Geidam D A, Audu B M, Bukar M B
Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.
Niger J Med. 2010 Oct-Dec;19(4):467-70. doi: 10.4314/njm.v19i4.61978.
Total abdominal hysterectomy is a commonly performed gyneacological procedure. Although it is safe, it can still be associated with development of complication. The aim of this study was to determine morbidity associated with total abdominal hysterectomy in our environment.
All cases of total abdominal hysterectomy done over a five-year period (January 2003-December 2006) at the University of Maiduguri Teaching Hospital (UMTH) were reviewed. Information was obtained from the patients' case notes, gynaecology ward, and theatre records. The complications of the procedure were determined. Multiple logistic regression was used to find the factors that were independently associated with development of complications.
During the study there were 101 cases of total abdominal hysterectomy out of 729 gynaecological operations, a rate of 13.8%. In majority of the cases 56 (68.3%) the indication of the hysterectomy was uterine fibroid (symptomatic). Overall 37 (45.1%) experience some form of complication out of which 26 (70.3%) was febrile morbidity Finding enlarged uterus intraoperatively {OR (95% CI) = 14.5 (1.84-114.6), p = 0.011}, blood transfusion {OR (95% CI) = 31.1(1.35-718.8), p = 0.032}and postoperative PCV < 30% {OR (95%CI) = 9.63 (1.14-81.3) p = 0.037} were found to be significantly associated with development of complication. conclusions: Total abdominal hysterectomy was associated with development of complications and enlarged uterus, increasing parity independent risk factors for development of the complication.
全腹子宫切除术是一种常见的妇科手术。尽管该手术是安全的，但仍可能伴有并发症的发生。本研究的目的是确定在我们所处环境中与全腹子宫切除术相关的发病率。
回顾了迈杜古里大学教学医院（UMTH）在五年期间（2003年1月至2006年12月）进行的所有全腹子宫切除术病例。从患者病历、妇科病房和手术记录中获取信息。确定该手术的并发症。采用多因素逻辑回归分析来找出与并发症发生独立相关的因素。
在研究期间，729例妇科手术中有101例全腹子宫切除术，发生率为13.8%。在大多数病例中，56例（68.3%）子宫切除术的指征是子宫肌瘤（有症状）。总体而言，37例（45.1%）经历了某种形式的并发症，其中26例（70.3%）为发热性疾病。术中发现子宫增大{比值比（95%可信区间）=14.5（1.84 - 114.6），p = 0.011}、输血{比值比（95%可信区间）=31.1（1.35 - 718.8），p = 0.032}以及术后红细胞压积<30%{比值比（95%可信区间）=9.63（1.14 - 81.3），p = 0.037}被发现与并发症的发生显著相关。结论：全腹子宫切除术与并发症的发生相关，子宫增大、产次增加是并发症发生的独立危险因素。
