Tchartchian Garri, Gardanis Konstantinos, Bojahr Bernd, de Wilde Rudy Leon
Klinik für Minimal Invasive Chirurgie, Berlin-Zehlendorf, Germany.
JSLS. 2013 Jan-Mar;17(1):107-10. doi: 10.4293/108680812X13517013318067.
The aim of this study was to evaluate postoperative patient satisfaction in women after laparoscopic supracervical hysterectomy (LASH).
A retrospective study by a mailed questionnaire among 2334 women who underwent hysterectomy via LASH at the MIC-Klinik, Berlin, between 1998 and 2004 was conducted. Indications for LASH were uterus myomatosus, adenomyosis uteri, disorders of bleeding, and genital descensus. The LASH operation technique was standardized and remained consistent throughout the observation period. Pearson's test for metric variables, Spearman's rank correlation test for ordinal data, Mann-Whitney U test, and Kruskal-Wallis test were used.
Of the 2334 questionnaires mailed, 1553 were returned and 1431 (61.3%) of those could be analyzed. Almost 94% (93.9%) of the women were highly satisfied with the outcome, 5.6% reported medium satisfaction, and 0.5% were not satisfied. There was no significant difference in patient satisfaction with regard to the different indication for LASH.
This study demonstrates high postoperative patient satisfaction after LASH. The rate of highly satisfied women might be increased by carefully choosing the right indications for LASH and improving operation techniques. This is important for widening acceptance of this innovative new operation standard.
本研究旨在评估腹腔镜次全子宫切除术(LASH)术后女性患者的满意度。
对1998年至2004年间在柏林MIC诊所接受LASH子宫切除术的2334名女性进行了一项邮寄问卷调查的回顾性研究。LASH的适应症包括子宫肌瘤、子宫腺肌病、出血性疾病和生殖器脱垂。LASH手术技术标准化,在整个观察期内保持一致。使用Pearson度量变量检验、Spearman有序数据秩相关检验、Mann-Whitney U检验和Kruskal-Wallis检验。
在邮寄的2334份问卷中,1553份被退回,其中1431份(61.3%)可以进行分析。近94%(93.9%)的女性对结果高度满意,5.6%表示中等满意,0.5%不满意。对于LASH的不同适应症,患者满意度没有显著差异。
本研究表明LASH术后患者满意度较高。通过谨慎选择LASH的合适适应症并改进手术技术,高度满意的女性比例可能会增加。这对于扩大对这种创新的新手术标准的接受度很重要。