From the Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio.
From the Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio.
J Minim Invasive Gynecol. 2019 Feb;26(2):219-232. doi: 10.1016/j.jmig.2018.08.019. Epub 2018 Sep 1.
There is an ongoing debate regarding the benefits and drawbacks of the various routes of hysterectomy. A number of studies have examined overall quality of life outcomes as well as specific patient-reported outcomes including physical, psychosocial, and sexual functioning after hysterectomy. Existing studies have used varied methodologies with widely heterogeneous results, but patient satisfaction appears to be very high after laparoscopic hysterectomy, with many studies favoring the laparoscopic approach over other routes of hysterectomy. There are many opportunities for further investigation into the impact of laparoscopic hysterectomy on quality of life-an outcome measure that may be 1 of the most important in surgeries for benign indications.
关于各种子宫切除术途径的优缺点，一直存在争议。一些研究已经检查了整体生活质量结果以及特定的患者报告结果，包括子宫切除术后的身体、心理社会和性功能。现有研究使用了不同的方法，结果差异很大，但腹腔镜子宫切除术的患者满意度似乎非常高，许多研究倾向于腹腔镜方法而不是其他子宫切除术途径。进一步研究腹腔镜子宫切除术对生活质量的影响有很多机会-这是良性指征手术中最重要的结果指标之一。
