锥切术后全子宫切除术后感染1例诊疗体会并文献复习

Diagnosis and Treatment Experience of a Case of Infection after Total Hysterectomy after Conization and Literature Review

目的:报告1例锥切术后1周行腹腔镜下全子宫切除术,术后1周因感染、发热再次入院的病例,并结合文献讨论锥切术后行全子宫切除术适宜的手术时机。方法:以病例报告的方式,结合国内外文献复习,综合分析如何选择适宜的手术时机以减少锥切术后行全子宫切除术术后感染的发生。结果:锥切术后行全子宫切除术的手术时机显著影响术后感染的发生率。结论:宫颈锥切术后适宜的手术时机为术后6周后,可显著降低术后感染的发生率。

Objective: To report a case of laparoscopic total hysterectomy 1 week after conization, which was readmitted to hospital 1 week after surgery due to infection and fever, and to discuss the appropri-ate time for total hysterectomy after conical resection based on the literature. Methods: By means of case report, combined with literature review at home and abroad, a comprehensive analysis was made on how to choose the appropriate time of operation to reduce the incidence of postoperative infection after conization. Results: The timing of total hysterectomy after conization significantly af-fected the incidence of postoperative infection. Conclusion: The appropriate time for cervical coni-zation is 6 weeks after surgery, which can significantly reduce the incidence of postoperative infec-tion.