子宫切除术的适应症Moi教学和转诊医院良性妇科疾病(MTRH),肯尼亚

联合事件乳腺癌病理和癌症和妇产科病理& Palliativecare &老年病学

2019年6月28 - 29日|奥斯陆,挪威

安德鲁Kipyegon Cheruiyot Tonui K Philliph和Liko M约瑟夫

Moi大学医学院的肯尼亚

海报和接受抽象:RRJMHS

文摘

子宫切除术是一种最常见的妇科手术进行女性和与重大风险有关的发病率,降低生活质量和健康状况不佳。大约有20 - 45%的女性会有子宫切除的时候他们在60 - 70岁之间。即使子宫切除术的适应症广泛报道,同余的术前临床适应症和手术后的病理诊断却没有得到足够关注。这项研究的目的是确定子宫切除的良性的迹象在MTRH,肯尼亚。在这个医院的描述性研究,76名女性承认为选择性子宫良性的条件系统的采样。问卷调查是获得病人的人口统计管理,和以前的妇科历史。从病人的医疗适应症子宫切除术是抽象图表。组织病理学进行子宫切除后的组织标本。临床诊断和组织病理学诊断一致性是通过计算kappa完成的。子宫切除术的平均年龄45.2岁,标准差8.2 (SD)。 Majority had BMI range of 18.5-24.9 at 61 (81.3%); mean parity was 4.0 with SD 2.4. History of previous surgeries was positive in 19 (25.3%) while presence of comorbid diseases was noted in 9 (12.0%). The commonest indication of hysterectomy was symptomatic uterine fibroids at 56 (74.7%) with agreement with histopathology diagnosis (kappa 0.697, p<0.001). In conclusion, majority of hysterectomies at MTRH were done on multipara women with normal BMI. The predominant indication of hysterectomy was symptomatic uterine fibroids with good agreement with histopathology result.

传记

• PDF
• HTML