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首页> 中文期刊> 《中国癌症研究：英文版》 >Comparison of the short-term and long-term outcomes of laparoscopic hysterectomies and of abdominal hysterectomies： a case study of 4,895 patients in the Guangxi Zhuang Autonomous Region, China

Comparison of the short-term and long-term outcomes of laparoscopic hysterectomies and of abdominal hysterectomies： a case study of 4,895 patients in the Guangxi Zhuang Autonomous Region, China

         
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摘要

Background: To evaluate the short-term and long-term outcomes after laparoscopic hysterectomy(LH) compared with abdominal hysterectomy(AH) in case of benign gynecological disease. Methods: A multi-center cohort retrospective comparative study of population among 4,895 hysterectomies(3,539 LH vs.1,356 AH) between 2007 and 2013 was involved. Operative time(OT), estimated blood loss(EBL), intra-operative and post-operative complications, passing flatus; days with indwelling catheter, questionnaires covering pelvic floor functions and sexual functions were assessed.Results: The EBL(174.1±157.4 vs. 263.1±183.2 cc, LH and AH groups, respectively), passing flatus(38.7±14.1 vs. 48.1±13.2 hours), days with indwelling catheter(1.5±0.6 vs. 2.2±0.8 days), use of analgesics(6.5% vs. 73.1%), intra-operative complication rate(2.4% vs. 4.1%), post-operative complication rate(2.3% vs. 5.7%), post-operative constipation(12.1% vs. 24.6%), mild and serious stress urinary incontinence(SUI) post-operative(P<0.001; P=0.014), and proportion of Female Sexual Functioning Index(FSFI) total score <26.55 post-operative(P<0.001) of the LH group were significantly less than those of AH group. There wereno significant differences in OT(106.5±34.5 vs. 106.2±40.3 min) between the two groups.Conclusions: LH is a safe and efficient operation for improving patients' long-term quality of life(Qo L), and LH is a cost-effectiveness procedure for treating benign gynecological disease. LH is superior to AH due to reduced EBL, reduced post-operative pain and earlier passing flatus.

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  • 来源
    《中国癌症研究：英文版》 |2016年第2期|187-196|共10页
  • 作者

    Hongying He; Zhijun Yang; Dingyuan Zeng; Jiangtao Fan; Xiaoxia Hu; Yuan Ye; Hua Bai; YanmingJiang; Zhong Lin; Zhiying Lei; Xinlin Li; Lian Li; Jinghua Gan; Ying Lan; Xiongzhi Tang; Danxia Wang; Junsong Jiang; Xiaoyan Wu; Meiying Li; Xiaoqing Ren; Xiaomin Yang; Mei Liu; Qinmei Wang; Fuyan jiang; Li Li;

  • 作者单位

    Department of Gynecological Oncology;

    Cancer Institute and Hospital of Guangxi Medical University;

    Nanning 530021;

    China;

    Department of Gynecological Oncology;

    The Fourth Affiliated Hospital of Guangxi Medical University;

    Liuzhou 545005;

    China;

    Department of Gynecological and Obstetrics;

    The First Affiliated Hospital of Guangxi Medical University;

    Narming 530021;

    China;

    Department of Gynecological and Obstetrics;

    The People's Hospital of Guangxi Zhuang Autonomous Region;

    Nanning 530022;

    China;

    Department of Gynecological and Obstetrics;

    The Affiliated Hospital of Gnilin Medical University;

    Guilin 541004;

    China;

    Department of Gynecological and Obstetrics;

    The Maternal & Child Health Hospital;

    Nanning 530003;

    China;

    Department of Gynecological and Obstetrics;

    The People's Hospital of Liuzhou;

    Liuzhou 545006;

    China;

    Department of Gynecological and Obstetrics;

    Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine;

    Nanning 530011;

    China;

    Department of Gynecological and Obstetrics;

    Affiliated Hospital of Youjiang Medical University for Nationalities;

    Baise 533000;

    China;

    Department of Gynecological and Obstetrics;

    Liuzhou Maternal & Child Health Hospital;

    Liuzhou 545000;

    China;

    Department of Gynecological and Obstetrics;

    The First People's Hospital of Nanning;

    Nanning 530000;

    China;

    Department of Gynecological and Obstetrics;

    Minzu Hospital of Guangxi Zhuang Autonomous Region;

    Nanning 530001;

    China;

    Department of Gynecological and Obstetrics;

    The First Affiliated Hospital of Guangxi Technology University;

    Liuzhou 545000;

    China;

    Department of Gynecological and Obstetrics;

    The People's Hospital of Guilin;

    Guilin 541002;

    China;

    Department of Gynecological and Obstetrics;

    The People's Hospital of Beihai;

    Beihai 536100;

    China;

    Department of Gynecological and Obstetrics;

    The People's Hospital of Hechi;

    Hechi 546300;

    China;

    Department of Gynecological and Obstetrics;

    The People's Hospital of Baise;

    Baise 533000;

    China;

    Department of Gynecological and Obstetrics;

    The First People's Hospital of Yulin;

    Yulin 537000;

    China;

    Department of Gynecological and Obstetrics;

    Wuzhou Worker's Hospital;

    Wuzhou 543001;

    China;

    Department of Gynecological and Obstetrics;

    The People's Hospital of Guigang;

    Guigang 537100;

    China;

    Department of Gynecological and Obstetrics;

    The First People's Hospital of Qinzhou;

    Qinzhou 535001;

    China;

    Department of Gynecological and Obstetrics;

    The Third People's Hospital of Liuzhou;

    Liuzhou 545007;

    China;

    Department of Gynecological and Obstetrics;

    Liuzhou Tumor Hospital;

    Liuzhou 545000;

    China;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 S858.287.2;TH776.1;
  • 关键词

    子宫切除术; 广西壮族自治区; 腹腔镜; 患者; 预后; 中国; EBL; 并发症;

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