Aboyeji A P, Ijaiya M A
University of Ilorin Teaching Hospital Maternity Wing, Ilorin, Nigeria.
Niger J Med. 2002 Jan-Mar;11(1):16-9.
A retrospective study to determine the incidence, clinical presentation and management of uterine fibromyoma at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Five hundred and sixty-nine consecutive cases of histologically confirmed uterine fibroid over a ten-year period were reviewed. Uterine fibromyoma constituted 13.4% of gynaecological admission and was responsible for 26.2% of major gynaecological surgery. Majority of the patients (78.4%) were aged between 30 and 44 years and 60.8% were of low parity (0-2). The common presentations were menstrual disorders (64.3%), infertility (56.2%) and lower abdominal swelling (35.5%). Hypertension was present in 26.5% and 42% were obese. Pelvic adhesion was noted in 58.9% of patients. Total abdominal hysterectomy was the surgical procedure in 52% of cases. Pyrexia (32.5%), Anaemia (29.3%), Prolonged hospital stay (24.1%) and Wound infection (20.2%) were the common postoperative morbidities. Fibromyoma at the University of Ilorin Teaching Hospital follows a pattern similar to other parts of the world. It is responsible for a number of gynaecological complaints. Surgery still remains the main mode of treatment.
一项回顾性研究，旨在确定尼日利亚伊洛林大学教学医院子宫纤维瘤的发病率、临床表现及治疗情况。回顾了十年间连续569例经组织学确诊的子宫肌瘤病例。子宫纤维瘤占妇科住院病例的13.4%，占主要妇科手术的26.2%。大多数患者（78.4%）年龄在30至44岁之间，60.8%为低生育力（0 - 2胎）。常见表现为月经紊乱（64.3%）、不孕（56.2%）及下腹部肿胀（35.5%）。26.5%的患者患有高血压，42%为肥胖患者。58.9%的患者存在盆腔粘连。52%的病例采用全腹子宫切除术。发热（32.5%）、贫血（29.3%）、住院时间延长（24.1%）及伤口感染（20.2%）是常见的术后并发症。伊洛林大学教学医院的纤维瘤情况与世界其他地区相似。它导致了许多妇科疾病。手术仍然是主要的治疗方式。
