Sobande A A, Eskandar M, Archibong E I, Damole I O
Department of Obstetrics & Gynaecology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
West Afr J Med. 2005 Jan-Mar;24(1):31-5. doi: 10.4314/wajm.v24i1.28159.
To review the major indications, types and clinicopathological features of elective hysterectomy managed in our locality.
A retrospective study of 317 consecutive patients who had elective hysterectomy performed for various indications during the study period from January 1994-December 2001,(96 months) was conducted. The patients were divided into 3 groups: Group 1, total abdominal hysterectomy(TAH) 165 (52%); Group 2: subtotal abdominal hysterectomy(STAH) 59(18.6%) and Group 3: vaginal hysterectomy (VH),93 (28.4%). Data extracted from the case files included age, parity, presenting symptoms and indication for hysterectomy. Others included relevant investigation results, type of hysterectomy, and histopathological diagnosis of the specimens
Abha Maternity Hospital, Abha, Saudi Arabia.
No statistically significant trend was found in the annual number of hysterectomies performed during the study period (p > 0.05). There was statistically significant difference in the mean age in the 3 groups of patients (p < 0.05), but none in the parity (p > 0.05). Menorrhagia and abnormal vaginal bleeding was the indication for hysterectomy in 123(38.8%) patients, followed by uterine prolapse in 91(28.7%), abdominopelvic mass, 48 (15.1%) and pelvic mass in 46 (14.8%). Histopathology of hysterectomy specimens and appendages were reported as abnormal in 179 (56.4%), with uterine fibroids the most common pathology in 82 specimens (25.8%) followed by adenomyosis in 72 specimens(22.7%).
Uterine fibroids and adenomyosis were the most common benign conditions in hysterectomy specimens in our community with peak incidence at 41-50 years, while endometrial and ovarian cancers peaked at the same age group. At the same time, vaginal hysterectomy was performed exclusively for utero-vaginal prolapse.
回顾本地择期子宫切除术的主要适应证、类型及临床病理特征。
对1994年1月至2001年12月（96个月）研究期间因各种适应证接受择期子宫切除术的317例连续患者进行回顾性研究。患者分为3组：第1组，经腹全子宫切除术（TAH）165例（52%）；第2组，经腹次全子宫切除术（STAH）59例（18.6%）；第3组，阴道子宫切除术（VH）93例（28.4%）。从病例档案中提取的数据包括年龄、产次、主要症状及子宫切除的适应证。其他数据包括相关检查结果、子宫切除类型及标本的组织病理学诊断。
沙特阿拉伯阿卜哈妇产医院。
研究期间每年进行的子宫切除例数无统计学显著趋势（p>0.05）。3组患者的平均年龄有统计学显著差异（p<0.05），但产次无差异（p>0.05）。月经过多和异常阴道出血是123例（38.8%）患者子宫切除的适应证，其次是子宫脱垂91例（28.7%）、腹盆腔肿块48例（15.1%）和盆腔肿块46例（14.8%）。子宫切除标本及附件的组织病理学报告显示异常的有179例（56.4%），其中子宫肌瘤是82例标本（25.8%）中最常见的病理类型，其次是子宫腺肌病72例标本（22.7%）。
子宫肌瘤和子宫腺肌病是本社区子宫切除标本中最常见的良性疾病，发病高峰在41 - 50岁，而子宫内膜癌和卵巢癌在同一年龄组达到高峰。同时，阴道子宫切除术仅用于子宫阴道脱垂。
