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经阴道子宫切除术加双侧附件切除术

[Vaginal hysterectomy with bilateral adnexectomy].

作者信息

Hohlweg-Majert P, Liebenstein J, Castillo M

出版信息

Fortschr Med. 1984 Feb 23;102(8):183-5.

PMID:6745824
Abstract

102 bilateral adnexectomies in simple vaginal uterectomy (UE.A.) were researched between 1975-1980 and compared to the same number of patients who had vaginal uterectomy without adnexectomy (VK). The average age of the UE.A. was 51.9 years and of the VK 36.8 years of age. The parity of both groups was balanced. The most frequent indication for operation of both collectives was uterus myomatosus. In 52.9% we found a pathology of the ovar: In 46% benign ovarial tumor, in 4.9% ovarial tumor, in 4.9% ovarial endometriosis, in 0.9% ovarial metastasis of breast carcinoma and in 0.9% tubal carcinoma with micrometastasis at the ovar of the same side. The most frequent postoperative histological diagnosis of both groups was uterus myomatosus. The number of complications (post operative bleeding, course of fever more than 38.5 degrees C) was the same in both groups.

摘要

1975年至1980年间,对102例行单纯阴道子宫切除术(UE.A.)时双侧附件切除术的病例进行了研究,并与相同数量的未行附件切除术的阴道子宫切除术(VK)患者进行了比较。UE.A.组患者的平均年龄为51.9岁,VK组为36.8岁。两组的产次均衡。两组最常见的手术指征均为子宫肌瘤。在52.9%的病例中发现卵巢病变:46%为卵巢良性肿瘤,4.9%为卵巢肿瘤,4.9%为卵巢子宫内膜异位症,0.9%为乳腺癌卵巢转移,0.9%为同侧卵巢微转移的输卵管癌。两组术后最常见的组织学诊断均为子宫肌瘤。两组的并发症数量(术后出血、体温超过38.5摄氏度的病程)相同。

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