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阴式子宫切除术

Authors
Thomas G Stovall, MD
William J Mann, Jr, MD
Section Editor
Howard T Sharp, MD
Deputy Editor
Sandy J Falk, MD, FACOG
Translators
陈娟, 副主任医师，副教授

引言

子宫切除术(手术移除子宫)可经腹、经阴道或在腹腔镜辅助下经阴道进行。一旦决定行子宫切除术，医生必须根据临床情况及外科医生的技术能力决定手术路径。 (参见“子宫切除术概述”)

与阴式子宫切除术有关的问题将总结在此。其他子宫切除术的操作将单独讨论。 (参见“经腹子宫切除术”和“腹腔镜子宫切除术”)

适应证和禁忌证

子宫切除术的适应证及其他选择将在别处讨论。 (参见“子宫切除术概述”)

关于禁忌证，一般而言，妇科恶性肿瘤不应采取经阴道路径，既往盆腔放疗也是一个相对禁忌证。

术前准备

应与患者详细讨论子宫切除术的原因、手术的风险和获益、其他选择以及预期结局。很少有良性疾病的手术会像子宫切除术一样，使患者产生极大的焦虑和担忧。许多子宫切除术的适应证都以专家意见为依据，而不是从设计良好的研究中所得出的证据。在这些情况下，最重要的是取得患者的知情同意，并充分了解患者的偏好和期望。

                               

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Literature review current through: 2017-06 . | This topic last updated: 2017-06-04.
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