Elkins T E, Gallup D G, Slomka C V, Phelan J P
South Med J. 1982 Mar;75(3):264-6. doi: 10.1097/00007611-198203000-00004.
In an attempt to define a group of patients at risk for relatively increased morbidity who have had vaginal hysterectomy after conization, we retrospectively analyzed patients who had hysterectomy for cervical intraepithelial neoplasia. Patients who had hysterectomy within 24 hours of conization had an overall morbidity rate of 42% and are compared to a second group of patients who had hysterectomy six weeks or more after conization, with a morbidity rate of 24%. A third group of patients who had hysterectomy without conization had an overall morbidity of 19%. These data suggest that a period of less than 24 hours from conization to hysterectomy, particularly in large teaching hospitals, leads to relatively greater morbidity.
为了确定一组在锥形切除术后接受阴道子宫切除术且发病风险相对增加的患者，我们回顾性分析了因宫颈上皮内瘤变接受子宫切除术的患者。在锥形切除术后24小时内接受子宫切除术的患者总体发病率为42%，并与另一组在锥形切除术后六周或更长时间接受子宫切除术的患者进行比较，其发病率为24%。第三组未进行锥形切除术而接受子宫切除术的患者总体发病率为19%。这些数据表明，从锥形切除术到子宫切除术的时间间隔少于24小时，特别是在大型教学医院，会导致相对更高的发病率。
