Omu A E, Ihejerika I J, Tabowei G
Trop Doct. 1984 Apr;14(2):82-5. doi: 10.1177/004947558401400213.
One hundred and eighty cases of uterine fibroids out of the two hundred treated in a gynaecological unit in a 7-year period are reviewed. The incidence of uterine fibroids among gynaecological conditions was 3.2% and it accounted for 3.6% of the operations. The peak age incidence was at 31-40 years (46%). Twenty per cent of those affected were grand multiparae. The commonest clinical features were abdominal swelling, infertility, abdominal pain, menorrhagia and dysmenorrhoea. Most of the patients were treated surgically with myomectomy (68%), mainly on account of the low parity and age. There was increased morbidity among those who had hysterectomy; 2 deaths occurred in this group. We have advocated liberal use of myomectomy , with its preservation of menstrual and reproductive function.
回顾了某妇科单位在7年期间治疗的200例病例中的180例子宫肌瘤病例。子宫肌瘤在妇科疾病中的发病率为3.2%，占手术的3.6%。发病年龄高峰在31 - 40岁（46%）。20%的患者为多产妇。最常见的临床特征是腹部肿胀、不孕、腹痛、月经过多和痛经。大多数患者接受了肌瘤切除术（68%），主要是因为低生育次数和年龄。接受子宫切除术的患者发病率增加；该组有2例死亡。我们主张广泛使用肌瘤切除术，以保留月经和生殖功能。
