子宫切除术320例临床分析

Clinical analysis of 320 cases of hysterectomy

目的探讨子宫切除术的适应证、临床效果及并发症,提高手术诊疗水平。方法总结2000年至2006年间本院320例子宫切除术患者的临床资料,从病因、手术方式、治疗效果及术后并发症进行分析。结果因妇科良性疾病而行子宫切除术者获得临床治愈,因妇科恶性疾病或有恶变倾向疾病而行子宫切除术者,早期治疗效果良好,晚期治疗效果欠佳。手术方式应按患者病因及个体差异而决定。结论妇科良性疾病,保守治疗无效后,可行子宫切除术,治疗敬果良好。妇科恶性疾病,早发现早治疗效果良好,迟发现迟治疗效果欠佳。子宫切除术应严格掌握手术适应证,谨防并发症发生。

Objective To study the indications,clinical effect and complications of hysterectomy so as to improve therapeutic effect. Methods The clinical data involving 320 cases of hysterectomy in this hospital from 2000 to 2006 were reviewed,and the pathogenesis,operation mode,curative effect and post-operation complications were analysed. Results Patients who received hysterectomy due to benign gynecologic diseases were cured well clinically; those who received hysterectomy due to malignant gynecologic diseases or diseases with the tendency of malignant change were cured well in early, stage but the effect was not so satisfactory in later stage. The operation mode was decided by considering the pathogenesis and individual difference. Conclusion For benign gynecologic diseases, hysterectomy can be conducted with good effect after conservative treatment becomes ineffective. For malignant gynecologic diseases,early treatment will bring good result,white tare treatment will generate not so satisfactory effect, tndi cations for operation should be controlled strictly for hysterectomy to guard against complications.