Rubina Ali C, Suchetha M, Arthur I D
Blackpool Victoria Hospital, Blackpool, UK.
J Obstet Gynaecol. 2007 Feb;27(2):171-3. doi: 10.1080/01443610601124349.
The Royal College of Obstetricians and Gynaecologists (RCOG) published guidelines describing the management of menorrhagia in primary and secondary care. In this study, we reviewed retrospectively, the compliance with these guidelines in women who underwent a hysterectomy for menorrhagia over a 3-year period in a District General Hospital. Case notes were reviewed for 22 women in whom the uterus was reported normal on histology. There was a high level of compliance in clinical assessment before hysterectomy. Nearly 70% of women received some form of medical treatment, however only 50% were offered endometrial ablation. Compliance was high in imparting information about the risk factors of hysterectomy and in administering thromboprophylaxis.
皇家妇产科医师学院（RCOG）发布了关于在初级和二级医疗保健中管理月经过多的指南。在本研究中，我们回顾性地审查了一家地区综合医院在3年期间因月经过多接受子宫切除术的女性对这些指南的遵循情况。对22名组织学报告子宫正常的女性的病历进行了审查。子宫切除术前的临床评估遵循率很高。近70%的女性接受了某种形式的药物治疗，然而只有50%的女性接受了子宫内膜消融术。在告知子宫切除术风险因素和进行血栓预防方面遵循率很高。
