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首页> 外文期刊>Bangladesh Journal of Medical Science >Comparative study on specimen of Hysterectomy
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Comparative study on specimen of Hysterectomy

机译：子宫切除标本的比较研究

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Background: Hysterectomy is by far most common gynecological procedure. It is performed in our country for more or less similar indication as those performed in advanced countries. Sometimes clinical diagnosis does not correlate with histopathological findings.Objective: To find out the common indication of hysterectomy in tertiary level hospital; to detect the patterns of clinical presentation and to find out the correlation between pre and per operative findings with histopathology reports of specimen.Method: This is a cross sectional type of comparative study which was carried out on 150 cases from January 2013 to October 2013 in inpatient department of CMH Dhaka. Cases were randomly selected who were admitted for operative treatment.Result: The incidence of total abdominal hysterectomy was 73.33% and vaginal hysterectomy 26.67%. Highest incidence observed among the age group 35-40 year which was 46.66% in the study. The commonest indication of abdominal hysterectomy was Leiomyoma uterus 42.73% and most common symptom was Menorrhagia which was about 44.67% in the study. Leiomyoma uterus histopathologically correlated about 91.49% with clinical diagnosis. During examination it was found that least correlated diagnosis were DUB and PID respectively 70.83% and 73.33%. Ovarian tumor, CIN and chronic cervicitis correlated 100%. In this study, clinical diagnosis, pre-operative finding was similar with histopathology finding in 86.36%.Conclusion: The indication of hysterectomy in any case must be clearly defined and should be done for which conservative treatment is not likely to be efficacious. But advent of conservative treatment like ablation, Mirena IUS are as effective as hysterectomy which can offer the young age group of 35-40 year.Bangladesh Journal of Medical Science Vol.15(3) 2016 p.352-356
机译：背景：子宫切除术是迄今为止最常见的妇科手术。它在我国的表现与发达国家的表现大致相同。目的：了解三级医院子宫切除术的常见指征;方法：这是一项横断面类型的比较研究，于2013年1月至2013年10月在150例患者中进行，旨在检测临床表现的模式并找出术前和术前发现与标本的组织病理学报告之间的相关性。达卡CMH医院住院部。结果：腹部全子宫切除术的发生率为73.33％，阴道全子宫切除术的发生率为26.67％。在35-40岁年龄组中观察到的最高发病率为46.66％。腹腔子宫切除术最常见的指征是子宫平滑肌瘤42.73％，最常见的症状是月经过多，在研究中约为44.67％。子宫平滑肌瘤在组织病理学上与临床诊断的相关性约为91.49％。在检查过程中，发现相关性最低的诊断是DUB和PID，分别为70.83％和73.33％。卵巢肿瘤，CIN和慢性宫颈炎的相关性为100％。在这项研究中，临床诊断，术前发现与组织病理学发现相似，为86.36％。结论：任何情况下均必须明确定义子宫切除术的适应症，并应采取保守治疗不太可能有效的方法。但是，如消融术，Mirena IUS等保守治疗的出现与子宫切除术一样有效，可以提供35-40岁的年轻年龄组。孟加拉国医学杂志Vol.15（3）2016 p.352-356

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