دورية أكاديمية
Audit of leiomyoma uterus at Khyber teaching hospital Peshawar.
| العنوان: | Audit of leiomyoma uterus at Khyber teaching hospital Peshawar. |
|---|---|
| المؤلفون: | Begum S; Department of Obstetrics and Gynaecology, Ayub Medical College & Teaching Hospital, Abbottabad., Khan S |
| المصدر: | Journal of Ayub Medical College, Abbottabad : JAMC [J Ayub Med Coll Abbottabad] 2004 Apr-Jun; Vol. 16 (2), pp. 46-9. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Ayub Medical College Country of Publication: Pakistan NLM ID: 8910750 Publication Model: Print Cited Medium: Print ISSN: 1025-9589 (Print) Linking ISSN: 10259589 NLM ISO Abbreviation: J Ayub Med Coll Abbottabad Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Abbottabad : Ayub Medical College |
| مواضيع طبية MeSH: | Leiomyoma/*therapy , Uterine Neoplasms/*therapy, Adult ; Age Factors ; Female ; Hospitals, Teaching ; Humans ; Leiomyoma/diagnosis ; Leiomyoma/etiology ; Medical Audit ; Middle Aged ; Pakistan ; Parity ; Treatment Outcome ; Uterine Neoplasms/diagnosis ; Uterine Neoplasms/etiology |
| مستخلص: | Background: Fibroid is the commonest tumor of the reproductive tract and frequently encountered problem in gynecological practice. This study was carried out to observe the frequency of fibroids in relation to age, parity and clinical manifestations along with a critical review of its management. Methods: This study was carried out over a period of one year from 1st January to 31st December 2000 in Gynae "A" unit of Khyber teaching hospital, Peshawar. All patients presenting with fibroid uterus were included in the study. Data collection included age, parity, menstrual pattern, presenting symptoms, medical and surgical treatment history. Diagnostic criteria were clinical and ultrasonography. Evaluation of medical treatment and surgery were carried out. Management outcome of minimal invasive surgery was also observed. Results and Conclusion: Total 146 cases were observed. Greater frequency was found in late reproductive and perimenopausal years (65.7%). There were 34.2% cases in reproductive age group. Majority was multiparous (72%) and 28% were nulliparous. Infertility was noticed in 16%. Myomas were mostly symptomatic (70%). Menstrual symptoms were commonest (81.5%), pain was second common symptom (27.3%). About 24% presented with abdominal mass and hyaline degeneration were in 50% of cases. Leiomyomas were multiple in 63.1% and commonest variety was interstitial (60.4%). Familial factor noticed in 5.4%, clinical diagnosis was made in 58.2% of cases, while ultrasound was used in 40.4% of patients, conservative treatment was given in 37.6% including medical therapy (8.2%). Surgery was performed in (62.3%). Myomectomy (10.2%) and hysterectomy was carried out in 52.05%. Minimal invasive surgery was not possible in our set up. |
| تواريخ الأحداث: | Date Created: 20041001 Date Completed: 20041130 Latest Revision: 20040930 |
| رمز التحديث: | 20231215 |
| PMID: | 15455617 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1025-9589 |
|---|