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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Correlation between Clinico-pathologicaland Ultrasonographical Findingsin Hysterectomy
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Correlation between Clinico-pathologicaland Ultrasonographical Findingsin Hysterectomy

机译：子宫切除术中临床病理与超声检查结果的相关性

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Introduction: Hysterectomy is the most commonly performed gynaecological surgery throughout the world. Total abdominal hysterectomy is the procedure of choice in conditions other than uterovaginal prolapse. Menorrhagia is the most common clinical symptom which is seen in the pre and the perimenopausal age group. All perimenopausal women with persistent abnormal uterine bleeding should be evaluated for the presence of endometrial hyperplasia or carcinoma by ultrasound or biopsy.Objectives: To identify the most common pathology in hysterectomy specimens To correlate the clinical diagnosis and ultrasonographical findings with histopathological diagnosis.Materials and Methods: Ours was a retrospective study analysis of hysterectomy cases, over a period of one year from Jan 2010 to Dec 2010 in the Department of Pathology, Vinayaka Mission?s Kirubananda Variyar Medical College. The patients also underwent pelvic and transvaginal ultrasonography. Ninety eight percent of the hysterectomies were done for benign indications.Results: The total number of hysterectomy specimens received were 234. The peak age of the patients was 31?40 years. A high incidence of the disease was seen in multiparous. In our study, 171 patients underwent pelvic ultrasound and transvaginal ultrasound, especially those who were in the peri and postmenopausal age group. Ultrasound detected 100% malignancy, 95% fibroids and 80% in adenomyosis. The commonest indication for transabdominal hysterectomy was fibroids in 30.7% of the cases. The most common pathology which was identified was leiomyoma followed by adenomyosis.Conclusion: This study confirmed that benign diseases were more common in hysterectomy specimens than in their malignant counterparts. Out of the clinical diagnosis, ultrasonographical findings and histopathological diagnosis, histopathological diagnosis was found to be the gold standard to ensure the final diagnosis as the management of the malignant disease varied in the benign and malignant diseases.
机译：简介：子宫切除术是全世界最常用的妇科手术。在子宫脱垂以外的情况下，全腹子宫切除术是选择的程序。月经过多是绝经前和绝经前年龄组中最常见的临床症状。目的：通过子宫切除术标本中最常见的病理学检查，以将临床诊断和超声检查结果与组织病理学诊断联系起来。 ：我们是从2010年1月至2010年12月在Vinayaka Mission的Kirubananda Variyar医学院病理学系进行的为期一年的子宫切除术病例的回顾性研究。患者还接受了盆腔和经阴道超声检查。结果：完成子宫切除术的有98％为良性适应症。结果：子宫切除术标本的总数为234个。患者的最高年龄为31-40岁。在多个地方发现该疾病的高发病率。在我们的研究中，有171例患者接受了骨盆超声和经阴道超声检查，尤其是围绝经期和绝经后年龄组的患者。超声检查发现子宫腺肌病的恶性程度为100％，肌瘤为95％，子宫肌瘤为80％。经腹子宫切除术最常见的指征是肌瘤，占30.7％。结论：本研究证实子宫切除术标本中的良性疾病比恶性肿瘤更常见。在临床诊断，超声检查结果和组织病理学诊断中，发现组织病理学诊断是确保最终诊断的金标准，因为良性和恶性疾病对恶性肿瘤的管理各不相同。

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