所谓有“问题”的广泛性子宫切除术,指的是这些病人中有以下四种情况中的一种:1) 最近做了锥切(21天内);2) 过去做过子宫或子宫半切术;3) 妊娠;4) 过去做过放疗;这些情况可以影响术时和术后合并症。在骨盆放疗以后行广泛性子宫切除术和盆腔淋巴结切除术伴发的合并症是众所周知的,本文研究了243例因妇科恶性肿瘤而行广泛性子宫切除术和盆腔淋巴结切除术的情况,243例中有88例属于有“问题”的。 The so-called “problem” of extensive hysterectomy, refers to these patients in one of the following four situations: 1) recently made conical cut (21 days); 2) had done the uterus or hysteroscopic surgery ; 3) pregnancy; 4) radiotherapy in the past; these conditions can affect the operative and postoperative complications. Extensive hysterectomy and pelvic lymphadenectomy associated complications after pelvic radiotherapy are well known, this article studies 243 cases of gynecologic malignancies underwent extensive hysterectomy and pelvic lymph node dissection, 243 cases There are 88 cases of “problem”.