Factores de riesgo que predisponen la presencia de miomas uterinos en pacientes post menopáusicas
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
En el presente estudio se definió a los miomas uterinos o también como masas
solidas de consistencia fibrosa que pueden presentarse de forma múltiple o
individual que va a variar en lo que respecta al tamaño, constituyéndose como la
neoplasia benigna más frecuente en la mujer, formados de matriz extracelular,
colágeno, fibronectina y proteoglicanos, en 30% de las pacientes que cursan con
esta patología acusan como síntomas principales hemorragia uterina anormal, dolor
pélvico y otros síntomas que inciden en la calidad de vida de las pacientes.
Durante el desarrollo del estudio realizado en Ecuador en el Hospital General del
Norte de Guayaquil IESS “Los ceibos” durante el periodo 2021 – 2022, en el área de
hospitalización ginecológica, en donde se estimó los principales factores de riesgo
que determinan el desarrollo de miomas uterinos, utilizando variables como edad,
menarquia, antecedentes familiares y personales, paridad, abortos, obesidad,
evaluando por separado la predisposición de estos en la población recogida.
Se obtuvo resultados estadísticos en torno a cada factor de riesgo
identificando su importancia de forma individual para estimar el grupo de riesgo más
susceptible en base a la muestra que obtuvimos y si esta eventualmente se
encuentra correlacionada intrínsecamente para la formación de miomas uterinas,
comparando dichos valores con estudios retrospectivos tanto nacionales como
internacionales.
Palabras claves: Leiomiomatosis uterina, utero, postmenopausia,
menarquia, obesidad, hemorragia.
In the present study, uterine fibroids were defined or also as solid masses of fibrous consistency that can appear multiple or individually that will vary in size, becoming the most frequent benign neoplasm in women, formed of extracellular matrix, collagen, fibronectin and proteoglycans, in 30% of patients with this pathology the main symptoms are abnormal uterine bleeding, pelvic pain and other symptoms that affect the quality of life of patients. During the development of the study carried out in Ecuador at the Hospital General del Norte de Guayaquil IESS "Los ceibos" during the period 2021 - 2022, in the area of gynecological hospitalization, therefore in this study the main risk factors that determine the development of uterine fibroids, using variables such as age, menarche, family and personal history, parity, abortions, obesity, evaluating separately the predisposition of these in the collected population. Statistical results were obtained around each risk factor, identifying its importance individually to estimate the most susceptible risk group based on the sample we obtained and if this eventually is intrinsically correlated to the formation of uterine fibroids, comparing these values. with both national and international retrospective studies. Keywords: Uterine leiomyomatosis, uterus, postmenopause, menarche, obesity, hemorrhage.
In the present study, uterine fibroids were defined or also as solid masses of fibrous consistency that can appear multiple or individually that will vary in size, becoming the most frequent benign neoplasm in women, formed of extracellular matrix, collagen, fibronectin and proteoglycans, in 30% of patients with this pathology the main symptoms are abnormal uterine bleeding, pelvic pain and other symptoms that affect the quality of life of patients. During the development of the study carried out in Ecuador at the Hospital General del Norte de Guayaquil IESS "Los ceibos" during the period 2021 - 2022, in the area of gynecological hospitalization, therefore in this study the main risk factors that determine the development of uterine fibroids, using variables such as age, menarche, family and personal history, parity, abortions, obesity, evaluating separately the predisposition of these in the collected population. Statistical results were obtained around each risk factor, identifying its importance individually to estimate the most susceptible risk group based on the sample we obtained and if this eventually is intrinsically correlated to the formation of uterine fibroids, comparing these values. with both national and international retrospective studies. Keywords: Uterine leiomyomatosis, uterus, postmenopause, menarche, obesity, hemorrhage.
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MIOMAS UTERINOS, FACTORES DE RIESGO, POSTMENOPAUSIA, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL IESS LOS CEIBOS, CANTON GUAYAQUIL, ECUADOR