The epidemiological profile of hysterectomy in rural Chinese women: a population-based study.
The epidemiological profile of hysterectomy in rural Chinese women: a population-based study.
复制标题
中国农村妇女子宫切除术的流行病学概况：基于人群的研究。
DOI：
10.1136/bmjopen-2016-015351
复制
发表时间：
2017-06-30
期刊：
影响因子：
2.9
通讯作者：
Ke Y
中科院分区：
文献类型：
--
作者：
Liu F;Pan Y;Liang Y;Zhang C;Deng Q;Li X;Liu M;He Z;Liu Y;Li J;Ning T;Guo C;Xu R;Zhang L;Cai H;Ke Y
子宫切除术是发达国家妇女最常见的外科手术之一;然而，对低收入至中等收入地区子宫切除术的流行病学知之甚少。本研究旨在评估中国农村子宫切除术的患病率及其危险因素。2009 - 2011年，在中国安阳农村地区收集了3328名25 - 69岁的女性成年人的问卷。妇科医生在细胞学检查时确定子宫切除术状态。单因素和多因素回归分析，以评估子宫切除术的危险因素。子宫切除率为3.31%（110/3328）。40岁以上的女性与25 - 39岁的女性相比，既往子宫切除术的患病率更高（5.01% vs 0.33%）。肥胖与子宫切除术的高风险略有相关（校正OR=1.59; 95%CI 0.99 ~ 2.56;体重指数（BMI）≥ 28.0 vs 18.5 ≤ BMI <24.0）。既往流产史增加了子宫切除术的风险（校正OR=1.51; 95%CI 1.02 - 2.23）。在75例（68.18%，75/110）提供子宫切除术进一步信息的病例中，84.00%（63/75）接受了腹式全子宫切除术，70.67%（53/75）接受了子宫肌瘤手术。中国农村妇女子宫切除术的患病率相对较低，大多数报告的子宫切除术是在腹部进行的平滑肌瘤。子宫切除术的患病率在年龄、BMI和流产史方面存在显著差异。这项研究扩大了目前的了解子宫切除术的流行病学在较低的资源领域。
Hysterectomy is one of the most common surgical procedures performed on women in developed countries; however, little is known about the epidemiology of hysterectomy in low-income to middle-income regions. This study seeks to evaluate the prevalence of hysterectomy and its risk factors in rural China. Questionnaires were collected from 3328 female adults aged 25–69 years in rural Anyang, China, in 2009–2011. Hysterectomy status was ascertained by the gynaecologist at the time of cytological test. Univariate and multivariate regression analyses were performed to assess the risk factors for hysterectomy. The overall prevalence of hysterectomy was 3.31% (110/3328). Women above the age of 40 years had a higher prevalence of prior hysterectomy, compared with those aged 25–39 years (5.01% vs 0.33%). Obesity was marginally related with a higher risk of hysterectomy (adjusted OR=1.59; 95% CI 0.99 to 2.56; body mass index (BMI) ≥28.0 vs 18.5 ≤ BMI <24.0). History of prior pregnancy loss conferred a greater risk for hysterectomy (adjusted OR=1.51; 95% CI 1.02 to 2.23). Of the 75 (68.18%, 75/110) cases who provided further information on hysterectomy, 84.00% (63/75) had undergone total abdominal hysterectomy and 70.67% (53/75) had received surgery for leiomyoma. Rural Chinese women had a relatively low prevalence of hysterectomy, and the majority of reported hysterectomies were performed abdominally for leiomyoma. Hysterectomy prevalence differed significantly by age, BMI and history of pregnancy loss. This study expands the current understanding of the epidemiology of hysterectomy in lower resource areas.
登录
查看更多内容
影响因子：
12.7
作者：
Dharmalingam, A;Pool, I;Dickson, J
通讯作者：
Dickson, J
影响因子：
3.2
作者：
Desai S;Campbell OM;Sinha T;Mahal A;Cousens S
通讯作者：
Cousens S
安阳食管癌队列研究：研究设计、实地调查的实施以及计算机辅助调查系统的使用
影响因子：
3.7
作者：
Liu F;Guo F;Zhou Y;He Z;Tian X;Guo C;Ning T;Pan Y;Cai H;Ke Y
通讯作者：
Ke Y
DOI：
10.1111/j.1471-0528.2005.00696.x
发表时间：
2005-07-01
影响因子：
5.8
作者：
Farquhar, CM;Sadler, L;Stewart, AW
通讯作者：
Stewart, AW
影响因子：
7.2
作者：
Jacobson, Gavin F.;Shaber, Ruth E.;Hung, Yun-Yi
通讯作者：
Hung, Yun-Yi