期刊文献+

绝经后阴道流血238例临床分析

Clinical Analysis of 238 Cases with Postmenopausal Vaginal Bleeding
下载PDF
导出
摘要 目的探讨绝经后阴道流血的原因。方法将本院2003年5月至2011年5月门诊及住院收治的238例绝经后阴道流血患者资料进行回顾性分析。结果绝经后阴道流血的原因中子宫良性病变占83.19%。子宫恶性肿瘤占16.81%。不同绝经年限的患者恶性肿瘤的发生率不同,差异有统计学意义(P<0.01)。结论子宫良性病变是引起绝经后阴道流血的主要原因,但子宫恶性肿瘤所致的阴道流血不可忽视。特别是年龄大,出血距绝经时间长的患者,应及时采用合理检查,可以提高诊治率。 Objective To explore the reasons of postmenopausal vaginal bleeding. Methods 238 cases of postmenopausal vaginal bleeding were retrospectively analysed. Results Of all the reasons, uterine benign lesions accounted for 83.19%, and uterine malignant tumor accounted for 16.81%. Patients with different menopause period had different incidence of malignancy, with statistically significant difference(P 0.01). Conclusion Uterine benign lesion is the main reason for postmenopausal vaginal bleeding. Patients with older age, or a long time of menopause should timely receive reasonable detection, which can improve the rate of diagnosis and treatment.
作者 孙卓湘
出处 《临床医学工程》 2011年第12期1872-1873,共2页 Clinical Medicine & Engineering
关键词 绝经 阴道流血 子宫病变 Menopause Vaginal bleeding Uterine lesions
  • 相关文献

参考文献5

二级参考文献22

  • 1周明佩 李祥周.绝经后子宫出血病理诊断[J].中华妇产科杂志,1989,24(3):169-169.
  • 2[1]Goldstein SR, Nachtigall M, Snyder JR, et al. Endometrial assessment by vaginal ultrasonography before endometrial sampling in patients with postmenopausal bleeding. Am J Obstet Gynecol, 1990,163:119-123.
  • 3[2]Smith P, Bakos O, Heimer G, et al. Transvaginal ultrasound for identifying endometrial abnormality. Acta Obstet Gynecol Scand, 1991,70:591-594.
  • 4[3]Gupta JK, Wilson S, Desai P, et al. How should we investigate women with postmenopausal bleeding? Acta Obstet Gynecol Scand, 1996,75:475-479.
  • 5[4]Gull B,Carlsson S, Karlsson B, et al. Transvaginal ultrasonography of the endometrium in women with postmenopausal bleeding:Is it necessary to perform an endometrial biopsy? Am J Obstet Gynecol, 2000,182:509-515.
  • 6[5]Fothergill DJ, Brown VA, Hill AS. Histological sampling of the endometrium-A comparison between formal curettage and the pipelle sampler. Br J Obstet Gynaecol, 1992, 99:779-780.
  • 7[6]Batool T, Reginald PW, Hughes JH. Outpatient Pipelle endometrial biopsy in the investigation of postmenopausal bleeding. British Journal of Obstetrics and Gynaecology, 1994,101:545-546.
  • 8[7]O'Connell LP, Fries MH, Zeringue E, et al. Triage of abnormal postmenopausal bleeding:A comparison of endometrial biopsy and transvaginal sonohysterography versus fractional curettage with hysteroscopy. Am J Obstet Gynecol, 1998,178:956-961.
  • 9[11]Karlsson B, Granberg S, Wikland M, et al. Endovaginal Scanning of the endometrium compared to cytology and histology in women with postmenopausal bleeding. Gynecologic Oncology, 1993,50:173-178.
  • 10[12]Cacciatore B, Ramsay T, Lehtovirta P, et al. Transvaginal sonogaphy and hysteroscopy in postmenopausal bleeding. Acta Obstet Gynecol Scand, 1994,73:413-416.

共引文献91

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部