Gumanga S K, Munkaila A, Malechi H
University for Development Studies, School of Medicine and Health Sciences, Department of Obstetrics & Gynaecology, Tamale Teaching Hospital, Tamale, Ghana.
Ghana Med J. 2014 Dec;48(4):208-13. doi: 10.4314/gmj.v48i4.7.
To determine the prevalence, social demographic characteristics and types of pelvic organ prolapse that patients present with at the Tamale Teaching Hospital (TTH).
A descriptive study of pelvic organ prolapses at the Tamale Teaching Hospital from 1(st) January 2010 to 31(st) December 2011.
The 118 pelvic organ prolapse cases constituted (2.68%) of the 4403 gynaecological out-patient cases seen during the two year study period. The mean age and standard deviation was (45.9± 15.1) and the modal age group was 30-39 years with 32 (27.1%) of cases. There were 112 (94.9%) cases of uterine prolapse, 95 (80.5%) had cystocele, 16 (13.5%) patients had rectoceles and 3 (2.5%) had enterocele. Their main occupations were trading 66 (55.9%) and farming 44 (37.3%), seventy (62.5%) of the patients with uterine prolapse were premenopausal while (10) 14.3% of the premenopausal cases had an ongoing pregnancy. The parity ranged from zero to 13 with mean and standard deviation of (4.4±1.7). Fifty five (46.6%) were from the Tamale metropolis and only 12 (10.5%) had all their deliveries in hospital. The commonest complication was decubitus ulcer present in 20 (16.9%) patients, 16(80%) of it in patients with procedentia.
Pelvic organ prolapse is not a rare gynaecological condition at the Tamale Teaching Hospital. The patients are relatively young and are from various districts in the northern region. Some occupational, socio-cultural practices and reproductive characteristics may be contributory to severity of pelvic organ prolapse.
确定塔马利教学医院（TTH）患者盆腔器官脱垂的患病率、社会人口统计学特征及类型。
对2010年1月1日至2011年12月31日期间塔马利教学医院的盆腔器官脱垂情况进行描述性研究。
在为期两年的研究期间，118例盆腔器官脱垂病例占4403例妇科门诊病例的2.68%。平均年龄及标准差为（45.9±15.1）岁，众数年龄组为30 - 39岁，有32例（27.1%）。子宫脱垂112例（94.9%），膀胱膨出95例（80.5%），直肠膨出16例（13.5%），小肠膨出3例（2.5%）。她们的主要职业是经商66例（55.9%）和务农44例（37.3%），子宫脱垂患者中70例（62.5%）处于绝经前，而绝经前病例中有10例（14.3%）正在妊娠。产次从零到13不等，平均及标准差为（4.4±1.7）。55例（46.6%）来自塔马利市，只有12例（10.5%）所有分娩均在医院进行。最常见的并发症是褥疮，20例（16.9%）患者出现，其中16例（80%）出现在子宫脱垂患者中。
盆腔器官脱垂在塔马利教学医院并非罕见的妇科疾病。患者相对年轻，来自北部地区的不同县区。一些职业、社会文化习俗及生殖特征可能导致盆腔器官脱垂病情加重。
