决策树对意大利良性疾病子宫切除术术式选择的影响：个人经验
Influence of a decisional tree on the route of hysterectomy for benign disease in Italy: personal experience.
作者信息
Dodero D, Corticelli A, Pedretti L
机构信息
Department of Obstetrics and Gynaecology, Riboli Hospital Lavagna, Genoa, Italy.
出版信息
Clin Exp Obstet Gynecol. 2005;32(3):185-8.
BACKGROUND
Mainly to report our experience in the route of hysterectomy after introducing specific guidelines according to the Society of Pelvic Reconstructive Surgeons and to record all hysterectomy-related complications after abdominal and vaginal hysterectomies.
METHODS
The records of 22 patients who underwent abdominal hysterectomy and 59 who underwent vaginal hysterectomy for benign disease were reviewed. Complications related to hysterectomy were recorded during surgery, postoperative hospital stay and a period of six weeks. Statistical methods used were t-tests and chi square analysis.
RESULTS
Operation time was shorter with the vaginal route. Patients operated on via the vaginal route had less blood loss and shorter hospital stay.
CONCLUSIONS
The main standard to select the route for hysterectomy is the severity of the clinical status. Decreasing the ratio between the abdominal and vaginal route is possible, but it is crucial to make the indications clear, based on scientific evidence.
背景
主要报告我们在根据盆腔重建外科医生协会引入特定指南后进行子宫切除术的路径方面的经验，并记录腹部和阴道子宫切除术后所有与子宫切除术相关的并发症。
方法
回顾了22例行腹部子宫切除术和59例行阴道子宫切除术治疗良性疾病患者的记录。在手术期间、术后住院期间和六周内记录与子宫切除术相关的并发症。使用的统计方法为t检验和卡方分析。
结果
经阴道途径手术时间较短。经阴道途径手术的患者失血量较少，住院时间较短。
结论
选择子宫切除路径的主要标准是临床状况的严重程度。降低腹部和阴道途径的比例是可能的，但基于科学证据明确指征至关重要。
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