Waldemar G, Werdelin L, Boysen G
Obstet Gynecol. 1987 Oct;70(4):559-63.
Eleven percent of the 272 women aged 25-45 years admitted consecutively to a neurologic department in 1980-1984 had undergone hysterectomy. The population was divided into two groups according to the discharge diagnoses. Among women with discharge diagnoses usually associated with no objective neurologic findings, the frequency of hysterectomy was 14%, compared with 5.4% in women discharged with diagnoses indicating organic neurologic disease. Gynecologic and psychiatric admissions were more frequent in the former than in the latter group. Of the 30 hysterectomized women, only six had had malignant or premalignant changes in the uterus, whereas in 22 cases the removed organs had been normal. These results suggest that a somatization disorder might have been the underlying cause for the hysterectomy as well as for the symptoms and complaints leading to referral to the neurologic service. Awareness of this problem is important in order to avoid unjustified surgery.
1980年至1984年期间，连续入住神经科的272名25至45岁女性中，11%接受了子宫切除术。根据出院诊断，将这些患者分为两组。在出院诊断通常与无客观神经学表现相关的女性中，子宫切除术的发生率为14%，而诊断为器质性神经疾病出院的女性中这一比例为5.4%。前一组的妇科和精神科入院率高于后一组。在30名接受子宫切除术的女性中，只有6名子宫有恶性或癌前病变，而在22例中，切除的器官是正常的。这些结果表明，躯体化障碍可能是子宫切除术以及导致转诊至神经科的症状和主诉的潜在原因。认识到这个问题对于避免不必要的手术很重要。
