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[妇科手术中的记录与质量控制问题(作者译)]

[The problem of documentation and quality control in operative gynaecology (author's transl)].

作者信息

Roemer V M, Neeser E, Wenninger H

出版信息

Geburtshilfe Frauenheilkd. 1980 Jan;40(1):39-46. doi: 10.1055/s-2008-1037019.

DOI:10.1055/s-2008-1037019
PMID:7353773
Abstract

A documentation system by punch card, key and program system was developed at the University Department for Women in Tübingen and used for operative gynaecology. From each patient 12 quantitative and 19 qualitative parameters were coded. Included in the code were the diagnosis or several diagnoses, the operation or several operations, previous operation or previous operations, risk factors, complications during the operation and following the operation and data on the anesthesia. 1,700 procedures with opening of the peritoneum were reviewed retrospectively. From these data 499 vaginal hysterectomies with anterior and posterior colporrhaphy and with/or without bilateral salpingo-oophorectomy were selected as well as 249 abdominal hysterectomies with Marshall Marchetti operation in the Tübingen modification with/or without bilateral salpingo-oophorectomy and with/or without colporhaphy. These two groups were compared regarding important parameters. It was confirmed that the morbidity in vaginal hysterectomy was much higher than in abdominal hysterectomy.

摘要

图宾根大学妇女部开发了一种由穿孔卡片、钥匙和程序系统组成的文档系统,并将其用于妇科手术。为每位患者的12个定量参数和19个定性参数进行了编码。编码内容包括诊断结果或多项诊断结果、手术或多项手术、既往手术或既往多次手术、风险因素、手术期间及术后的并发症以及麻醉数据。对1700例腹膜切开手术进行了回顾性研究。从这些数据中,选取了499例进行了前后阴道修补术且有/或没有双侧输卵管卵巢切除术的阴道子宫切除术,以及249例采用图宾根改良法进行马歇尔-马尔凯蒂手术且有/或没有双侧输卵管卵巢切除术以及有/或没有阴道修补术的腹部子宫切除术。对这两组在重要参数方面进行了比较。结果证实,阴道子宫切除术的发病率远高于腹部子宫切除术。

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1
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Geburtshilfe Frauenheilkd. 1980 Jan;40(1):39-46. doi: 10.1055/s-2008-1037019.
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