Brigham and Women's Hospital, Boston, MA 02115, USA.
J Minim Invasive Gynecol. 2011 Sep-Oct;18(5):617-21. doi: 10.1016/j.jmig.2011.06.003. Epub 2011 Jul 23.
To evaluate and compare recovery times and quality of life (QOL) in patients undergoing a total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LSH).
Patients underwent either a TLH or LSH. After surgery, patients maintained a daily log documenting pain, nausea, use of pain medications, and return to daily activities. They also completed a QOL questionnaire (SF-36) before and after surgery.
Prospective cohort study (Canadian Task Force Classification II-1).
University teaching hospital.
A total of 122 women undergoing laparoscopic hysterectomy.
A total of 122 women underwent TLH (n = 71) or LSH (n = 51) for benign indications from February 2008 to January 2010. There was a significantly higher postoperative improvement of QOL scores in the LSH group in 6 of 10 questionnaire categories and summary scores, including physical functioning (p =.03), role physical (p =.002), and bodily pain (p =.03). There were no significant differences in use of pain medications, level of pain, level of nausea, or return to normal activities.
LSH appears to provide greater improvement in short-term postoperative QOL compared with TLH. No significant differences were found in postoperative pain or return to daily activities.
评估和比较行完全腹腔镜子宫切除术（TLH）和腹腔镜子宫次全切除术（LSH）的患者的恢复时间和生活质量（QOL）。
患者行 TLH 或 LSH。手术后，患者每天记录疼痛、恶心、使用止痛药和恢复日常活动的情况。他们还在手术前后完成了 QOL 问卷（SF-36）。
前瞻性队列研究（加拿大任务组分类 II-1）。
大学教学医院。
122 例行腹腔镜子宫切除术的女性。
共有 122 名女性因良性指征于 2008 年 2 月至 2010 年 1 月行 TLH（n = 71）或 LSH（n = 51）。在 10 个问卷类别和综合评分中的 6 个类别中，LSH 组的 QOL 评分在术后有显著更高的改善，包括身体功能（p =.03）、身体角色（p =.002）和身体疼痛（p =.03）。在使用止痛药、疼痛程度、恶心程度或恢复正常活动方面，两组之间没有显著差异。
与 TLH 相比，LSH 似乎在短期术后 QOL 方面提供了更大的改善。在术后疼痛或恢复日常活动方面没有发现显著差异。
