Becker K, Müller-Wühr E, Stark G
Fortschr Med. 1977 Jun 9;95(22):1425-8.
The report deals with the 2330 hysterectomies, performed in the "Women's Hospital of the City of Nuernberg", in 1968 through 1973. One thousand extirpations were done the abdominal way, whereas 1330 were done using the vaginal method. The average age of the patients was 50 years. The distribution of the parity of the abdominal hysterectomies was about equal, whereas the parity of the vaginal operations was 11 times higher, mainly because of technical reasons. The main indications of the vaginal extirpations were: descensus, uterus myomatosus and non invasive cancer; the one of the abdominal extirpations was uterus myomatosus, benign and malign ovarial tumors and cancer of corpus uteri. The total ratio of complications (including abscess of the abdominal wall, seromes etc.) amounts ot 19,1% of the abdominal operations, 9,6% of the vaginal operations. The total mortality of the abdominal operations was nearly 1,7% the one of the vaginal operations approached 0,37%. In 50% respectively 80% the cause of death was an acute emboly of the lungs.
该报告涉及1968年至1973年在“纽伦堡市妇女医院”进行的2330例子宫切除术。其中1000例采用腹部手术方式，1330例采用阴道手术方式。患者的平均年龄为50岁。腹部子宫切除术患者的产次分布大致相等，而阴道手术患者的产次则高出11倍，主要是技术原因所致。阴道切除术的主要指征为：子宫脱垂、子宫肌瘤和非浸润性癌；腹部切除术的主要指征为子宫肌瘤、卵巢良恶性肿瘤和子宫体癌。并发症总发生率（包括腹壁脓肿、血清肿等）在腹部手术中占19.1%，在阴道手术中占9.6%。腹部手术的总死亡率接近1.7%，阴道手术的总死亡率约为0.37%。在腹部手术和阴道手术中，分别有50%和80%的死亡原因是急性肺栓塞。
