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围生期子宫切除术和子宫动脉栓塞术的发生率趋势。

Trends in the rates of peripartum hysterectomy and uterine artery embolization.

机构信息

Department of Obstetrics and Gynecology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

出版信息

PLoS One. 2013;8(4):e60512. doi: 10.1371/journal.pone.0060512. Epub 2013 Apr 2.

Abstract

The objective of this study was to determine the trends in national rates of peripartum hysterectomy (PH) and uterine arterial embolization (UAE) in Korea. We used data collected by the Health Insurance Review & Assessment Service of Korea and analyzed data from patients who gave birth during the period from 2005 to 2008. There were 1785,178 deliveries during the study period, including 2636 cases of PH (1.48 per 1000 deliveries). The PH rate in 2005 was 1.57 per 1000 deliveries and in 2008 it was 1.33 per 1000 deliveries. UAE was performed in 161 women (incidence, 0.38 per 1000 deliveries) and 447 women (incidence, 0.98 per 1000 deliveries) in 2005 and 2008, respectively. In Korea, the rate of PH decreased slightly, while the rate of UAE rate increased dramatically during the period from 2005 to 2008. Further studies are needed to evaluate the effects of UAE on the rate of PH performed.

摘要

本研究旨在确定韩国围产期子宫切除术(PH)和子宫动脉栓塞术(UAE)的全国发生率趋势。我们使用了韩国健康保险审查与评估服务机构(Health Insurance Review & Assessment Service of Korea)收集的数据,并对 2005 年至 2008 年期间分娩的患者数据进行了分析。研究期间共有 1785178 例分娩,其中 2636 例发生 PH(每 1000 例分娩中有 1.48 例)。2005 年 PH 发生率为每 1000 例分娩 1.57 例,2008 年为每 1000 例分娩 1.33 例。2005 年和 2008 年分别有 161 名妇女(发生率为每 1000 例分娩 0.38 例)和 447 名妇女(发生率为每 1000 例分娩 0.98 例)接受了 UAE。在韩国,2005 年至 2008 年间,PH 的发生率略有下降,而 UAE 的发生率则显著增加。需要进一步研究来评估 UAE 对 PH 发生率的影响。

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