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绝经后子宫出血与子宫内膜癌相关分析 被引量:5

Postmenopausal uterine bleeding(PUB) and Endometrial cancer
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摘要 目的探讨绝经后子宫出血与子宫内膜癌关系,了解子宫内膜癌风险因素。方法对2003年1月至2008年12月,因绝经后子宫出血或B超常规检查异常的219例绝经期妇女宫腔镜检查及内膜活检的结果进行回顾性分析。结果子宫内膜癌组在患者就诊年龄、绝经年限、出血时间及子宫出血发生率等方面均高于良性病变组,差异有统计学意义。有绝经后子宫出血症状罹患子宫内膜癌风险4.07(P=0.017)。结论患者就诊年龄越大,绝经时间及出血时间越长,子宫内膜癌风险越高。 Objective To evaluate the relationship of postmenopausal uterine bleeding and endometrial cancer,and the risk factors of endometrial cancer in postmenopausal women.Methods Retrospective analysis was conducted in 219 postmenopausal women with uterine bleeding or abnormal ultrasound screening test,using the hysteroscopic and endometrial biopsy from Jan 2003 to Oct 2008.Results It's of significant difference between the endometrial cancer group and benign endometrium lesion group and atypic hyperplasia group in the presenting age,menopausal age,duration of uterine bleeding and uterine bleeding incidence,the endometrial cancer group is higher than benign groups in all aspects.The Ordinal OR is 4.07 related to the endometrial cancer in postmenopausal women presented with uterine bleeding.Conclusion As the presenting age,menopausal age and duration of uterine bleeding increase,the endometrial cancer risk becomes higher.It's supposed to pay more attention to postmenopausal uterine bleeding and follow-up of the women presented with bleeding symptom.
出处 《湖南中医药大学学报》 CAS 2011年第4期34-35,共2页 Journal of Hunan University of Chinese Medicine
关键词 子宫内膜癌 绝经后子宫出血 宫腔镜检查 endometrial cancer postmenopausal bleeding hysteroscopy
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  • 1马征兵,杨瑛.子宫内膜增生的诊断进展[J].生殖医学杂志,2008,17(5):389-392. 被引量:6
  • 2史崑,姜宏宁.恶性肿瘤并发绝经后阴道出血的危险因素分析[J].中国妇幼保健,2009,24(2):211-213. 被引量:8
  • 3Ribeiro CT,Rosa-E-Silva JC,Silva-de-S~i MF,et al.Hysteroscopy as a standard procedure for assessing endometrial lesions among post- menopausal women[J].Sao Paulo Med J,2007,Nov, l,125(6):338-342.
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