子宫切除术后穹窿脱垂手术频率的估计。
An estimation of the frequency of surgery for posthysterectomy vault prolapse.
作者信息
Aigmueller Thomas, Dungl Andrea, Hinterholzer Susanne, Geiss Ingrid, Riss Paul
机构信息
Department of Gynecology & Obstetrics, Landesklinikum Thermenregion Moedling, Sr.M.Restituta-Gasse 12, 2340 Moedling, Austria.
出版信息
Int Urogynecol J. 2010 Mar;21(3):299-302. doi: 10.1007/s00192-009-1033-4.
INTRODUCTION AND HYPOTHESIS
We tried to estimate the frequency of surgery for posthysterectomy vault prolapse.
METHODS
We contacted all 86 departments of gynecology in Austria and asked them about total number of hysterectomies and total number of operations for vault prolapse. We then calculated a percentage of patients undergoing surgery for posthysterectomy vault prolapse.
RESULTS
Sixty-five of 86 public hospitals replied (response rate 76%) and reported a total of 7,645 hysterectomies and 577 operations for vault prolapse for the year 2005, giving a percentage of 7.16 for surgery for posthysterectomy vault prolapse. On the assumption that vault prolapse takes on the average 10 years to develop and that the number of hysterectomies decreased by 10% over 10 years, we calculated a modified frequency of 6.52%.
CONCLUSIONS
We were able to calculate an estimation of the frequency for posthysterectomy vault prolapse requiring surgical repair between 6% and 8%.
引言与假设
我们试图估算子宫切除术后穹窿脱垂的手术频率。
方法
我们联系了奥地利所有86个妇科科室，询问了子宫切除术的总数和穹窿脱垂的手术总数。然后，我们计算了接受子宫切除术后穹窿脱垂手术的患者百分比。
结果
86家公立医院中有65家回复（回复率76%），报告2005年共进行了7645例子宫切除术和577例穹窿脱垂手术，子宫切除术后穹窿脱垂手术的百分比为7.16%。假设穹窿脱垂平均需要10年发展，且子宫切除术数量在10年内减少10%，我们计算出修正后的频率为6.52%。
结论
我们能够估算出需要手术修复的子宫切除术后穹窿脱垂的频率在6%至8%之间。
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