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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Analysis of indications and route of hysterectomy for benign conditions
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Analysis of indications and route of hysterectomy for benign conditions

机译：良性子宫切除术的适应症和途径分析

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Background: Hysterectomy is the most common operation performed by gynecologist, next to caesarean section. The primary focus of this study was to review the indications and surgical technique of hysterectomy. Methods: This retrospective study was performed in the department of Obstetrics and gynecology, in collaboration with Department of Pathology. All women in the reproductive age group and post-menopausal age who underwent hysterectomy with or without salpingo-oophorectomy were included in this study. Results: In our study, out of 100 patients, clinical indication was fibroid in 45 (45%) patients, menorrhagia in 15 (15%) patients, adenomyosis in 25 (25%) patients, uterovaginal prolapse in 5 (5%) patients, endometrial polyp in 5 (5%) patients and ovarian tumor in 5 (5%) patients. Histo-pathological diagnosis was leiomyoma in 55 (55%), adenomyosis in 30 (30%), endometrial polyp in 5 (5%), endometrial hyperplasia in 5 (5%) and serous cystadenoma of ovary in 5 (5%). Abdominal hysterectomy was performed in 46 (46%) patients, vaginal hysterectomy in 44 (44.33%) patients while laparoscopic hysterectomy was performed in 5 (6.66%) patients. Conclusions: In this study, most common indication for hysterectomy was fibroid uterus and it was correlated well with histopathology. Abdominal & vaginal hysterectomies were performed in almost equal number.
机译：背景：子宫切除术是妇科医生最常进行的手术，仅次于剖腹产。这项研究的主要重点是回顾子宫切除术的适应症和手术技术。方法：这项回顾性研究是在妇产科与病理学部门合作下进行的。本研究包括所有生育年龄组和绝经后年龄的妇女，无论是否接受输卵管卵巢切除术，均行子宫切除术。结果：在我们的研究中，在100名患者中，临床指征为45（45％）名肌瘤，月经过多为15（15％），子宫腺肌病为25（25％），子宫脱垂为5（5％） ，子宫内膜息肉5例（5％）和卵巢肿瘤5例（5％）。组织病理学诊断为平滑肌瘤55例（55％），子宫腺肌病30例（30％），子宫内膜息肉5例（5％），子宫内膜增生5例（5％）和卵巢浆液性囊腺瘤5例（5％）。腹部子宫切除术进行了46（46％）患者，阴道子宫切除术进行了44（44.33％）患者，而腹腔镜子宫切除术进行了5（6.66％）患者。结论：在这项研究中，子宫切除术最常见的适应症是子宫肌瘤，并且与组织病理学密切相关。腹部和阴道子宫切除术的数量几乎相等。

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