期刊文献+

Influences of different time intervals between loop electrosurgical excision and abdominal hysterectomy or radical hysterectomy on postoperative complications: a retrospective analysis 被引量:5

Influences of different time intervals between loop electrosurgical excision and abdominal hysterectomy or radical hysterectomy on postoperative complications: a retrospective analysis
下载PDF
导出
摘要 Objective: To study the influences of different time intervals between loop electrosurgical excision (LEEP) and abdominal hysterectomy or radical hysterectomy on postoperative complications. Methods: Sixty-eight patients, who received subsequent abdominal hysterectomy or radical hysterectomy after LEEP due to C1N III and cervical cancer (IA1, IA2 and IB1), were included in the present study. The hospital and clinic records of these patients were reviewed. The patients were divided into three groups according to the time intervals between LEEP and hysterectomy or radical hysterectomy: group l(within 48 h), group 2 (between 48 h to 6 weeks), and group 3(〉 6 weeks ).Results: General characteristics of patients, including the mean age, delivery history, BMI, menopausal status, clinical stage and HPV infection, were comparable between patients of different groups. There were no significant differences in the mean transfusion amount, posthysterectomy hospital stay or operation time between different groups. The frequencies and spectrum of complications were not significantly affected by the time interval between LEEP and hysterectomy or radical hysterectomy. Conclusion: It is concluded that whenever the LEEP is done, the operation including hysterectomy or radical hysterectomy can be conducted at any time as it is necessary for the patients. Objective:To study the influences of different time intervals between loop electrosurgical excision (LEEP) and abdominal hysterectomy or radical hysterectomy on postoperative complications. Methods:Sixty-eight patients, who received subsequent abdominal hysterectomy or radical hysterectomy after LEEP due to CIN Ⅲ and cervical cancer (IA1, IA2 and IB1), were included in the present study. The hospital and clinic records of these patients were reviewed. The patients were divided into three groups according to the time intervals between LEEP and hysterectomy or radical hysterectomy: group 1(within 48 h), group 2 (between 48 h to 6 weeks), and group 3(> 6 weeks ).Results: General characteristics of patients, including the mean age, delivery history, BMI, menopausal status, clinical stage and HPV infection, were comparable between patients of different groups. There were no significant differences in the mean transfusion amount, posthysterectomy hospital stay or operation time between different groups. The frequencies and spectrum of complications were not significantly affected by the time interval between LEEP and hysterectomy or radical hysterectomy. Conclusion: It is concluded that whenever the LEEP is done, the operation including hysterectomy or radical hysterectomy can be conducted at any time as it is necessary for the patients.
出处 《Journal of Medical Colleges of PLA(China)》 CAS 2010年第1期38-43,共6页 中国人民解放军军医大学学报(英文版)
关键词 LEEP HYSTERECTOMY Radical hysterectomy Time interval CIN III Early cervical cancer 子宫切除术 时间间隔 并发症 病变组织 平均年龄 子宫颈癌 体重指数 患者
  • 相关文献

参考文献14

  • 1Fanning J, Padratzik J. Cold knife conization vs LEEE Are they the same procedure? J Reprod Med 2002; 47:33-35.
  • 2Miroshnichenko GG, Parva M, Holtz DO, et al. Interpretability of excisional biopsies of the cervix: cone biopsy and loop excision. J Low Genit Tract Dis 2009;13:10-12.
  • 3Malinak LR, Jeffrey RA, Dunn WJ. The conization-hysterectomy time interval: a clinical and pathologic study. Obstet Gynecol 1964; 23:317-329.
  • 4Anderson ES, Nielsen K. Adenocarcinoma in situ of the uterine cervix: a prospective study of conization as definitive treatment. Gynecol Oncol 2002; 86: 365-369.
  • 5Wright Jr TC, Gagnon S, Richart RM, et al. Treatment of cervical intraepithelial neoplasia using the loop electrosurgical excision procedure. Obstet Gynecol 1992; 79:173-178.
  • 6Moore BC, Higgins RV, Laurent SL, et al. Predictive factors from cold knife conization for residual intraepithelial neoplasia in the subsequent hysterectomy. Am J Obstet Gynecol 1995; 73:361-366.
  • 7Williams T J, Johnson TR, pratt JH. Time interval between cervical conization and hysterectomy. Am J Obstet Gynecol 1970; 107:790-796.
  • 8Mikuta J J, Giuntoli RL, Rubin EL, et al. The "problem" radical hysterectomy. Am J Obstet Gynecol 1977; 128:119-124.
  • 9Samlal RAK, Velden JVD, Schilthuis MS, et al. Influence of diagnostic conization on surgical morbidity and survival in patients undergoing radical hysterectomy for stage IB and IIA cervical carcinoma. Eur J Gynecol Oncol 1997;18: 478-481.
  • 10Orr JW, Shingleton HM, Hatac KD, et al. Correlation of perioperative morbidity and conization to radical hysterectomy interval. Obstet Gynecol 1982; 59:726-731.

同被引文献33

引证文献5

二级引证文献23

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部