Wongsa P
Obstetrics and Gynaecology Unit, Angthong Hospital, Thailand.
J Med Assoc Thai. 1994 Jul;77(7):384-7.
From October 1988 to September 1992, 240 women in Angthong Hospital had elective hysterectomy. Myoma uteri was found as the first leading indication representing 47.9 per cent. Genital prolapse was the second (20.4%), and endometriosis was the third (14.2%). Elective hysterectomy was also performed in benign ovarian tumors (8.3%), dysfunctional uterine bleeding (6.3%) and chronic PID (2.9%). Emergency hysterectomy for obstetrical and gynaecological issues accounted for 2.0 per cent and 1.6 per cent respectively. Most hysterectomies (39.2%) were performed on women aged between 40 and 49 years. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was also the first leading type of surgery (52.5%). No serious intraoperative or postoperative complications were found. The study showed satisfactory results for evaluation of the new trends of hysterectomy and the achievement of the goal in developing the hospital potential to be the best general hospital for tertiary care and as the center for referral patients in Obstetrics and Gynaecology from nearby general and community hospitals.
1988年10月至1992年9月，240名妇女在安通医院接受了择期子宫切除术。子宫肌瘤是首要指征，占47.9%。子宫脱垂是第二大指征（20.4%），子宫内膜异位症是第三大指征（14.2%）。择期子宫切除术也用于良性卵巢肿瘤（8.3%）、功能失调性子宫出血（6.3%）和慢性盆腔炎（2.9%）。因妇产科问题进行的急诊子宫切除术分别占2.0%和1.6%。大多数子宫切除术（39.2%）是在40至49岁的女性中进行的。全腹子宫切除术加双侧输卵管卵巢切除术也是首要的手术类型（52.5%）。未发现严重的术中或术后并发症。该研究在评估子宫切除术的新趋势以及实现将医院发展成为三级护理最佳综合医院以及作为附近综合医院和社区医院妇产科转诊患者中心的目标方面取得了令人满意的结果。
