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尼日利亚东南部一家三级医疗中心的子宫肌瘤

Uterine fibroids in a tertiary health centre South East Nigeria.

作者信息

Obuna J A, Umeora O U J, Ejikeme B N, Egwuatu V E

机构信息

Department of Obstetrics & Gynaecology, Ebonyi State University Teaching Hospital Abakaliki, Ebonyi State, Nigeria.

出版信息

Niger J Med. 2008 Oct-Dec;17(4):447-51. doi: 10.4314/njm.v17i4.37431.

DOI:10.4314/njm.v17i4.37431
PMID:19048765
Abstract

BACKGROUND

Uterine fibroids are common benign tumours of the female reproductive tract. This study evaluated the clinical presentations and the treatment of fibroids at Ebonyi State University Teaching Hospital over the 5-year period (2001-2005).

METHODS

A retrospective analysis of all cases of uterine fibroids admitted into the gynaecological ward of the Ebonyi State University Teaching Hospital (EBSUTH) over the five-year period (2001-2005).

RESULTS

Uterine fibroids accounted for 13.6% of all gynaecological admissions during the period. It was found predominantly during the third and fourth decades of life in nulliparas and women of the higher socio economic class. Primary infertility (22.9%), lower abdominal mass (21. 6%), menstrual abnormalities (15.9%), lower abdominal pain (15.9%) and anaemia (11.8%) were the common clinical presentations while abdominal myomectomy was the commonest modality of treatment employed (90%).

CONCLUSION

Uterine fibroid is common among gynaecological admissions in Igbo women of Southeastern Nigeria. Infertility is a common presentation necessitating abdominal myomectomy in majority of the cases.

摘要

背景

子宫肌瘤是女性生殖道常见的良性肿瘤。本研究评估了埃邦伊州立大学教学医院在5年期间(2001 - 2005年)子宫肌瘤的临床表现及治疗情况。

方法

对埃邦伊州立大学教学医院(EBSUTH)妇科病房在5年期间(2001 - 2005年)收治的所有子宫肌瘤病例进行回顾性分析。

结果

在此期间,子宫肌瘤占所有妇科住院病例的13.6%。主要发现在未生育女性和社会经济阶层较高的女性的第三和第四个十年。原发性不孕(22.9%)、下腹部肿块(21.6%)、月经异常(15.9%)、下腹部疼痛(15.9%)和贫血(11.8%)是常见的临床表现,而腹部肌瘤切除术是最常用的治疗方式(90%)。

结论

子宫肌瘤在尼日利亚东南部伊博族女性的妇科住院病例中很常见。不孕是常见表现,在大多数病例中需要进行腹部肌瘤切除术。

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