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Implementation of Hereditary Gynecologic Cancer Clinic Utilizing Existing All Screening and Genetic Methods in Community-Based Hospital by Surgeon 外科医生利用现有的全筛查和遗传方法在社区医院开展遗传性妇科肿瘤门诊
Pub Date : 2019-06-01 DOI: 10.33425/2639-9342.1083
M. K. Kim
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引用次数: 0
Quality of Life After Hysterectomy for Benign Gynecological Diseases at MOI Teaching and Referral Hospital (MTRH), Kenya 肯尼亚MOI教学和转诊医院(MTRH)良性妇科疾病子宫切除术后的生活质量
Pub Date : 2019-06-01 DOI: 10.33425/2639-9342.1084
Cheruiyot Kipyegon, Tonui K. Philliph, L. Joseph
Background: Hysterectomy is one of the most frequent gynecological surgeries performed on women and has been associated with significant risk of morbidity, lower quality of life and poor health outcomes. Approximately 20-45% of women will have a hysterectomy by the time they are between 60-70years of age. Hysterectomy has an effect on the quality of life of the patient though not documented at MTRH. Objective: To assess quality of life after hysterectomy for benign gynecologic conditions. Methods: In this hospital-based prospective cohort study, 76 women admitted for elective hysterectomy for benign conditions were systematically sampled and followed up for 6 months. Questionnaire was administered to obtain patient demographics. European Quality of Life Five dimension scale (EQ-5D) and McCoy female sexuality questionnaire (MFSQ) were administered to collect information on health status and sexual function before and after hysterectomy. Health status was converted into a single score using time trade off (TTO) valuation. Wilcoxon signed rank test was used to compare preand postoperative values. Result: Mean age of hysterectomy was 45.2 years with standard deviation (SD) of 8.2. Majority 61 (81.3%) had BMI range of 18.5-24.9, the mean parity was 4.0 with SD 2.4Mean EQ5D TTO score was 0.69 and 0.91 at baseline and at 6 months respectively with significant change in mean at 6 months (p<0.001). Mean MFSQ score was 20.73 at baseline compared to 29.23 at 6 months with significant change in mean at 6 months (p<0.001). Age was significantly associated with sexual function at 6 months especially sexual enjoyment (p=0.018) and natural vaginal lubrication (p=0.025) Conclusion: Majority of hysterectomies at MTRH were done on multipara women with normal BMI. There was significant improvement in quality of life after hysterectomy at 6 months.
背景:子宫切除术是对妇女进行的最常见的妇科手术之一,并与显著的发病率风险、较低的生活质量和不良的健康结果相关。大约20-45%的女性在60-70岁之间会进行子宫切除术。子宫切除术对患者的生活质量有影响,但在MTRH没有记录。目的:评价妇科良性疾病患者子宫切除术后的生活质量。方法:在这项以医院为基础的前瞻性队列研究中,系统地抽取76名因良性疾病接受择期子宫切除术的妇女,并随访6个月。通过问卷调查获得患者的人口统计信息。采用欧洲生活质量五维量表(EQ-5D)和McCoy女性性行为问卷(MFSQ)收集子宫切除术前后的健康状况和性功能信息。使用时间权衡(TTO)评估将健康状态转换为单个分数。采用Wilcoxon符号秩检验比较术前和术后值。结果:患者平均年龄45.2岁,标准差8.2。大多数61例(81.3%)的BMI范围为18.5-24.9,平均胎次为4.0,SD为2.4。基线和6个月时的平均EQ5D TTO评分分别为0.69和0.91,6个月时的平均值变化显著(p<0.001)。基线时平均MFSQ评分为20.73,6个月时为29.23,6个月时的平均评分有显著变化(p<0.001)。年龄与6个月时的性功能,尤其是性享受(p=0.018)和阴道自然润滑(p=0.025)显著相关。结论:MTRH子宫切除术多为BMI正常的多胎妇女。子宫切除术后6个月的生活质量有显著改善。
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引用次数: 1
Factors Associated to Successful Homologous Artificial Insemination 成功的同源人工授精相关因素
Pub Date : 2019-04-01 DOI: 10.33425/2639-9342.1077
Henry Aristóteles Mateo Sánez, Raphael Obiala Ezenwua, Carmen Alexandra Moreno Moreno, María Evarista Arellano García
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引用次数: 1
Determinant Factor Psychosocial and Medico Obstetric in Referral Patients with Complication at The Hospital of Education Network in Makassar City Between 01 January- 31 March 2018 2018年1月1日至3月31日期间望加锡市教育网络医院转诊并发症患者的决定因素心理社会和产科医学
Pub Date : 2019-04-01 DOI: 10.33425/2639-9342.1079
R. Farid, N. Mappaware, Mohammad Khaerumayansyah, S. Chalid, Andi Mardiah Tahirand
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引用次数: 0
Drospirenone Containing Combined Oral Contraceptive Premedication before Letrozole Ovulation Induction in Clomiphene Resistant PCOS, Is it Worth the Wait? 克罗米芬耐药多囊卵巢综合征患者来曲唑促排卵前用药,是否值得等待?
Pub Date : 2019-04-01 DOI: 10.33425/2639-9342.1080
M. Salama, H. Hamza
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引用次数: 1
Perineal Warm Compresses During the Second Stage of Labour Decrease Incidence and Degree of Perineal Laceration in Primiparous 分娩第二阶段会阴温敷可降低初产妇会阴撕裂伤的发生率和程度
Pub Date : 2019-04-01 DOI: 10.33425/2639-9342.1078
Umiyanti Thenu, T. Irianta, Fatmawati Madya, I. Sunarno, D. Lotisna, Retno B Farid
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引用次数: 0
First Line Mono-Chemotherapy using Methotrexate in Post-Molar Patients with Gestational Trophoblastic Neoplasia 甲氨蝶呤一线单化疗治疗磨牙后妊娠滋养细胞瘤患者
Pub Date : 2019-04-01 DOI: 10.33425/2639-9342.1076
Vo Minh Tuan, P. Le
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引用次数: 2
Vitamin D Deficiency Rate in First-Trimester Pregnant Women at Ho Chi Minh City 胡志明市妊娠早期孕妇维生素D缺乏率
Pub Date : 2019-02-25 DOI: 10.33425/2639-9342.1075
Vo Minh Tuan
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引用次数: 1
High-Grade Cytological Lesions of the Uterine Cervix Case Study From 2009 To 2017 At the Gynecological and Obstetrical Clinic at The University Hospital Aristide Le Dantec -Dakar (Senegal): Colposcopic and Therapeutic Aspects 达喀尔阿里斯蒂德勒丹特克大学医院妇产科2009 - 2017年宫颈高度细胞学病变病例研究:阴道镜和治疗方面
Pub Date : 2019-02-25 DOI: 10.33425/2639-9342.1072
O. Gassama, Lemine Aom, B. Biaye, D. Diallo, M. Cissé, A ColyNiassyDiallo, F. Me, Aminata Niass, A. Mbodji, A. Diouf, J. Moreau
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引用次数: 0
Choriocarcinoma on Live Pregnancy: Case Study 妊娠期绒毛膜癌:案例研究
Pub Date : 2019-02-25 DOI: 10.33425/2639-9342.1070
Vo Minh Tuan, N. T. Hung
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引用次数: 0
期刊
Gynecology & reproductive health
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