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目的:总结近年来国内外因良性病变切除子宫比例不断升高的影响因素。方法:收集近年来国内外有关子宫切除的各种文献资料,进行分析,总结出造成子宫切除率改变的各种因素。结果:导致子宫切除率改变的因素有手术近期及远期并发症;手术指征的确定;诊疗水平的提高;医护人员的导向作用;种族、社会经济、人文方面的因素;心理社会因素等。近年来新的改良替代手术的出现对于子宫切除率亦有一定影响。结论:子宫切除率是受众多因素影响制约的。实施子宫切除时,不仅要考虑到医学方面的指征、手术并发症等问题,而且应充分考虑到患者的心理社会因素。
OBJECTIVE: To summarize the influencing factors of uterine incision uterus at home and abroad in recent years. Methods: Various kinds of literature about hysterectomy at home and abroad in recent years were collected and analyzed, and the various factors that caused the change of hysterectomy were summarized. Results: The factors that lead to the change of hysterectomy are the short-term and long-term complications of surgery, the determination of operation indications, the improvement of diagnosis and treatment level, the guiding role of medical staff, the factors of race, social economy and humanity, and the psychosocial factors. In recent years, the emergence of new and improved surgeries also have a certain impact on the rate of hysterectomy. Conclusion: The rate of hysterectomy is affected by many factors. Hysterectomy, not only to take into account the medical indications, surgical complications and other issues, but should take full account of the patient’s psychosocial factors.