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This retrospective study analyzed clinical data from 1,980 patients undergoing hysterectomy for benign gynecological conditions between 2000 and 2010 to evaluate trends in surgical routes and operative scope. The researchers found that the proportion of laparoscopic procedures significantly increased while open abdominal approaches declined, alongside a statistically significant reduction in concurrent unilateral or bilateral salpingo-oophorectomy rates over the decade. Adenomyosis was identified as the second most common indication for these surgeries, accounting for 17.78% of the cohort, which highlights its substantial contribution to the overall volume of hysterectomies performed during this period. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.
Abstract
Objective To analyze the change of surgical route and range of hysterectomy in the past 10 years.Methods From January 2000 to December 2010,the clinical data of patients with hysterectomy were analyzed retrospectively,including clinical features,surgical path and scope of operation.Results There were 1980 patients.The predominant reason for hysterectomy was leiomyomas (52.88％,1047/1980),adenomyosis (17.78％,352/1980),cervical intraepithelial neoplasia (12.17％,241/1980).The age of the patients with hysterectomy for abdominal,transvaginal and laparoscopic was (46.54 ± 7.35),(58.73 ± 10.49),(44.10 ±5.12) years.In 2000-2005,the proportion of abdominal,transvaginal and laparoscopic proportion were 81.78％ (615/752),8.64％ (65/752) and 9.57％ (72/752).In 2006-2010 were 64.50％ (792/1228),6.51％ (80/1228) and 28.99％ (356/1228).In 2006-2010,the proportion of abdominal significantly decreased and laparoscopic significantly rised compared with those in 2000-2005,there were statistically significant differences (P ＜ 0.01).In 2000-2005,unilateral and bilateral annex removal ratios were 15.43％ (116/752),12.23％ (92/752),in 2006-2010 were 8.63％ (106/1228),7.49％(92/1228).Unilateral and bilateral annex removal ratios in 2006-2010 were significantly lower than those in 2000-2005,there were statistically significant differences (P ＜ 0.01 or ＜ 0.05).Conclusions Over the past 10 years,hysterectomy route and range changed with the percentage of laparoscopic increasing,and concomitant unilateral or bilateral annex removal decreased.
Key words:
Hysterectomy; Laproscopy; Ovary; Adnexal diseases
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摘要目的 分析10年间全子宫切除患者手术路径以及手术范围变迁特点.方法 回顾性分析2000年1月至2010年12月因妇科良性疾病行全子宫切除患者的临床资料,包括临床特征、手术路径以及手术范围.结果 共纳入1980例患者.行全子宫切除的前三位病因为子宫肌瘤(52.88％,1047/1980)、子宫腺肌症(17.78％,352/1980)及宫颈上皮内瘤变(12.17％,241/1980).经腹、经阴道及腹腔镜全子宫切除患者的年龄分别为(46.54±7.35)、(58.73±10.49)、(44.10±5.12)岁.2000-2005年经腹、经阴道和腹腔镜全子宫切除所占比例分别为81.78％(615/752)、8.64％(65/752)及9.57％ (72/752)；2006-2010年分别为64.50％ (792/1228)、6.51％(80/1228)及28.99％(356/1228),2006-2010年较2000-2005年经腹途径明显下降,腹腔镜途径明显上升,差异有统计学意义(P＜0.01).2000-2005年全子宫切除病例中,单侧及双侧附件切除比例分别为15.43％(116/752)、12.23％(92/752)；2006-2010年分别为8.63％ (106/1228)、7.49％ (92/1228),2006-2010年单侧和双侧附件切除比例较2000-2005年明显下降,差异有统计学意义(P＜ 0.01或＜0.05).结论 在过去的10年中腹腔镜手术比例显著上升,手术中预防性行单侧或双侧附件切除比例显著下降.
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abstractsObjective To analyze the change of surgical route and range of hysterectomy in the past 10 years.Methods From January 2000 to December 2010,the clinical data of patients with hysterectomy were analyzed retrospectively,including clinical features,surgical path and scope of operation.Results There were 1980 patients.The predominant reason for hysterectomy was leiomyomas (52.88％,1047/1980),adenomyosis (17.78％,352/1980),cervical intraepithelial neoplasia (12.17％,241/1980).The age of the patients with hysterectomy for abdominal,transvaginal and laparoscopic was (46.54 ± 7.35),(58.73 ± 10.49),(44.10 ±5.12) years.In 2000-2005,the proportion of abdominal,transvaginal and laparoscopic proportion were 81.78％ (615/752),8.64％ (65/752) and 9.57％ (72/752).In 2006-2010 were 64.50％ (792/1228),6.51％ (80/1228) and 28.99％ (356/1228).In 2006-2010,the proportion of abdominal significantly decreased and laparoscopic significantly rised compared with those in 2000-2005,there were statistically significant differences (P ＜ 0.01).In 2000-2005,unilateral and bilateral annex removal ratios were 15.43％ (116/752),12.23％ (92/752),in 2006-2010 were 8.63％ (106/1228),7.49％(92/1228).Unilateral and bilateral annex removal ratios in 2006-2010 were significantly lower than those in 2000-2005,there were statistically significant differences (P ＜ 0.01 or ＜ 0.05).Conclusions Over the past 10 years,hysterectomy route and range changed with the percentage of laparoscopic increasing,and concomitant unilateral or bilateral annex removal decreased.
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