We tried to evaluate the relative feasibility, surgical duration and complications of total laparoscopic hysterectomy (TLH) versus coagulation of uterine arteries at their origin (CUA) plus total laparoscopic hysterectomy for the management of myoma and adenomyosis, and to compare the estimated blood loss for both procedures. A total of 123 patients underwent TLH or CUA plus TLH for the treatment of symptomatic myoma and adenomyosis. Sixty-four women underwent TLH, whilst 68 women underwent coagulation of uterine arteries at their origin plus TLH. The mean weight and volume of the uterus as determined following TLH was 288.1+/-102.4 gm (range 182.1 approximately 396.2 gm.) and 451+/-340.6 cm(3) (range 107.4 approximately 792), respectively. The mean weight of the uterus following CUA plus TLH was 269.1+/-151.7 gm (range 215.8 approximately 430.1) whilst the mean uterine volume was 472.7+/-377.8 cm(3) (range 93.7 approximately 851.2). No significant differences with respect to surgical duration (95 vs. 96.5 minutes TLH vs. CUA + TLH; p>0.05), blood loss (177.2+/-80.1 ml for TLH and 154.9+/-30.21 ml for CUA+TLH; p>0.05) and mean+/-SD preoperative (12.05+/-1.70 gm/dl for TLH and 12.14+/-1.38 gm/dl for CUA+TLH; p>0.05) and post-operative hemoglobin level (11+/-1.03 for TLH and 11+/-1.49 for CUA + TLH; p>0.05) were observed between the two study groups. The blood loss for TLH is comparable to that for the CUA plus TLH procedure.

译文

:我们试图评估全腹腔镜子宫切除术(TLH)相对于起源于子宫动脉凝结(CUA)加全腹腔镜子宫切除术治疗肌瘤和子宫腺肌病的相对可行性,手术时间和并发症,并比较估计的失血量对于这两个过程。共有123例患者接受了TLH或CUA加TLH来治疗症状性肌瘤和子宫腺肌病。 64名妇女接受了TLH,而68名妇女接受了原发性子宫动脉加TLH的凝结。根据TLH确定的子宫平均重量和体积分别为288.1 /-102.4 gm(范围182.1约396.2 gm。)和451 /-340.6 cm(3)(范围107.4约792)。 CUA加TLH后子宫的平均重量为269.1 /-151.7 gm(范围215.8约430.1),而子宫平均体积为472.7 /-377.8 cm(3)(范围93.7约851.2)。手术时间(TLH vs CUA TLH为95 vs 96.5分钟; CUA TLH为p> 0.05),失血量(TLH为177.2 /-80.1 ml和CUA TLH为154.9 /-30.21 ml; p> 0.05)无显着差异。术前平均-SD(TLH为12.05 /-1.70 gm / dl,CUA TLH为12.14 /-1.38 gm / dl; p> 0.05)和术后血红蛋白水平(TLH为11 /-1.03,TLA为11 /-1.49在两个研究组之间观察到CUA TLH; p> 0.05)。 TLH的失血量与CUA加TLH程序的失血量相当。

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