Vaginal hysterectomy in obese women.
Vaginal hysterectomy in obese women.
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肥胖女性经阴道子宫切除术。
DOI：
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发表时间：
1977
期刊：
影响因子：
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通讯作者：
Pitkin Rm
中科院分区：
文献类型：
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作者：
Pitkin Rm
通过比较108例体重200磅或以上的患者与体重小于200磅的对照组的特征和结局，研究了肥胖对阴式子宫切除术的影响。肥胖和非肥胖受试者在年龄和手术适应症方面相似，但超重患者（平均体重超过身高和年龄标准体重近60%）更容易患高血压和糖尿病。肥胖患者的手术时间和手术失血量均更长，可能是因为该组患者更频繁地进行阴道修复术。然而，肥胖和非肥胖患者在死亡率（两组均无）、术后发热发病率（分别为62%和56%）或术后住院超过12天（分别为19%和16%）方面无显著差异。因此，与经腹子宫切除术相比，肥胖似乎不会增加经阴道子宫切除术的风险，经腹子宫切除术的发病率增加与伤口感染有关。
The influenced of obesity in vaginal hysterectomy was examined by comparing the characteristics and outcome in 108 patients who weighed 200 pounds or more with matched controls weighing less than 200 pounds. Obese and nonobese subjects were similar in age and surgical indications, though overweight patients, who averaged nearly 60% above standard weight for height and age, were more likely to have hypertension and diabetes mellitus. Both operating time and operative blood loss were greater in obese patients, presumably because of more frequent employment of vaginal repair in this group. However, obese and nonobese patients did not differ significantly with respect to mortality (none in either group), postoperative febrile morbidity (62 and 56%, respectively), or postoperative hospitalization in excess of 12 days (19 and 16%, respectively). Thus, obesity does not seem to impose additional risks in vaginal hysterectomy, in contrast to abdominal hysterectomy in which the increased morbidity relates to wound infection.