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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.

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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