旨在调查在没有子宫肌瘤疾病且排除恶性肿瘤的情况下因异常子宫出血而接受子宫切除术的患者的种族和子宫切除术路线之间的关联。一项横断面队列研究，利用医疗保健成本和利用项目全国住院患者样本和国家门诊手术数据库比较经腹子宫切除术与微创子宫切除术。参与 2019 年医疗保健成本和利用项目的医院和医院附属门诊手术中心 患者：75,838 名因异常子宫出血（不包括子宫肌瘤和恶性肿瘤）而接受子宫切除术的患者。n/a 测量主要结果：在 75,838 例因异常子宫出血而无子宫肌瘤和恶性肿瘤而进行的子宫切除术中，10.1% 是经腹手术，89.9% 是微创手术。调整混杂因素后，与白人患者相比，黑人患者接受腹部子宫切除术的可能性高出 38%（OR 1.38，CI 1.12-1.70 p=0.002）。因此，黑人种族与开放手术独立相关。尽管排除子宫肌瘤作为经腹子宫切除术的危险因素，但黑人种族仍然是经腹子宫切除术与微创子宫切除术的独立预测因素，并且发现黑人患者接受腹部子宫切除术的比率不成比例地较高。子宫切除术与白人患者的比较。版权所有 © 2024。由 Elsevier Inc. 出版。

To investigate the association between race and route of hysterectomy among patients undergoing hysterectomy for abnormal uterine bleeding in the absence of uterine fibroid disease and excluding malignancy.A cross-sectional cohort study utilizing the Healthcare Cost and Utilization Project Nationwide Inpatient Sample and National Ambulatory Surgical databases to compare abdominal to minimally invasive route of hysterectomy.Hospitals and hospital-affiliated ambulatory surgical centers participating in the Healthcare Cost and Utilization Project in 2019 PATIENTS: 75,838 patients who had undergone hysterectomy for abnormal uterine bleeding excluding uterine fibroids and malignancy.n/a MEASUREMENTS AND MAIN RESULTS: Of the 75,838 hysterectomies performed for abnormal uterine bleeding in the absence of uterine fibroids and malignancy, 10.1% were performed abdominally and 89.9% minimally invasively. After adjusting for confounders, Black patients were 38% more likely to undergo abdominal hysterectomy compared to White patients (OR 1.38, CI 1.12-1.70 p=0.002). Black race thus is independently associated with open surgery.Despite excluding uterine fibroids as a risk factor for an abdominal route of hysterectomy, Black race remained an independent predictor for abdominal versus minimally invasive hysterectomy and Black patients were found to undergo a disproportionately higher rate of abdominal hysterectomy compared to White patients.Copyright © 2024. Published by Elsevier Inc.