https://scholars.lib.ntu.edu.tw/handle/123456789/460280
標題: | Impact of submucous myoma on the severity of anemia | 作者: | JEHN-HSIAHN YANG MEI-JOU CHEN CHIN-DER CHEN CHI-LING CHEN HONG-NERNG HO YU-SHIH YANG |
公開日期: | 2011 | 卷: | 95 | 期: | 5 | 起(迄)頁: | 1769-1772 | 來源出版物: | Fertility and Sterility | 摘要: | Objective: To analyze the impact of the diameter (myoma-φ) and the uterine cavity protruding proportion (protruding %) of the submucous myoma on serum hemoglobin (Hb) level. Design: Retrospective descriptive study. Setting: Tertiary university hospital. Patient(s): Two hundred fifty-nine women with a single submucous myoma. Intervention(s): Transvaginal ultrasound examination and office hysteroscopy. Main Outcome Measure(s): Myoma-φ and protruding % were determined with transvaginal ultrasound scan and office hysteroscopy. Menorrhagic period (months) and serum Hb were recorded within 2 weeks of these examinations. Result(s): Serum Hb negatively correlated with myoma-φ, protruding %, and menorrhagic period. The negative association between serum Hb and protruding % was even more prominent after adjusting for myoma-φ. Multivariate regression analysis revealed that myoma-φ and protruding %, after adjusting for the confounding effect of menorrhagic period, maintained a strongly negative correlation with serum Hb level. When myoma-φ was <2 cm, however, the serum Hb levels were similar regardless of the protruding %. Conclusion(s): For women with a single submucous myoma, myoma-φ and protruding % can determine the serum Hb level significantly . As myoma-φ and protruding % increased, the serum Hb level decreased accordingly. Copyright ? 2011 American Society for Reproductive Medicine, Published by Elsevier Inc. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/460280 | ISSN: | 0015-0282 | DOI: | 10.1016/j.fertnstert.2011.01.142 | SDG/關鍵字: | hemoglobin; adult; anemia; article; correlation analysis; disease association; disease severity; female; hemoglobin blood level; human; hysteroscopy; major clinical study; menorrhagia; myoma; priority journal; risk assessment; transvaginal echography |
顯示於: | 醫學系 |
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