Center for Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA.
J Minim Invasive Gynecol. 2012 Sep-Oct;19(5):615-9. doi: 10.1016/j.jmig.2012.05.011.
To estimate the incidence of small bowel obstruction (SBO) after hysterectomy performed because of benign indications and to compare the incidence of SBO after laparoscopic, vaginal, and abdominal hysterectomy.
Single-center retrospective analysis of all hysterectomies performed to treat benign disease over 9 years (Canadian Task Force classification II-2).
University-affiliated tertiary medical center.
The study included 3229 women who underwent hysterectomy performed because of benign indications.
International Classification of Diseases, 9th revision, codes were applied to eligible patients' medical records to identify those who potentially had an SBO. Again, the electronic medical record was reviewed to confirm the occurrence of SBO. The Fisher exact test was used to evaluate the relationship between SBO and categorical variables, and the Wilcoxon rank sum test was performed to evaluate the relationship between SBO and continuous variables.
During the 9-year study, 3229 women with benign disease underwent hysterectomy: 38.3% abdominal, 39.3% vaginal, and 22.3% laparoscopic. Seventeen of 3229 women (0.53%; 95% confidence interval, 0.32-0.86) who underwent hysterectomy were identified as having an SBO. Among hysterectomy types, the incidence of SBO was not statistically significant for abdominal hysterectomy (9 of 17), vaginal hysterectomy (5 of 17), or laparoscopic hysterectomy (3 of 17) (p = .58). There were no differences in demographic data between patients with and without SBO. Incidence rates for SBO were calculated on the basis of hysterectomy route.
The incidence of SBO after hysterectomy performed because of benign indications is low. The hysterectomy route does not seem to affect risk of SBO.
评估因良性指征行子宫切除术术后发生小肠梗阻（SBO）的发生率，并比较腹腔镜、阴道和经腹子宫切除术术后 SBO 的发生率。
对 9 年内因良性疾病行子宫切除术的所有病例进行单中心回顾性分析（加拿大任务组分类 II-2）。
大学附属医院三级医疗中心。
研究纳入了 3229 例因良性指征行子宫切除术的患者。
应用国际疾病分类第 9 版（ICD-9）编码对符合条件的患者病历进行检索，以确定可能发生 SBO 的患者。再次查阅电子病历以确认 SBO 的发生。采用 Fisher 确切概率法评估 SBO 与分类变量之间的关系，采用 Wilcoxon 秩和检验评估 SBO 与连续变量之间的关系。
在 9 年的研究期间，3229 例患有良性疾病的患者接受了子宫切除术：38.3%经腹、39.3%经阴道、22.3%腹腔镜。在 3229 例患者中，有 17 例（0.53%；95%置信区间，0.32%-0.86%）被确定为发生 SBO。在子宫切除术类型中，经腹子宫切除术（9/17）、经阴道子宫切除术（5/17）或腹腔镜子宫切除术（3/17）的 SBO 发生率无统计学意义（p =.58）。SBO 患者与无 SBO 患者的人口统计学数据无差异。根据子宫切除术途径计算 SBO 的发生率。
因良性指征行子宫切除术术后 SBO 的发生率较低。子宫切除术途径似乎不会影响 SBO 的风险。
