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经腹子宫切除术

Authors
Thomas G Stovall, MD
William J Mann, Jr, MD
Section Editor
Howard T Sharp, MD
Deputy Editor
Kristen Eckler, MD, FACOG
Translators
关铮, 主任医师，教授

引言

子宫切除术(通过手术切除子宫)可能采用经腹、经阴道或腹腔镜方法来进行。腹式子宫切除术(abdominal hysterectomy, AH)是指通过剖腹手术来切除子宫。无论是全子宫切除术(包括宫颈的子宫切除术)还是次全子宫切除术(宫颈以上子宫切除术)，都可能进行。子宫切除术时可能切除或不切除卵巢。手术方法的选择，取决于临床情况、外科医师的专业技术，以及患者意愿。 (参见“子宫切除术概述”)

AH的相关内容将总结在此。子宫切除术的其他方法将单独讨论。 (参见“子宫切除术概述”和“阴式子宫切除术”和“腹腔镜子宫切除术”和“根治性子宫切除术”)

手术指征和替代方法

子宫切除术的指征和替代方法见其他专题。 (参见“子宫切除术概述”)

术前相关问题

全面的术前评估和辅导有助于设定患者期望，并为围手术期并发症进行准备或预防。关于术前准备和评估(包括具有内科共存疾病的女性)内容的概述，见其他专题。 (参见“妇科手术的术前评估和准备的概述”)

手术计划 — 应在病历和同意书上记录关于手术方式患者选择(如，保留宫颈或卵巢)的讨论。

                                                                   

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Literature review current through: 2017-06 . | This topic last updated: 2016-07-26.
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