| 马丽萍,张辰晨,徐福霞.异常子宫出血 265例相关因素分析[J].安徽医药,2020,24(4):756-758. |
| 异常子宫出血 265例相关因素分析 |
| Relevant factors of abnormal uterine bleeding:an analysis of 265 cases |
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| DOI：10.3969/j.issn.1009?6469.2020.04.030 |
| 中文关键词: 子宫出血/病因学 病理状态，体征和症状 子宫内膜 宫腔镜检查 |
| 英文关键词: Uterine hemorrhage/etiology Pathological conditions,signs and symptoms Endometrium Hysteroscopy |
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| 中文摘要: |
| 目的探讨不同病理类型异常子宫出血的临床特征。方法选择 2016年 8月至 2018年 8月在安徽省第二人民医院住院治疗并行宫腔镜检查的 265例异常子宫出血病人，按病理类型分为生理性子宫内膜组( A组， 122例)，功能性子宫内膜病变组(B组， 68例)以及器质性子宫内膜病变组( C组， 75例)，收集病例资料分析其宫腔疾病的病理类型及有关临床特征。结果 265例病人中 A组约占 46.0%。三组病人的年龄、初潮年龄、月经周期、经期持续时间、月经量、妊娠次数、产次、流产次数差异无统计学意义( P＞0.05)； C组月经规律的比例为 66.7%，与 A组的 82.8%相比较低( P＜0.016 7)； C组体质量指数( 29.47±3.29) kg/m2，高于 A组( 22.88±4.17)kg/m2及 B组( 23.58±3.96)kg/m2。此外， C组高血压、糖尿病患病率分别为 18.67%及 21.30%，明显高于 A组的 6.56%及 8.20%，差异有统计学意义( P＜0.016 7)。三组病人间是否有经量增多及延长的比例、入院血红蛋白(HGB)、子宫内膜厚度比较差异无统计学意义( P＞0.05)。结论异常子宫出血多为良性病变；月经不规律、肥胖、高血压、糖尿病的异常子宫出血病人更容易发生器质性病变，但不同病理类型的异常子宫出血临床表现无特异性，超声测量子宫内膜厚度对判断是否由器质性病变引起异常子宫出血价值有限。 |
| 英文摘要: |
| Objective To investigate the clinical features of abnormal uterine bleeding in different pathological types.Methods A total of 265 patients with abnormal uterine bleeding who were admitted to Anhui NO.2 Provincial People’s Hospital from August 2016 to August 2018 were selected and，according to pathological types，were assigned into physiological endometrium group(groupA，122 cases)，functional disease group(group B，68 cases)and organic disease group(group C，75 cases).The patient data were collected to analyze the pathological types and clinical features of uterine cavity disease.Results Of the 265 patients，patients of group A accounted for 46.0%.There were no significant differences in age，menarche age，menstrual cycle，duration and volume and also the number of pregnancies and parity and abortions among the groups(P＞0.05).There was a statistical difference in the regu? larity of menstruation among the three groups，and the ratio of regular menstruation in group C(66.7%)was lower than that in group A(82.8%，P＜0.0167).The average body mass index in group C was(29.47±3.29)kg/m2，higher than(22.88±4.17)kg/m2 in group A and(23.58±3.96)kg/m2 in group B.In addition，the incidences of hypertension and diabetes in group Cwere 18.67% and 21.30%，respectively，which were significantly higher than 6.56% and 8.20% in group A；the difference was statistically significant(P＜0.0167).There were no significant differences in the proportion of increase in the volume and prolongation of menstruation， HGB at admission and endometrial thickness among the groups(P＞0.05).Conclusions Abnormal uterine bleeding is mostly be? nign lesions.Such patients with irregular menstruation，obesity，hypertension，and diabetes are more likely to develop organic lesions， but the clinical manifestations of abnormal uterine bleeding of different pathological types are not specific.Ultrasound measurementof endometrium thickness is of limited value in determining whether abnormal uterine bleeding is caused by organic lesions. |
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