Pitkin R M
Obstet Gynecol. 1977 May;49(5):567-9.
The influenced of obesity in vaginal hysterectomy was examined by comparing the characteristics and outcome in 108 patients who weighed 200 pounds or more with matched controls weighing less than 200 pounds. Obese and nonobese subjects were similar in age and surgical indications, though overweight patients, who averaged nearly 60% above standard weight for height and age, were more likely to have hypertension and diabetes mellitus. Both operating time and operative blood loss were greater in obese patients, presumably because of more frequent employment of vaginal repair in this group. However, obese and nonobese patients did not differ significantly with respect to mortality (none in either group), postoperative febrile morbidity (62 and 56%, respectively), or postoperative hospitalization in excess of 12 days (19 and 16%, respectively). Thus, obesity does not seem to impose additional risks in vaginal hysterectomy, in contrast to abdominal hysterectomy in which the increased morbidity relates to wound infection.
通过比较108名体重200磅或以上的患者与体重不足200磅的匹配对照组的特征和结果，研究了肥胖对阴道子宫切除术的影响。肥胖和非肥胖受试者在年龄和手术指征方面相似，尽管超重患者平均比身高和年龄对应的标准体重高出近60%，但他们患高血压和糖尿病的可能性更大。肥胖患者的手术时间和术中失血量均更多，推测是因为该组患者更频繁地进行阴道修复。然而，肥胖和非肥胖患者在死亡率（两组均无死亡）、术后发热发病率（分别为62%和56%）或术后住院超过12天（分别为19%和16%）方面没有显著差异。因此，与腹部子宫切除术不同，腹部子宫切除术发病率增加与伤口感染有关，而肥胖似乎不会给阴道子宫切除术带来额外风险。
