تجريف الرحم الاستقصائي

Authors

  • صفاء سلمان
  • حسن صالح
  • زينب معلا

Abstract

أجري البحث في مشفى الأسد الجامعي باللاذقية قسم التوليد وأمراض النساء  في الفترة بين 1/11/2002 و1/6/2004 وقد بلغ عدد مريضات الدراسة 162 حالة تجريف رحم استقصائي وشكلت 7.7% من مجموع المريضات اللواتي قبلن في قسم الأمراض النسائية في هذه الفترة و11.4% من مجموع العمليات الجراحية النسائية بمختلف أنواعها وقد احتلت فئة العمر 40-49سنة الذروة في نسبة إجراء التجريف الاستقصائي وبلغت59.3%.

وقد توزعت استطبابات التجريف الاستقصائي بالشكل التالي:

  • نزف رحمي شاذ 53.7%.
  • اضطرابات طمثية 32.7%.
  • نزف بعد الجماع4.9%.
  • بوليب عنق رحم 4.9%.
  • استطبابات أخرى 3.8%.

وكانت نتائج التشريح المرضي للتجاريف الاستقصائية كما يلي:

  • بطانة إفرازية 29.6%.
  • فرط تصنع بطانة الرحم 25.9%.
  • بطانة تكاثرية 13.6%.
  • بوليب عنق رحم 8.6%.
  • بطانة التهابية 7.4%.
  • بطانة ضمورية 3.7%.
  • بوليب باطن الرحم 3.7%.
  • آفات خبيثة 2.4%.
  • انسلاخ غير منتظم للبطانة الرحمية 3.7%.
  • علقات دموية وألياف عضلية ملساء 1.2%.
وكانت الأختلاطات قليلة ونسبتها 1.8%.

وكان أهم اختلاط للتجريف الاستقصائي إنتان باطن الرحم بنسبة 1.2 % تلاه رض عنق الرحم بنسبة 0.6% ولم تحدث أية حالة انثقاب رحم.

 

The research was conducted in the department of obstetrics and gynecology in AL ASSAD University Hospital in Lattakia between 1/11/2002 – 1/6/2004 and included 162 patients, D&C have been made to all these patients. These patients are about 7.7% of all patients were accepted in the department of Gynecology.

And this number forms 11.4% of all surgical Gynecological operations.

59.3% of patients who have had D&C were 40-49 year old.

The indications of  D&C were :

  1. Abnormal uterine bleeding 53.7%.
  2. menstrual disturbances 32.7%.
  3. Post coital bleeding 4.9%.
  4. Cervical polyp 4.9%.
  5. Other indications 3.8%.

And the pathological results of D&C were:

  • Secretory endometrium 29.6%.
  • Hyperplastic endometrium 25.9%.
  • Proliferative endometrium 13.6%.
  • Cervical polyp  8.6%.
  • Inflammatory endometrium 7.4%.
  • Atrophic endometrium 3.7%.
  • Endometrial polyp 3.7%.
  • Malignants lesions 2.4%.
  • Irregular shedding of the endometrium 3.7%.
  • Smooth muscle fibers and clots 1.2%.

The complications were 1.8% and the most important complication was endometritis 1.2% and cervical trauma 0.6%. there was no uterine perforation.

 

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Published

2019-02-19

How to Cite

1.
سلمان ص, صالح ح, معلا ز. تجريف الرحم الاستقصائي. Tuj-hlth [Internet]. 2019Feb.19 [cited 2024Apr.26];26(4). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/8197

Issue

Vol. 26 No. 4 (2004): العلوم الصحية

Section

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