Prevalence and Risk Factors of Sonographically Detected Uterine Fibroid among Iraqi Women in Medical Baghdad City, Baghdad, Iraq

Abdul Sattar Arif Khammas, S. S. Mohammed, Sarah Qahtan M. Salih, Danmaigoro Abubakar
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Abstract

Uterine fibroid (uterine myoma or leiomyoma) is the most common benign tumour of the women’s pelvic. This study aimed to determine the prevalence and risk factors associated with uterine fibroid among Iraqi women in Baghdad, Iraq. A cross-sectional study was prospectively carried out in this survey. Women aged 13 years old and above were randomly recruited based on a systematic sampling method. The participants’ personal and history information were collected using a structured self-administered questionnaire (SSAQ). In addition, a trans-abdominal ultrasound with both B-mode and Doppler was used to detect uterine fibroid. Transabdominal ultrasound was performed on 127 women with a mean age of 36.3 ± 11.5 years old. Among those, 43 (33.9%) women were reported to have a uterine fibroid. However, uterine fibroid was statistically associated with age (X2 = 35.3, P < 0.001), BMI (X2 = 11.2, P = 0.011), family history of uterine fibroid (X2 = 8.1, P = 0.005), and age at first menstruation (X2 = 12.9, P = 0.005). The prevalence of uterine fibroid detected by ultrasound was alarming among Iraqi women aged 49 to 60 years old. Being overweight, obese, having a positive family history of uterine fibroid, and early menarche increases the risk of developing uterine fibroid.
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伊拉克巴格达市医疗中心超声检查子宫肌瘤的患病率及危险因素
子宫肌瘤(子宫肌瘤或平滑肌瘤)是女性盆腔最常见的良性肿瘤。本研究旨在确定在伊拉克巴格达的伊拉克妇女中子宫肌瘤的患病率和危险因素。本调查采用前瞻性横断面研究。采用系统抽样法随机招募年龄在13岁及以上的女性。使用结构化自我管理问卷(SSAQ)收集参与者的个人和历史信息。同时采用经腹b超和多普勒超声检查子宫肌瘤。经腹超声检查127例,平均年龄36.3±11.5岁。其中,43名(33.9%)女性报告患有子宫肌瘤。而子宫肌瘤与年龄(X2 = 35.3, P < 0.001)、BMI (X2 = 11.2, P = 0.011)、子宫肌瘤家族史(X2 = 8.1, P = 0.005)、初月经年龄(X2 = 12.9, P = 0.005)有统计学相关性。超声检查子宫肌瘤的患病率在49 ~ 60岁的伊拉克妇女中是惊人的。超重、肥胖、有子宫肌瘤家族史、月经初潮早会增加患子宫肌瘤的风险。
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