Agostini Aubert, Vejux Nadège, Bretelle Florence, Collette Emmanuelle, De Lapparent Thomas, Cravello Ludovic, Blanc Bernard
Department of Obstetrics and Gynecology, La Conception University Hospital, Marseille, France.
Am J Obstet Gynecol. 2006 Feb;194(2):351-4. doi: 10.1016/j.ajog.2005.08.015.
This study was undertaken to compare morbidity for women undergoing laparoscopy-assisted vaginal hysterectomy with bilateral oophorectomy (LAVHO) and vaginal hysterectomy with bilateral oophorectomy without laparoscopic assistance (VHO).
Between April 1, 2002, and February 1, 2004, a prospective randomized study at Marseille University Hospital (La Conception) included 48 patients who underwent a hysterectomy with prophylactic bilateral oophorectomy for benign uterine conditions. These patients were allocated to 2 groups (LAVHO vs VHO). The study variables were duration of surgery and of hospitalization and surgical and postoperative complications.
There was no significant difference in the duration of surgery between the LAVHO and VHO groups (100.2 +/- 27.9 vs 83.9 +/- 34.6, P = .08). The rate of complications was significantly higher in the LAVHO group (13/24 [54.1%] vs 6/24 [25%], P = .039).
The overall complication rate was higher with LAVHO than VHO. It thus appears that laparoscopic assistance is not useful in performing vaginal hysterectomies with prophylactic bilateral oophorectomies in patients without other related disorders (endometriosis, adhesions, adnexal anomalies).
本研究旨在比较接受腹腔镜辅助阴式子宫切除术加双侧卵巢切除术（LAVHO）的女性与未接受腹腔镜辅助的阴式子宫切除术加双侧卵巢切除术（VHO）的女性的发病率。
在2002年4月1日至2004年2月1日期间，马赛大学医院（拉孔塞ption）进行了一项前瞻性随机研究，纳入了48例因良性子宫疾病接受子宫切除术并预防性双侧卵巢切除术的患者。这些患者被分为两组（LAVHO组与VHO组）。研究变量包括手术时间、住院时间以及手术和术后并发症。
LAVHO组和VHO组的手术时间无显著差异（100.2±27.9对83.9±34.6，P = 0.08）。LAVHO组的并发症发生率显著更高（13/24 [54.1%]对6/24 [25%]，P = 0.039）。
LAVHO的总体并发症发生率高于VHO。因此，对于没有其他相关疾病（子宫内膜异位症、粘连、附件异常）的患者，腹腔镜辅助在进行预防性双侧卵巢切除的阴式子宫切除术中似乎并无用处。
