Joswig-Priewe H, Joswig E H, Schlüter K
Arch Geschwulstforsch. 1977;47(5):473-8.
The necessity of vaginal stump smears is demonstrated by way of 1773 smears taken from 846 hysterectomized patients. In 1,18 per cent of cases operated for benign indications there are found pathological changes on the vaginal end; 7,5 percent pathological neoplastic deformations are found following hysterectomy for carcinoma in situ; recurrences of cervical, corpus- and ovarial carcinomata are detected by vaginal stump smears at an early data. The leaving of a vaginal cuff is discussed as being responsible for the increased occurrence of new malignant growth following carcinoma in stu-operations. The other results are compared with those stated in literature.
对846例子宫切除患者进行了1773次阴道残端涂片检查，证明了阴道残端涂片的必要性。在因良性指征而进行手术的病例中，有1.18%在阴道残端发现病理变化；原位癌子宫切除术后发现7.5%的病理性肿瘤变形；通过阴道残端涂片可早期检测出宫颈癌、宫体癌和卵巢癌的复发。文中讨论了保留阴道断端袖套是原位癌手术后新的恶性肿瘤发生率增加的原因。将其他结果与文献中所述结果进行了比较。
