تجريف الرحم الاستقصائي
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%.
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 :
- Abnormal uterine bleeding 53.7%.
- menstrual disturbances 32.7%.
- Post coital bleeding 4.9%.
- Cervical polyp 4.9%.
- 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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