Uterine myomas and factors associated with hysterectomy in premenopausal women - 10/09/11
Abstract |
OBJECTIVE: Our purpose was to describe clinical characteristics in premenopausal women with uterine myomas and to identify factors associated with hysterectomy.
STUDY DESIGN: Data were collected by chart abstraction in 421 premenopausal women with myomas and analyzed by univariate and multivariable regression.
RESULTS: Over a median follow-up period of 29 months, 86% of women had symptoms associated with myomas and 40% had an increase in uterine size of >2 gestational weeks. By multivariable regression, bleeding symptoms at presentation and previous surgical history of cholecystectomy and adhesiolysis were significantly associated with greater odds of hysterectomy. There was a significant interaction between age and uterine size, so that as age increased, uterine size had a greater impact on the likelihood of hysterectomy.
CONCLUSIONS: In this cohort of premenopausal women myomas were associated with symptoms in almost all women over the follow-up period. Hysterectomy was performed in 22% of women overall. (Am J Obstet Gynecol 1997;176:1213-9.)
Le texte complet de cet article est disponible en PDF.Keywords : Uterine myomas, fibroids, hysterectomy, abnormal uterine bleeding
Plan
From the Departments of Gynecology and Obstetricsa and Biostatistics and Epidemiology,b Cleveland Clinic Foundation. |
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Reprint requests: Anne M. Weber, MD, Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, 9500 Euclid Ave. A81, Cleveland, OH 44195. |
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0002-9378/97 $5.00 + 0 6/6/80784 |
Vol 176 - N° 6
P. 1213-1219 - juin 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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