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Comparison of surgical indications for hysterectomy by age and approach in 4653 Chinese women

Frontiers of Medicine 2014年第4期8卷 464-470页

作者： jingjing jiang ting ding aiyue luo yunping lu ding ma shixuan wang Department of Obstetrics and Gynecology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan 430030 China

Approximately one million hysterectomies are performed each year in China. However, national data regarding the indications and the surgical approaches for hysterectomy are lacking. The aim of this study was to examine the surgical indications for hysterectomy in different age groups and the relative merits of different surgical approaches for hysterectomy in Chinese women. Clinical data from 4653 cases of hysterectomy performed in Tongji Hospital from 2004 to 2009 were analysed. Hysterectomy was most commonly performed among women aged 40-49 years （2299; 49.4%）. Overall, colporrhagia and abdominal pain were the two most common indications for hysterectomy. The most common indications by age groups were as follows： malignant ovarian tumour, 〈 20 years; malignant uterine tumour, 20-29 and 30-39 years; uterine myoma, 40-49 and 50-59 years; and uterine prolapse, 60-69 and 〉 70 years. The proportion of malignant aetiology also varied by age, being the highest in women aged 〈 20 years （75.0%） and the lowest in those aged 40-49 years （19.9%）. Approximately 35% women who had hysterectomies also had concomitant bilateral oophorectomy. The lowest rate of oophorectomy occurred in women aged 30-39years （15.8%）, whereas the highest rate was in those aged 50-59years （75.9%）. The abdominal surgical approach was used in 84% of all hysterectomies. Surgeries using the vaginal approach required a significantly shorter operating time （118 min average） than all other approaches （P 〈 0.05）. Both the amount of bleeding and the blood transfusion volume required were smaller in vaginal approaches, with no significant differences between the others. The surgical approaches used were also related to the scope of surgery. Both the surgical indications and the rates of bilateral oophorectomy varied by age. In terms of both operating time and the amount of bleeding and blood transfusion volume required, the vaginal approach was superior to all other surgical approaches.

关键词： hysterectomy surgical indications surgical approach bilateral oophorectomy

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Characterization and Comparison of early follicular Growth in transplanted,in vitro cultured and in vivo grown Mouse Ovaries

Characterization and Comparison of early follicular Growth i...

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中华医学会第十次全国妇产科学术会议妇科内分泌会场（妇科...

作者： shuo wang shuhong yang zhiwen lai ting ding wei shen liangyan shi fangfang rong jingjing jiang chen cao yong tian xiaofang du yunping lu aiyue luo shixuan wang Department of Obstetrics and Gynecology Tongji HospitalTongji Medical CollegeHuazhong University of Science and Technology

Background Mouse model has been widely utilized to understand the basic principles of follicle assembly, initiation of follicular development and the role of specific growth and differentiation *** of their natural environment,ovaries must cope with physical *** importantly,eliminating in vivo regulation system may lead altered follicular *** present,the methods of ovarian incubation mainly include in vitro cul-

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To Explore the Expression Patterns and Regulatory Mechanisms of MicroRNAs During the Initiation of Primordial Follicle Development in the Neonatal Mouse Ovary

To Explore the Expression Patterns and Regulatory Mechanisms...

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中华医学会第十次全国妇产科学术会议妇科内分泌会场（妇科...

作者： shuhong yang shuo wang aiyue luo ting ding zhiwen lai wei shen xiangyi ma ming yuan liangyan shi jingjing jiang fangfang rong yong tian xiaofang du yunping lu ya li shixuan wang Department of Obstetrics and Gynecology Tongji HospitalTongji Medical CollegeHuazhong University of Science and Technology

Reproductive senescence occurs when the primordial follicle pool is *** mammals are born with a finite number of these primordial follicles,which declines over their reproductive *** initiation of primordial follicle development is essential for female fertility,but what triggers the initiation is poorly understood. Given the potential role of miRNAs in the ovary,yet no one has ever studied them {Pacchiarotti,2010 #

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