腹式子宫全切除术并发症的预防和处理——附520例病案分析

The prevention and handling of complications after abdomenohysterectomy——A clinical study of 520 cases

本文对1976～1980年520例腹式子宫全切除术进行了临床分析,47例术后发生感染(9.04%),膀胱损伤1例,阴道断端出血72例(13.85%),烫伤4例。预防感染,要掌握无菌技术,术前治疗生殖器炎,术后选用抗生素。阴道残端出血的预防,要严格控制感染和改进缝合方法,避免器官损伤、熟悉盆腔解剖,细心操作。

The abdominal total hysterectomy is one of the most common operations.in general. it is safe, but sometimes may followed by complications, in this ar-tical, we made a clinical analysis of 520 cases of abdominal total hysterecto-my from 1976 to 1980. During the operations,one case of bladder injury wasencountered, 47 cases were infected (9.04%), 72 cases had bleeding from va-ginal residual (13.85%), and 4 cases were burned after operations,To avoidcommon complications, following preventive measures should be taken; to int-roduce aseptic surgery, Right choice of antibiotics and to control inflamationof there reproductive organs before operation,Bleeding from vaginal residuecan be prevented by controlling infection and improving the suturing method.To avoid injury of organ one should be familiar with the anatomy of the fe-male pelvic. when tumor or inflammation happened in the pelvic organs, wh-ich have been displaced, routin operation should be performed after replaceingthe organs to their normal positions.