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1970～1980年间在作者医院里施行了2,098次阴道式或腹式子宫切除术,保留了一侧或双侧附件。其中813例是腹式,1,285例是阴道式子宫切除。以前均未在附件或腹腔内做过手术,无子宫恶性病变。到1982年底对这些病例进行了复查,有34例因附件发生肿瘤而施行了第二次手术。发生率为1.62%。文献上报告在1～4%间。可能观察时间还短,未发现有恶性肿瘤。结果 1.因附件肿瘤而进行二次手术发生在腹式子宫切除要明显多于阴道式子宫切除(22∶12,P<0.01)。 2.施行子宫切除加一侧附件切除的平均年龄为38.9岁,未切除附件为43.3岁。在前一组行二次手术时的平均年龄为42.14岁,在后一组行二次手术时的平均年龄为46.8岁。
Between 1970 and 1980, 2,098 vaginal or abdominal hysterectomies were performed at the author’s hospital, preserving one or both of the attachments. Of these, 813 were abdominal and 1,285 were vaginal hysterectomy. Have not done any surgery in the attachment or intraperitoneal before, no malignant uterine lesions. By the end of 1982, these cases were reviewed, and 34 had a second operation because of an appendix tumor. The incidence was 1.62%. Reported in the literature between 1 ~ 4%. Possible observation time is short, no malignancy was found. Results 1. Secondary surgery due to accessory tumor occurred significantly more in the abdominal hysterectomy than in the vaginal hysterectomy (22:12, P <0.01). 2. Hysterectomy plus one side of the attachment removal of the average age was 38.9 years old, 43.3 years old without attachment. The mean age at the second surgery in the previous group was 42.14 years and in the latter group the mean age at second surgery was 46.8 years.