Agnaeber K, Bodalal Z
Department of Obstetrics and Gynaecology, Al-Jamhouria Hospital, Benghazi University, Libya.
J Obstet Gynaecol. 2013 Aug;33(6):613-6. doi: 10.3109/01443615.2012.762349.
We performed a comparative study between abdominal and vaginal hysterectomies using clinical data from Al-Jamhouria hospital (one of the largest maternity hospitals in Eastern Libya). Various parameters were taken into consideration: the rates of each type (and their subtypes); average age of patients; indications; causes; postoperative complications; and duration of stay in the hospital afterwards. Conclusions and recommendations were drawn from the results of this study. In light of the aforementioned parameters, it was found that: (1) abdominal hysterectomies were more common than vaginal hysterectomies (p < 0.001); (2) patients admitted for abdominal hysterectomies are younger than those admitted for vaginal hysterectomies (p < 0.001); (3) the most common indication for an abdominal hysterectomy was menstrual disturbances, while for vaginal hysterectomies it was vaginal prolapse; (4) the histopathological cause for abdominal and vaginal hysterectomies were observed and the most common were found to be leiomyomas and atrophic endometrium; (5) there was no significant difference between the two routes in terms of postoperative complications; (6) patients who were admitted for abdominal hysterectomies spent a longer amount of time in the hospital (p < 0.01). It was concluded that efforts should be made to further pursue vaginal and laparoscopic hysterectomies as a viable option to the more conventional abdominal route.
我们利用来自利比亚东部最大的妇产医院之一——Al-Jamhouria医院的临床数据，对腹部子宫切除术和阴道子宫切除术进行了一项比较研究。研究考虑了各种参数：每种类型（及其亚型）的发生率；患者的平均年龄；适应症；病因；术后并发症；以及术后住院时间。从本研究结果中得出了结论和建议。根据上述参数，发现：（1）腹部子宫切除术比阴道子宫切除术更常见（p < 0.001）；（2）接受腹部子宫切除术的患者比接受阴道子宫切除术的患者年轻（p < 0.001）；（3）腹部子宫切除术最常见的适应症是月经紊乱，而阴道子宫切除术则是阴道脱垂；（4）观察了腹部和阴道子宫切除术的组织病理学病因，发现最常见的是平滑肌瘤和萎缩性子宫内膜；（5）两种手术途径在术后并发症方面没有显著差异；（6）接受腹部子宫切除术的患者住院时间更长（p < 0.01）。得出的结论是，应努力进一步推广阴道和腹腔镜子宫切除术，作为更传统的腹部手术途径的可行替代方案。
