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罗马尼亚东北部子宫肌瘤研究及社会医学成果

Research on myoma in Northeastern Romania and socio-medical outcomes.

作者信息

Matasariu Daniela Roxana, Ursache Alexandra, Himiniuc Loredana, Toma Bogdan, Boiculese Vasile Lucian, Grigore Mihaela, Dumitrascu Irina

机构信息

Department of Obstetrics and Gynecology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.

Department of Preventive Medicine and Interdisciplinarity Medical Informatics and Biostatistics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.

出版信息

Exp Ther Med. 2022 Jan;23(1):30. doi: 10.3892/etm.2021.10952. Epub 2021 Nov 8.

DOI:10.3892/etm.2021.10952
PMID:34824638
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8611495/
Abstract

Myomas are the most common benign uterine tumors in women of childbearing age, with an incidence of up to 77% and a major impact on women's health. The aim of our study was to provide information concerning the incidence and prevalence of myomas in the patients admitted to a tertiary referral center in Northeastern Romania. This retrospective study conducted at the Iasi 'Cuza Voda' University Hospital of Obstetrics and Gynecology (Romania) included 11,538 patients, representing all patients admitted to the gynecology department between January 2013 and December 2019. During the study interval, the number of hysterectomies (total and for myomas) had increased. The rate of laparoscopic surgery showed a small decrease (31.3% from 34%), classic therapy showed a decrease by more than 10% and the hysteroscopy rate was tripled. There are few studies in the literature that have established with accuracy the incidence of myomas. In the present study, the prevalence of hysterectomy for myomas was 54.42%. Our results are in agreement with the data in the literature, namely that 40-60% of all performed hysterectomies are for myomas. The vast majority of admissions for myomas involve a surgical procedure most commonly hysterectomy.

摘要

子宫肌瘤是育龄期女性最常见的良性子宫肿瘤,发病率高达77%,对女性健康有重大影响。我们研究的目的是提供有关罗马尼亚东北部一家三级转诊中心收治患者中子宫肌瘤发病率和患病率的信息。这项在罗马尼亚雅西“库扎·沃达”大学妇产医院进行的回顾性研究纳入了11538例患者,这些患者代表了2013年1月至2019年12月期间妇科收治的所有患者。在研究期间,子宫切除术(全子宫切除术和子宫肌瘤切除术)的数量有所增加。腹腔镜手术率略有下降(从34%降至31.3%),传统治疗下降超过10%,宫腔镜检查率增至三倍。文献中很少有研究准确确定子宫肌瘤的发病率。在本研究中,因子宫肌瘤进行子宫切除术的患病率为54.42%。我们的结果与文献数据一致,即在所有进行的子宫切除术中,40%至60%是因子宫肌瘤。绝大多数因子宫肌瘤入院的患者都需要进行手术,最常见的是子宫切除术。

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本文引用的文献

1
Comparison of clinical outcomes and postoperative quality of life after surgical treatment of type II submucous myoma via laparoscopy or hysteroscopy.腹腔镜或宫腔镜手术治疗Ⅱ型黏膜下肌瘤的临床疗效及术后生活质量比较。
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Submucous Fibroids, Fertility, and Possible Correlation to Pseudocapsule Thickness in Reproductive Surgery.
黏膜下肌瘤、生育能力与生殖手术中假包膜厚度的可能相关性。
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4
Comparison of intramyometrial vasopressin plus rectal misoprostol with intramyometrial vasopressin alone to decrease blood loss during laparoscopic myomectomy: Randomized clinical trial.腹腔镜子宫肌瘤剔除术中子宫肌内注射血管加压素联合直肠米索前列醇与单独子宫肌内注射血管加压素减少出血量的比较:随机临床试验。
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Alcohol consumption and risk of uterine myoma: A systematic review and meta analysis.饮酒与子宫肌瘤风险:一项系统评价与荟萃分析。
PLoS One. 2017 Nov 27;12(11):e0188355. doi: 10.1371/journal.pone.0188355. eCollection 2017.
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Oophoropexy for ovarian torsion: a new easier technique.卵巢扭转的卵巢固定术:一种新的更简便技术。
Gynecol Surg. 2017;14(1):7. doi: 10.1186/s10397-017-1001-9. Epub 2017 May 9.
7
Comparing two Uterine Manipulators During Total Laparoscopic Hysterectomy: A Randomized Controlled Trial.全腹腔镜子宫切除术中两种子宫操纵器的比较:一项随机对照试验
J Minim Invasive Gynecol. 2017 Jul-Aug;24(5):764-771. doi: 10.1016/j.jmig.2017.02.022. Epub 2017 Mar 6.
8
Postoperative Quality of Life and Sexual Function in Premenopausal Women Undergoing Laparoscopic Myomectomy for Symptomatic Fibroids: A Prospective Observational Cohort Study.有症状子宫肌瘤的绝经前女性行腹腔镜子宫肌瘤剔除术后的生活质量和性功能:一项前瞻性观察队列研究
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