Ikpeze O C, Nwosu O B
Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
J Obstet Gynaecol. 1998 Nov;18(6):569-71. doi: 10.1080/01443619866381.
Seventy-two women with symptomatic uterine fibroids were treated by abdominal myomectomy from January 1994 to December 1996. Important features were a mean age of 32.3 years (range 25-49 years) and parity of 0 to 6; 83% ( n = 60) were nulliparous and 68% ( n = 49) were unmarried. The average estimated blood loss was 480 ml with 1.6 g/dl mean haemoglobin drop and 15.3% required blood transfusion. Complications were mild and infrequent; 7% ( n = 5) had mild wound infection and 16.7% ( n 12) had a febrile complication. The average hospital stay was 8.1 days. There was no mortality. In this study, symptomatic uterine fibroids requiring abdominal myomectomy predominantly affected young women who were mainly unmarried and nulliparous. Although the the operation was safe and well tolerated, preoperative GnRH(a) is recommended to reduce fibroid size and need for blood transfusion.
1994年1月至1996年12月期间，对72例有症状的子宫肌瘤患者实施了经腹子宫肌瘤切除术。重要特征包括平均年龄32.3岁（范围25 - 49岁），产次0至6次；83%（n = 60）未生育，68%（n = 49）未婚。平均估计失血量为480毫升，平均血红蛋白下降1.6克/分升，15.3%的患者需要输血。并发症轻微且不常见；7%（n = 5）有轻度伤口感染，16.7%（n = 12）有发热并发症。平均住院天数为8.1天。无死亡病例。在本研究中，需要经腹子宫肌瘤切除术的有症状子宫肌瘤主要影响年轻女性，她们大多未婚且未生育。尽管手术安全且耐受性良好，但建议术前使用GnRH（a）以缩小肌瘤大小并减少输血需求。
