尼日利亚南部乌约乌约大学教学医院的宫内粘连:十年回顾

N. Utuk, A. Abasiattai, O. Asuquo
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摘要

背景:Asherman综合征是一种可引起月经异常和不孕的临床疾病。目的:本研究旨在确定我院宫腔粘连的危险因素和治疗效果。受试者和方法:我们对2006年1月1日至2016年12月在乌约大学教学医院接受宫内粘连治疗的患者进行了为期10年的回顾性研究。结果:在研究期间,共进行了1977次妇科手术,其中83次是宫腔粘连手术,手术率为4.2%。然而,仅检索到52个文件夹,手术检索率为62.5%。使用比率和百分比进行分析是基于这些。大多数患者属于30-34年龄组(28.9%),其次是20-24年龄组(25.0%)。大多数患者是未产妇(58.9%)、已婚(65.4%)和受过高等教育(50.0%)。扩张和刮宫人工流产(42.3%)、开放性子宫肌瘤切除术(26.9%)和剖腹产(19.2%)是常见的危险因素。闭经(65.4%)和月经过少(30.8%)是最常见的表现方式。所有患者都是在麻醉下通过盲粘连松解术进行治疗的,绝大多数由住院医生进行,有相当大的比例(65.3%)表明月经状况没有变化。结论:Ashermans综合征是一种相对常见的疾病,有必要培训医生使用和获得宫腔镜,以正确处理这种疾病。同时,应该有更多的高级人员参与盲粘连松解术,Foley导管作为子宫夹板似乎优于宫内节育器。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intrauterine adhesions in the University of Uyo Teaching Hospital, Uyo, South-South, Nigeria: A ten year review
Background: Asherman's syndrome is a clinical entity that can cause menstrual abnormalities and infertility. Objectives: This study was done to determine the risk factors, and management outcome of intrauterine adhesions in our hospital. Subjects and Methods: We carried out a retrospective study of the patients who were treated for intrauterine adhesions at the University of Uyo Teaching Hospital over a 10 years period-from January 1st 2006 to December 2016. Results: During the study period, a total of 1977 gynecological surgeries were performed of which 83 were for intrauterine adhesions, giving a rate of 4.2%. However, only 52 folders were retrieved, giving a retrieval rate of 62.5%. Analyses, using ratios and percentages, was based on these. Most patients belonged to the 30-34 age group (28.9%) followed by the 20-24 age group (25.0%). The majority of the patients were nulliparous (58.9%), married (65.4%) and had a tertiary education (50.0%). Dilatation and curettage for induced abortion (42.3%), open myomectomy (26.9%), and caesarean section (19.2%) were the common risk factors. Amenorrhoea (65.4%), and hypomenorrhoea (30.8%) were the commonest modes of presentation. All the patients were managed by blind adhesiolysis, done overwhelmingly by the resident doctors, under anaesthesia with a significant percentage (65.3%) showing that there is no change in menstrual condition. Conclusion: Ashermans syndrome is a relatively common condition, and it is necessary to train doctors in the use of, and acquire, a hysteroscope, for the proper management of this condition. Meanwhile, more senior personnel should be involved in the blind adhesiolysis, and Foley catheter that appears superior as a uterine splint to the intrauterine contraceptive device.
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