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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Comparative evaluation of laparoscopic hysterectomy and non-descent vaginal hysterectomy in women with benign gynaecological disease
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Comparative evaluation of laparoscopic hysterectomy and non-descent vaginal hysterectomy in women with benign gynaecological disease

机译：妇科良性疾病患者腹腔镜子宫切除术与非下降阴道子宫切除术的比较评价

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Background: Hysterectomy is one of the most frequently performed gynaecological operative procedure all over world, second most to caesarean section in United States. The aim of study was to compare the intraoperative and postoperative complications in patients undergoing non-descent vaginal hysterectomy (NDVH) and Laparoscopic hysterectomy (LH) for benign gynaecological disease. Methods: The prospective one-year study was conducted on 156 patients who required hysterectomy for benign gynaecological conditions. After applying inclusion and exclusion criteria, 75 patients assigned to Group A (NDVH) and 75 to Group B (LH) and both groups were compared. Results: On comparing the two groups there was statistically significant decrease in the duration of surgery (p2/sup = 4.80) in group A, while blood loss (p = 0.73, t = 0.33), uterine volume (p = 0.15, t = 1.43), time taken to ambulate (p = 0.06 , t = 0.21), duration of hospital stay (p = 0.07, t = 1.80), conversion to laparotomy (p = 0.13, χsup2/sup = 2.56), febrile morbidity (p = 0.27, χsup2/sup = 1.34), infection (p = 0.42, χsup2 /sup= 1.11) and visceral injury was found statistically insignificant. Conclusions: Vaginal hysterectomy is an easier technique with shorter duration of surgery and with minimal infrastructure required and for fixed uterus or huge adnexal mass laparoscopic hysterectomy (LH) should be preferred.
机译：背景：子宫切除术是全世界最常用的妇科手术方法之一，在美国剖宫产手术中仅次于剖腹产。研究的目的是比较接受良性妇科疾病的非下降性阴道子宫切除术（NDVH）和腹腔镜子宫切除术（LH）的患者的术中和术后并发症。方法：这项为期一年的前瞻性研究针对156例因良性妇科疾病而需要行子宫切除术的患者。在应用纳入和排除标准后，比较了A组（NDVH）和B组（LH）的75名患者，并比较了两组。结果：在比较两组时，A组的手术时间有统计学意义的减少（p2 = 4.80），而失血（p = 0.73，t = 0.33），子宫体积（p = 0.15， t = 1.43），下床活动所需的时间（p = 0.06，t = 0.21），住院时间（p = 0.07，t = 1.80），开腹手术（p = 0.13，χ 2 发现= 2.56），高热发病率（p = 0.27，χ 2 = 1.34），感染（p = 0.42，χ 2 = 1.11）和内脏损伤在统计学上不显着。结论：阴道子宫切除术是一种更容易的技术，手术时间较短，所需的基础设施最少，对于固定子宫或巨大附件腹腔镜子宫切除术（LH），应首选。

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