Leiomyoma uteri at Vajlra hospital
รหัสดีโอไอ
Creator Wichian Manolerdtawon
Title Leiomyoma uteri at Vajlra hospital
Publisher Faculty of Medicine,Srinakharinwirot University
Publication Year 2540
Journal Title Journal of Medicine and Health Sciences
Journal Vol. 4
Journal No. 2
Page no. 69-78
Keyword Leiomyoma uteri
ISSN 0859-3299
Abstract patients admitted at Vajira hospital in gynecologic ward were studied. There were 207 patients with leiomyoma uteri. The prevalence of leiomyoma uteri was 10.43% of all gynecologic patients admitted, or 14.60% of the performed gynecologic operations. Most of the petients were between 40-49 years of age(56.52%). 27.05% of patients were unmarried and 15.46% of married patients were nulliparous. The most common presentation was abnormal uterine bleeding(33.77%). The pre- operative diagnnsis was correct in 75.36%. The most common type of leiomyoma uteri was intramural (49.28%), but the type that mainly caused abnormal uterine bleeding was submucous type (87.50%). The other associated pathologic findings were adenomyosis(14.91%) and endometriosis (13.16%). Total abdominal hysterectomy was performed in 90.34% of patients and myomectomy only in 8.21% of patients. The operative compilcations were rare. Febrile morbidity was the most common finding (24.54%). In most cases, the patients stayed in the hospital 1-2 pre-operative days (68.12%) and 7-9 postoperative days (78.74%). There wasno operative death in this study.
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