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首页> 外文期刊>Human Reproduction >National learning curve for laparoscopic hysterectomy and trends in hysterectomy in Finland 2000-2005.
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National learning curve for laparoscopic hysterectomy and trends in hysterectomy in Finland 2000-2005.

机译：芬兰2000-2005年腹腔镜子宫切除术的国家学习曲线和子宫切除术的趋势。

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BACKGROUND: Complications of laparoscopic hysterectomy (LH) have been evaluated with particular focus on quantities of urinary tract injuries. An earlier survey in the 1990s on LH in Finland indicated a decreasing trend in complications; our aim was to evaluate the current complications and hysterectomy trends. METHODS: All hysterectomies in Finland performed for benign indication from 2000 to 2005 (n = 56 130) were included, data were obtained from the Finnish hospital care register. All major complications reported on LH were analysed; the data were collected retrospectively from the Patient Insurance Centre. RESULTS: In 2000, the proportion of abdominal hysterectomy (AH) was 38%, vaginal hysterectomy (VH) 37% and LH 25%, whereas in 2005, the proportions were 26%, 45% and 29%, respectively. The overall incidence of major complications in LHs from 1992 to 1999 (LH n = 13 885) was 1.8% and from 2000 to 2005 (LH n = 13 942) it decreased to 1.0%. During the same time, urinary tract injuries decreased from 1.4% to 0.7%; in detail ureteral injuries decreased from 0.9% to 0.3%. CONCLUSIONS: Laparoscopic and VHs have become more common in Finland than AH. Continuous instruction and training of the Finnish gynaecological surgeons has helped to diminish major complication rates and it seems that in LH, a plateau on the learning curve has been reached.
机译：背景：腹腔镜子宫切除术（LH）的并发症已得到评估，特别关注尿路损伤的数量。 1990年代早期对芬兰LH的调查表明，并发症的趋势有所减少。我们的目的是评估当前的并发症和子宫切除术的趋势。方法：包括2000年至2005年在芬兰进行的所有用于良性适应症的子宫切除术（n = 56 130），数据来自芬兰医院护理登记簿。分析LH报告的所有主要并发症;数据是从患者保险中心追溯收集的。结果：2000年，腹部子宫切除术（AH）的比例为38％，阴道子宫切除术（VH）的比例为37％和LH 25％，而在2005年，该比例分别为26％，45％和29％。从1992年至1999年（LH n = 13 885）LHs的主要并发症的总发生率为1.8％，而从2000年至2005年（LH n = 13 942）的总体发生率降至1.0％。同期，尿路伤害从1.4％下降到0.7％;详细而言，输尿管损伤从0.9％降低至0.3％。结论：腹腔镜和VH在芬兰比AH更普遍。对芬兰妇科外科医生的持续指导和培训有助于降低主要并发症的发生率，而且似乎在LH中，学习曲线已达到平稳状态。

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