient has been informed of the operation in detail; if the patient feels no emotional ties towards the uterus; if there has been ample opportunity to think things over calmly; and if the surgeon is really skilled in performing hysterectomy.
1973年至1982年期间，共进行了99例剖宫产子宫切除术和105例剖宫产加随后输卵管凝固术。这分别占所有剖宫产手术的6.5%和6.9%。排除急诊病例后，剩下86例计划剖宫产子宫切除术和99例剖宫产加输卵管凝固术。统计评估表明，剖宫产子宫切除术后的病程比剖宫产加输卵管凝固术后更有利，发热更少。子宫切除术后出血量稍多，但实际上没有任何后遗症。子宫切除术使患者免于随后的子宫疾病、上行感染、月经性贫血、卫生问题等。如果除剖宫产外认为手术绝育合适；如果已向患者详细告知手术情况；如果患者对子宫没有情感上的牵挂；如果有足够的机会冷静思考；并且如果外科医生确实擅长进行子宫切除术，那么剖宫产子宫切除术似乎是首选方法。
