与子宫纤维相关的严重月经出血的治疗:荷兰四家医院的临床实践变化
Elisabeth R Knorren1, Daniëlle P C Huijs2,3, Ingrid M Nijholt1
1Department of Radiology, Isala, Zwolle, the Netherlands, isala.nl.
Obstetrics and gynecology international
|March 2, 2026
概括
临床实践在治疗子宫纤维瘤相关的严重月经出血方面有很大的差异. 这项研究突出了医院之间治疗开始和类型的差异,表明需要改善指导方针遵守和患者咨询.
科学领域:
- 妇科 妇科医生 妇科
- 医学实践的变化 医学实践的变化
- 妇女健康 妇女健康
背景情况:
- 子宫纤维瘤是严重月经出血 (HMB) 的首要原因.
- 在医院水平上,由于纤维瘤而导致的HMB治疗的临床实践变化的程度尚不清楚.
研究的目的:
- 识别和评估由子宫纤维瘤引起的HMB管理的临床实践变化.
主要方法:
- 一个多中心的,回顾性数据库研究使用电子健康记录.
- 包括2019年出现HMB和纤维瘤的55岁以下的女性.
- 分析了从第一次预约到2022年12月的数据,重点关注治疗开始和类型.
主要成果:
- 在四家医院中,开始治疗的数量和类型存在显著差异.
- 药物治疗是最常见的 (62.9%),有显著的医院间差异.
- 最少侵入性疗法在51.2%的患者中使用,但保存子宫的选择很少 (9.4%).
- 切除子宫的发生率各不相同,其中一家医院的发生率明显更高 (52.3%).
结论:
- 在荷兰妇女治疗肌肉瘤的HMB方面存在实质性的临床实践差异.
- 组织因素可能会导致这些变化.
- 通过遵守指南,教育和咨询来解决不合理的变化,可以提高护理质量,效率和公平性.
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