Al-Khaduri Maha, Al-Farsi Yahya
Department of Obstetrics & Gynaecology and.
Sultan Qaboos Univ Med J. 2012 Feb;12(1):93-6. doi: 10.12816/0003093. Epub 2012 Feb 7.
The objective of this study was to calculate the technicity index (TI) for hysterectomies at a tertiary care university hospital in Oman.
This is a retrospective chart review of patients who had hysterectomies at Sultan Qaboos University Hospital (SQUH), a tertiary care university hospital. Profiles were reviewed for all patients who had hysterectomies at SQUH in the period 2003-2009. The cumulative frequencies for all types of hysterectomies were tallied and the year-specific TI was calculated.
Overall, we enumerated a total of 258 hysterectomies, of which 6 (2.3%) were laparoscopic assisted hysterectomies, 42 (16.3%) vaginal hysterectomies, and 208 (80.6%) total abdominal hysterectomies. The average TI was 19% (48/258), and it ranged from 11% to 24%. The trend of change fluctuated over the years starting with 16% (2003) and increasing gradually during 2004-2006, but then declining again during 2007-2008 (trend P value 0.02). This low and fluctuating trend was mainly attributed to the inconsistency in the availability of trained surgeons and laparoscopic equipment.
TI at our institution can be improved by increasing the number of minimally invasive hysterectomies through providing more trained surgeons and laparoscopic equipment.
本研究的目的是计算阿曼一家三级护理大学医院子宫切除术的技术指数（TI）。
这是一项对在三级护理大学医院苏丹卡布斯大学医院（SQUH）接受子宫切除术患者的回顾性病历审查。对2003年至2009年期间在SQUH接受子宫切除术的所有患者的病历进行了审查。统计了所有类型子宫切除术的累积频率，并计算了特定年份的TI。
总体而言，我们共列举了258例子宫切除术，其中6例（2.3%）为腹腔镜辅助子宫切除术，42例（16.3%）为阴道子宫切除术，208例（80.6%）为全腹子宫切除术。平均TI为19%（48/258），范围为11%至24%。变化趋势多年来波动不定，从2003年的16%开始，在2004 - 2006年期间逐渐上升，但在2007 - 2008年期间再次下降（趋势P值为0.02）。这种低且波动的趋势主要归因于训练有素的外科医生和腹腔镜设备供应的不一致。
通过提供更多训练有素的外科医生和腹腔镜设备来增加微创子宫切除术的数量，可以提高我们机构的TI。
