论文部分内容阅读
目的探讨分析围绝经期及绝经后阴道流血病因。方法回顾性分析2011年1月~2014年1月间本院收治的120例围绝经期及绝经后患者临床资料。结果 120例患者中,38.33%功能失调性子宫出血并感染,31.67%子宫内膜息肉,23.33%单纯功能失调性子宫出血,6.67%子宫内膜癌;60岁以下患者的子宫内膜癌占3.57%,60岁以上患者的子宫内膜癌占13.89%,两者相比差异有统计学意义(χ2=4.31,P<0.05);绝经年限15年以下患者的子宫内膜癌占3.37%,绝经年限15年以上患者的子宫内膜癌占23.8%,两者相比差异有统计学意义(χ2=7.71,P<0.05)。结论围绝经期及绝经后阴道流血病因主要为功能失调性子宫出血和感染,其次子宫内膜病变,多数为良性病变和非器质性病变,如子宫内膜息肉等;年龄越大、绝经年限越长,出现恶性病变的概率也越高。
Objective To analyze the etiological factors of perimenopausal and postmenopausal vaginal bleeding. Methods The clinical data of 120 cases of perimenopausal and postmenopausal patients admitted to our hospital from January 2011 to January 2014 were retrospectively analyzed. Results Of the 120 patients, 38.33% had dysfunctional uterine bleeding and infection, 31.67% endometrial polyps, 23.33% simple dysfunctional uterine bleeding, 6.67% endometrial cancer, and less than 60 years of age, endometrial cancer accounted for 3.57 %, Patients with endometrial cancer over the age of 60 accounted for 13.89%, the difference between the two was statistically significant (χ2 = 4.31, P <0.05); menopausal years less than 15 years of patients with endometrial cancer accounted for 3.37%, menopause Endometrial cancer in patients with more than 15 years of life accounted for 23.8%, the difference was statistically significant (χ2 = 7.71, P <0.05). Conclusion The main causes of peri-menopausal and postmenopausal vaginal bleeding are dysfunctional uterine bleeding and infection, followed by endometrial lesions, mostly benign and non-organic lesions, such as endometrial polyps; older, menopausal years The longer, the higher the probability of malignant lesions.