近10年子宫切除的原因分析

目的:探讨近10年子宫切除的原因。方法:近10年我院实施子宫切除术妇女2697例,分析手术首要指征和患者年龄。结果:①切除原因为子宫肌瘤62.6%,子宫腺肌病11.0%,子宫脱垂9.5%,恶性肿瘤7.9%,随后是卵巢良性肿瘤、功血、子宫内膜异位症、盆腔炎症、产科因素及CIN。②子宫切除高峰年龄在41~50岁,21~60岁各年龄组子宫肌瘤是首要原因,61~90岁3个年龄组子宫脱垂为首要原因,21~30岁子宫切除前两位原因是子宫肌瘤37.1%(13/35)和宫颈癌31.4%(11/35)。结论:41~50岁是子宫切除的高峰年龄。60岁前、后子宫切除最主要原因分别是子宫肌瘤和子宫脱垂,21~30岁年轻女性宫颈癌是次于子宫肌瘤的子宫切除的重要因素。

Analysis on the causes of hysterectomy last ten years

Objective:To study causes of hysterectomy last ten years.Methods:To analyze the obvious sign and age of patients from 2697 case of hysterectomy.Results:①Causes: 62.6% of uterus myoma, 11.0% of adenomyosis, 9.5% of uterine prolapse, 7.9% of malignant tumor and the rest of benignant tumor of ovary, dysfunctional uterine bleeding, endometriosis, pelvic inflammatory, obstetrical effect, CIN.②Group age from 41-50 years old was peak age of hysterectomy. For those aged from 21-60 years old the main cause was uterus myoma, and for those aged above 60 years old was uterine prolapse. The fist two reasons for hysterectomy for those aged from 21~30 years old were 37.1%(13/35)of uterus myoma and 31.4%(11/35)of cervical cancer.Conclusion:The peak age of hysterectomy is 41~50 years old .The main causes for hysterectomy for those aged below or above 60 years old are uterus myoma and uterine prolapse respectively.For those aged from 21~30 years old uterus myoma, cervical cancer and cervical cancer are main important causes for hysterectomy.