Incidence, indikācijas un galvenie riska faktori histerektomijai ķeizargrieziena laikā sievietei Daugavpils Reģionālajā slimnīcā
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Latvijas Universitāte
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Pētījuma mērķis. Noteikt histerektomijas biežumu ķeizargrieziena (CS) operācijas laikā un salīdzināt ar literatūras datiem. Noteikt histerektomijas indikācijas CS operācijas laikā un salīdzināt ar literatūras datiem. Noteikt histerektomijas riska faktorus CS operācijas laikā.
Materiāli un metodes. Pētījums ir retrospektīvs. Tas tika veikts, izmantojot Daugavpils Reģionālās slimnīcas (DRS) dzemdību nama arhīvu materiālus. Pētījumā tika analizētas slimības vēstures par veiktajiem CS laika posmā no 2007. gada janvāra līdz 2011. gada decembrim. Pētījumā tika iekļautas 1004 sievietes, kurām tika veikts CS. 18 grūtniecēm CS operācijas laikā tika veikta histerektomija. Tika apkopotas indikācijas histerektomijai. Tika vērtēts histerektomijas risks sievietēm ar: vecumu ≥ 35 gadiem, dzemdību skaitu ≥ 3, CS anamnēzē, mākslīgiem abortiem anamnēzē, dzemdes miomu, placenta praevia. Iegūtie dati apkopoti un statistiski apstrādāti, izmantojot Microsoft Office Excel 2007 un SPSS 19
Aim: To determine the incidence, the indications and the risk factors for hysterectomy during CS and compare with literature recourses. Methods: The research is retrospective. It was conducted using the archive data available at Daugavpils Regional Hospital (DRH) Maternity Ward. The research examined the medical history of caesarean section during the period from 2007th January till December of 2011. The study included 1,004 women who had caesarean section. 18 women were underwent hysterectomy. Indications for hysterectomy and history data were registered. Women with age ≥ 35 years, parity ≥ 3, history of caesarean section, a history of induced abortions, placenta praevia, leiomyoma were assessed for risk of hysterectomy during Caesarean section. Results: In DRH maternity ward during the period from January of year 2007 till December of year 2011 was 18/1000 caesarean sections. The most common indications for hysterectomy was uterine atony (n=10).
Aim: To determine the incidence, the indications and the risk factors for hysterectomy during CS and compare with literature recourses. Methods: The research is retrospective. It was conducted using the archive data available at Daugavpils Regional Hospital (DRH) Maternity Ward. The research examined the medical history of caesarean section during the period from 2007th January till December of 2011. The study included 1,004 women who had caesarean section. 18 women were underwent hysterectomy. Indications for hysterectomy and history data were registered. Women with age ≥ 35 years, parity ≥ 3, history of caesarean section, a history of induced abortions, placenta praevia, leiomyoma were assessed for risk of hysterectomy during Caesarean section. Results: In DRH maternity ward during the period from January of year 2007 till December of year 2011 was 18/1000 caesarean sections. The most common indications for hysterectomy was uterine atony (n=10).