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对全子宫切除术后近远期并发症进行回顾性分析和防治研究。方法对我院2005年10月到2009年10月在我院经腹全子宫切除术后患者110例进行随访,分析并发症原因及防治方法。结果近期有术后发热11例(10%),阴道残断出血17(15.45%),尿路感染7例(6.36%)切口愈合不良6例(5.45%),下肢静脉血栓2例(1.81%)远期有围绝经期症状45例(40.9%),性功能障碍4例(3.63%),心血管系统疾病20例(18.18%),残留卵巢综合征9例(8.18%)。结论在行全子宫切除术中,尤其是良性疾病的手术中应尽可能保留卵巢,以免发生残留卵巢综合征及卵巢功能减退引起的各种远期并发症。
Short-term complications after hysterectomy for retrospective analysis and prevention and treatment. Methods A total of 110 patients who underwent abdominal hysterectomy in our hospital from October 2005 to October 2009 were followed up to analyze the causes of complications and prevention and treatment methods. Results Postoperative fever occurred in 11 cases (10%), vaginal bleeding in 17 (15.45%), urinary tract infection in 7 cases (6.36%), incision healing in 6 cases (5.45%) and venous thrombosis in 2 cases (1.81% There were 45 cases (40.9%) of climacteric symptoms, 4 cases of sexual dysfunction (3.63%), 20 cases of cardiovascular diseases (18.18%) and 9 cases of residual ovarian syndrome (8.18%) in the long term. Conclusion In hysterectomy, especially in benign diseases, the ovary should be preserved as much as possible in order to avoid the occurrence of residual ovarian syndrome and ovarian dysfunction caused by a variety of long-term complications.