Inal Z O, Inal H A
Department of Gynecology, Konya Education and Research Hospital, 42090 Meram Yeni Yol, Konya, Turkey.
Ir J Med Sci. 2018 May;187(2):485-491. doi: 10.1007/s11845-017-1660-6. Epub 2017 Jul 19.
The aim of this retrospective study was to assess and compare the clinical results of three hysterectomy techniques: abdominal hysterectomy (AH), vaginal hysterectomy (VH), and laparoscopic hysterectomy (LH).
A total of 2163 patients having undergone AH (n = 1226), VH (n = 426), and LH (n = 511) procedures were analyzed. The mean age, body mass index (BMI), parity, uterus weight, operation time, blood loss, duration of hospitalization, analgesic needs, intra- and postoperative complications, and indications for hysterectomy were analyzed and compared.
There were no differences between the groups with respect to the BMI, parity, and intra- or postoperative major and minor complications. The operation time was significantly shorter in the VH group than in the other two groups (p < 0.001), and the blood loss was significantly lower in the LH group than in the others (p < 0.001). The duration of hospitalization and analgesic needs were the shortest in the LH group (p < 0.001), while the uterus weight and previous intra-abdominal surgery rate were the lowest in the VH group (p < 0.001).
CONCLUSION(S): Despite the fact that the LH exhibited a longer operation time than the VH, the LH was considered to be a safe and effective surgical procedure due to the lesser blood loss, hospital stay, and analgesic needs.
本回顾性研究旨在评估和比较三种子宫切除术技术的临床结果：腹式子宫切除术（AH）、阴式子宫切除术（VH）和腹腔镜子宫切除术（LH）。
分析了总共2163例行AH（n = 1226）、VH（n = 426）和LH（n = 511）手术的患者。对平均年龄、体重指数（BMI）、产次、子宫重量、手术时间、失血量、住院时间、镇痛需求、术中和术后并发症以及子宫切除术的指征进行了分析和比较。
在BMI、产次以及术中和术后的主要和次要并发症方面，各组之间没有差异。VH组的手术时间明显短于其他两组（p < 0.001），LH组的失血量明显低于其他组（p < 0.001）。LH组的住院时间和镇痛需求最短（p < 0.001），而VH组的子宫重量和既往腹部手术率最低（p < 0.001）。
尽管LH的手术时间比VH长，但由于失血量较少、住院时间较短和镇痛需求较低，LH被认为是一种安全有效的手术方法。
