■比较腹腔镜全子宫切除术(TLH)和开腹全子宫切除术(TAH)的手术和术后结果。
■在这项回顾性比较研究中,我们回顾了在Al-Karak政府医院进行的所有子宫切除术,乔丹,从2018年9月到2022年7月。我们纳入了129例接受子宫切除术的患者。将患者分为TLH组(n=39)和TAH组(n=90)。通过医院记录访问患者数据,并使用SPSS25.0进行分析。
■TLH最常见的适应症是子宫肌瘤,对于TAH来说是异常子宫出血,尽管样本重量相当。患者的人口统计学无显著组间差异。虽然TLH组手术时间较长,住院时间较短,没有报告伤口感染病例。TLH组的估计失血量显著低于TAH组,但是两组在输血需求和术后血红蛋白水平方面没有差异。
■TLH和TAH在Al-Karak政府医院中具有可比性的总体结局。然而,TLH在失血方面优于TAH,TLH患者术后恢复较快,无切口感染。
UNASSIGNED: To compare the operative and postoperative outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH).
UNASSIGNED: In this retrospective comparative study, we reviewed all hysterectomies performed in the Al-Karak Governmental Hospital in Al-Karak, Jordan, from September 2018 to July 2022. We enrolled 129 patients who underwent hysterectomy. The patients were divided into the TLH (n = 39) and TAH (n = 90) groups. Patient data were accessed through hospital records and analyzed using SPSS 25.0.
UNASSIGNED: The most common indication for TLH was uterine fibroid, and that for TAH was abnormal uterine bleeding, although the specimen weights were comparable. There was no significant between-group difference in the patient\'s demographics. Although the TLH group had longer operative time, the hospital stay was shorter and there were no reported cases of wound infection. The estimated blood loss was significantly lower in the TLH group than in the TAH group, but there was no difference between the two groups in terms of blood transfusion requirement and postoperative hemoglobin level.
UNASSIGNED: TLH and TAH had comparable overall outcomes in the Al-Karak Governmental Hospital. However, TLH was superior to TAH in terms of blood loss, and patients with TLH recovered faster without postoperative wound infection.