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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

查看全文 作　　者：Hongying [1]He;Zhijun [1]Yang;Dingyuan [2]Zeng;Jiangtao [3]Fan;Xiaoxia Hu;Yuan [5]Ye;Hua [6]Bai;[7]YanmingJiang;Zhong [8]Lin;Zhiying [9]Lei;Xinlin [10]Li;Lian [11]Li;Jinghua [12]Gan;Ying [13]Lan;Xiongzhi [14]Tang;Danxia [15]Wang;Junsong [16]Jiang;Xiaoyan [17]Wu;Meiying [18]Li;Xiaoqing [19]Ren;Xiaomin [20]Yang;Mei [21]Liu;Qinmei [22]Wang;Fuyan [23]jiang;Li [1]Li 高影响力作者 机构地区：[1]Department of Gynecological Oncology, Cancer Institute and Hospital of Guangxi Medical University, Nanning 530021, China;[2]Department of Gynecological Oncology, The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005, China;[3]Department of Gynecological and Obstetrics, The First Affiliated Hospital of Guangxi Medical University, Narming 530021, China;[4]Department of Gynecological and Obstetrics, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530022, China;[5]Department of Gynecological and Obstetrics, The Affiliated Hospital of Gnilin Medical University, Guilin 541004, China;[6]Department of Gynecological and Obstetrics, The Maternal & Child Health Hospital, Nanning 530003, China;[7]Department of Gynecological and Obstetrics, The People's Hospital of Liuzhou, Liuzhou 545006, China;[8]Department of Gynecological and Obstetrics, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning 530011, China;[9]Department of Gynecological and Obstetrics, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, China;[10]Department of Gynecological and Obstetrics, Liuzhou Maternal & Child Health Hospital, Liuzhou 545000, China;[11]Department of Gynecological and Obstetrics, The First People's Hospital of Nanning, Nanning 530000, China;[12]Department of Gynecological and Obstetrics, Minzu Hospital of Guangxi Zhuang Autonomous Region, Nanning 530001, China;[13]Department of Gynecological and Obstetrics, The First Affiliated Hospital of Guangxi Technology University, Liuzhou 545000, China;[14]Department of Gynecological and Obstetrics, The People's Hospital of Guilin, Guilin 541002, China;[15]Department of Gynecological and Obstetrics, The People's Hospital of Beihai, Beihai 536100, China;[16]Department of Gynecological and Obstetrics, The People's Hospital of Hechi, Hechi 546300, China;[17]Department of Gynecological and Obstetrics, The People's Hospital of Baise, Baise 533000, China;[18]Department of Gynecological and Obstetrics, The First People's Hospital of Yulin, Yulin 537000, China;[19]Department of Gynecological and Obstetrics, Wuzhou Worker's Hospital, Wuzhou 543001, China;[20]Department of Gynecological and Obstetrics, The People's Hospital of Guigang, Guigang 537100, China;[21]Department of Gynecological and Obstetrics, The First People's Hospital of Qinzhou, Qinzhou 535001, China;[22]Department of Gynecological and Obstetrics, The Third People's Hospital of Liuzhou, Liuzhou 545007, China;[23]Department of Gynecological and Obstetrics, Liuzhou Tumor Hospital, Liuzhou 545000, China高影响力机构 出　　处：《Chinese Journal of Cancer Research》索引2016年第28卷第2期,共10页高影响力期刊 基　　金：supported be Self-financing Research Project of Health and Family Planning commission in Guangxi Zhuang Autonomous Region (project number: Z2015626);Scientific Research and Technology Development Plan of Liuzhou Science and Technology Agency in Guangxi (project number: 2015J030508) 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. 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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