安哥拉阿比让教学医院子宫肌瘤的外科治疗:193例报告

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Journal of Clinical Obstetrics and Gynecology Pub Date : 2023-06-20 DOI:10.29328/journal.cjog.1001132
Eléonore Gbary-Lagaud, Carine Houphouet-Mwandji, D. Effoh, R. Adjoby
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引用次数: 0

摘要

目的:根据FIGO(国际妇产科学联合会)分类,评价安格瑞斯教学医院子宫肌瘤的手术处理。患者和方法:这是一项横断面研究,于2020年1月1日至2022年12月31日在安格尔教学医院进行。手术指征明确的患者纳入研究。未包含不完整的文件。研究的变量包括人体测量参数、肌瘤的临床特征和手术。由于子宫肌瘤的大小和多灶性位置,治疗的选择仍然是手术开腹。结果:35岁以上患者占71.5%,未产者占52.8%。手术的第一个适应症是月经过多(88.6%),其次是母性欲望(37.8%)和痛经(20.2%),最常见的是FIGO 4型肌瘤(p = 0.0031)。颈峡止血带下肌瘤切除术是FIGO 4型肌瘤最常见的手术(66.1%;P = 0.0543)。FIGO 7型肌瘤最常行子宫切除术(43.9%;P = 0.0543)。子宫肌瘤切除术的第一并发症是贫血(3.5%),其次是子宫缝合线出血(1.7%)(p = 0.5139)。结论:我们在安格尔教学医院的手术实践符合FIGO的建议。然而,对于小肌瘤(≤5cm)或FIGO 0 ~ 3型,我们目前的实践中并不常见,应努力推广微创手术方法(腹腔镜、宫腔镜、经阴道消融)。
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Surgical Management of Uterine Fibroids at the Teaching Hospital of Angre Abidjan Cote d’Ivoire: 193 Cases Report
Objective: To evaluate the surgical management of myomas at the Teaching Hospital of Angré according to the FIGO (International Federation of Gynecology and Obstetrics) classification. Patients and methods: This was a cross-sectional study at the Teaching Hospital of Angre from January 1, 2020, to December 31, 2022. Patients whose operative indication was clearly identified were included in the study. Incomplete files were not included. The variables studied were anthropometric parameters, clinical characteristics of myomas, and surgery. Due to the large size and multifocal location of uterine myomas, the therapeutic option remained surgery by laparotomy. Results: Most patients were over 35 years old (71.5%) and nulliparous (52.8%). The first indication for surgery was menometrorrhagia (88.6%), followed by the desire for motherhood (37.8%) and dysmenorrhoea (20.2%) for myomas most often FIGO type 4 (p = 0.0031). Myomectomy under cervical-isthmic tourniquet was the most common procedure for FIGO type 4 myomas (66.1%; p = 0.0543). Hysterectomy was most frequently performed for FIGO type 7 myomas (43.9%; p = 0.0543). For myomectomy, the first complication was anaemia (3.5%) followed by uterine suture haemorrhage (1.7%) (p = 0.5139). Conclusion: Our surgical practice at the Teaching Hospital of Angre is in accordance with FIGO recommendations. However, an effort should be made to promote the minimally invasive surgical approach (laparoscopic, hysteroscopic, transvaginal ablation) for small fibroids (≤ 5 cm) or FIGO type 0 to 3, which is not very frequent in our current practice.
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来源期刊
Journal of Clinical Obstetrics and Gynecology
Journal of Clinical Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
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