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宫颈内膜黏膜的术中电凝术与宫颈残端癌

Peroperative electrocoagulation of endocervical mucosa and later carcinoma of the cervical stump.

作者信息

Kilkku P, Grönroos M

出版信息

Acta Obstet Gynecol Scand. 1982;61(3):265-7. doi: 10.3109/00016348209156569.

Abstract

The incidence of carcinoma of the cervical stump is, according to literature, 0.3--1.9%. During the years 1952--78, 2712 subtotal hysterectomies for benign conditions were performed in the Department of Obstetrics and Gynecology in Turku. During the operation the endocervical mucosa was electrocoagulated before closing the stump. Of these patients, 3 have since developed carcinoma of the cervical stump; thus the incidence in our material is 0.11%. It has been supposed that subtotal hysterectomy might have certain benefits in some cases. If so, and in view of the cancer risk being so low in our material, we feel that subtotal hysterectomy is still an applicable method.

摘要

根据文献记载,宫颈残端癌的发病率为0.3% - 1.9%。1952年至1978年间,图尔库妇产科为良性疾病做了2712例次子宫次全切除术。手术中,宫颈内膜黏膜在关闭残端前进行了电凝处理。这些患者中,有3例后来发生了宫颈残端癌;因此,我们资料中的发病率为0.11%。有人认为子宫次全切除术在某些情况下可能有一定益处。如果是这样,并且鉴于我们资料中癌症风险如此之低,我们认为子宫次全切除术仍是一种可行的方法。

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