Pacientes con diagnóstico de miomas uterinos atendidas en el Hospital Universitario en el año 2013
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Los miomas uterinos son tumores benignos estrógenos dependientes, se producen por la proliferación patológica de las fibras musculares lisas del miometrio normal, además de contener tejido conectivo y fibroso. El propósito de esta investigación es determinar la incidencia de Miomas Uterinos, factores de riesgo y sus manifestaciones clínicas en el Sistema Hospitalario de Docencia de la Universidad de Guayaquil durante el año 2013, para poder contribuir con la actualización de datos necesarios para implementar nuevas formas para afrontar esta patología en nuestro hospital. Durante el año 2013 en el Hospital Universitario de Guayaquil, se atendieron a 8643 personas en el área de Ginecología en Consulta externa, de las cuales 565 corresponden al diagnóstico de Miomas Uterino. Según los datos obtenidos podemos evidenciar la importancia de esta patología que corresponde a un 7% de todas las consultas en el área especializada en ginecología de consulta externa, otro dato muy importante a resaltar es el alto índice de incidencia según la edad en el rango de 51 – 55 años ( 232 casos ) este estudio reveló que su mayor incidencia se presenta en persona Afroecuatorianas con un 54% en comparación con un 23% de la raza mestiza, además se realizó un análisis comparativo entre la relación de esta patología con respecto a la menarquia, dando como resultado su mayor incidencia en la menarquia precoz que corresponden a un 74% de pacientes, en comparación a las pacientes con menarquia normal 15% y tardía 11%. La ubicación macroscópica del Mioma corresponde a Submucoso: 7%; Intramurales: 55%; Subserosos: 35%; Pediculados: 3%. De esta forma se cumplieron con los objetivos generales y específicos planteados en esta investigación.
Fibroids are benign estrogen dependent tumors, are produced by the pathological proliferation of smooth muscle fibers of normal myometrium, and contain connective and fibrous tissue. The purpose of this research is to determine the incidence of Uterine Fibroids, risk factors and clinical manifestations in the Teaching Hospital System University of Guayaquil in 2013, to contribute to the updating of data needed to implement new ways to address this pathology in our hospital. n 2013 at the University Hospital of Guayaquil, they were attended 8643 people in the area of gynecology outpatient, of which 565 are for the diagnosis of Uterine Fibroids. According to the data we can demonstrate the importance of this pathology corresponding to 7% of all consultations in specializing in gynecology outpatient area, another very important to highlight data is the high rate of incidence by age in the range of 51-55 years (232 cases), this study found that the highest incidence occurs in person Afroecuadorian 54% compared with 23% of mixed race, plus a comparative analysis of the relationship of this pathology is performed with respect to menarche, resulting in greater incidence in the early menarche corresponding to 74% of patients compared to patients with normal 15% and 11% late menarche. Macroscopic Mioma location Submucous corresponds to 7%; Intramural: 55%; Subserosal: 35%; Pedunculated: 3%. Thus they met the general and specific objectives in this research.
Fibroids are benign estrogen dependent tumors, are produced by the pathological proliferation of smooth muscle fibers of normal myometrium, and contain connective and fibrous tissue. The purpose of this research is to determine the incidence of Uterine Fibroids, risk factors and clinical manifestations in the Teaching Hospital System University of Guayaquil in 2013, to contribute to the updating of data needed to implement new ways to address this pathology in our hospital. n 2013 at the University Hospital of Guayaquil, they were attended 8643 people in the area of gynecology outpatient, of which 565 are for the diagnosis of Uterine Fibroids. According to the data we can demonstrate the importance of this pathology corresponding to 7% of all consultations in specializing in gynecology outpatient area, another very important to highlight data is the high rate of incidence by age in the range of 51-55 years (232 cases), this study found that the highest incidence occurs in person Afroecuadorian 54% compared with 23% of mixed race, plus a comparative analysis of the relationship of this pathology is performed with respect to menarche, resulting in greater incidence in the early menarche corresponding to 74% of patients compared to patients with normal 15% and 11% late menarche. Macroscopic Mioma location Submucous corresponds to 7%; Intramural: 55%; Subserosal: 35%; Pedunculated: 3%. Thus they met the general and specific objectives in this research.
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Miomas uterinos, Factores de riesgo, Adulto, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador