国际老年医学杂志
國際老年醫學雜誌
국제노년의학잡지
international Journal of Geriatrics
2015年
5期
217-220
,共4页
阴道出血%绝经后%子宫内膜癌%子宫内膜厚度
陰道齣血%絕經後%子宮內膜癌%子宮內膜厚度
음도출혈%절경후%자궁내막암%자궁내막후도
PMB%Post-Menopause%Endometrial cancer%Endometrial thickness
目的：：对绝经后阴道流血( PMB)并发子宫内膜癌进行病理学研究,探讨其临床特征。方法：回顾性分析我站和靖煤集团总院2012年5月~2014年6月317例PMB患者的临床资料,根据刮宫及(或)术后病理检查结果,将PMB患者按病理学类型分为子宫内膜癌、良性病变及非器质性病变。对比子宫内膜癌与其他两类病变的临床指标,分析子宫内膜癌PMB的相关因素。结果： PMB患者中,病理学诊断为子宫内膜癌者占10.4%(33/317)；子宫内膜癌PMB患者的绝经年龄、绝经年限、出血持续时间、肥胖、高血压、糖尿病比例及子宫内膜厚度与宫腔深度均高于其他病变的PMB患者,差异均有统计学意义(P<0.05)。多因素回归分析表明,子宫内膜厚度是子宫内膜癌PMB的独立相关因素(OR=3.07,95%CI=12.4~17.9, P=0.008)。结论：应纠正以往将PMB与子宫内膜癌等同的错误观点, PMB者应及早诊断,明确病因,可先行B超测量子宫内膜厚度,初步筛查子宫内膜癌后再以刮宫或术后病理诊断确诊。
目的：：對絕經後陰道流血( PMB)併髮子宮內膜癌進行病理學研究,探討其臨床特徵。方法：迴顧性分析我站和靖煤集糰總院2012年5月~2014年6月317例PMB患者的臨床資料,根據颳宮及(或)術後病理檢查結果,將PMB患者按病理學類型分為子宮內膜癌、良性病變及非器質性病變。對比子宮內膜癌與其他兩類病變的臨床指標,分析子宮內膜癌PMB的相關因素。結果： PMB患者中,病理學診斷為子宮內膜癌者佔10.4%(33/317)；子宮內膜癌PMB患者的絕經年齡、絕經年限、齣血持續時間、肥胖、高血壓、糖尿病比例及子宮內膜厚度與宮腔深度均高于其他病變的PMB患者,差異均有統計學意義(P<0.05)。多因素迴歸分析錶明,子宮內膜厚度是子宮內膜癌PMB的獨立相關因素(OR=3.07,95%CI=12.4~17.9, P=0.008)。結論：應糾正以往將PMB與子宮內膜癌等同的錯誤觀點, PMB者應及早診斷,明確病因,可先行B超測量子宮內膜厚度,初步篩查子宮內膜癌後再以颳宮或術後病理診斷確診。
목적：：대절경후음도류혈( PMB)병발자궁내막암진행병이학연구,탐토기림상특정。방법：회고성분석아참화정매집단총원2012년5월~2014년6월317례PMB환자적림상자료,근거괄궁급(혹)술후병리검사결과,장PMB환자안병이학류형분위자궁내막암、량성병변급비기질성병변。대비자궁내막암여기타량류병변적림상지표,분석자궁내막암PMB적상관인소。결과： PMB환자중,병이학진단위자궁내막암자점10.4%(33/317)；자궁내막암PMB환자적절경년령、절경년한、출혈지속시간、비반、고혈압、당뇨병비례급자궁내막후도여궁강심도균고우기타병변적PMB환자,차이균유통계학의의(P<0.05)。다인소회귀분석표명,자궁내막후도시자궁내막암PMB적독립상관인소(OR=3.07,95%CI=12.4~17.9, P=0.008)。결론：응규정이왕장PMB여자궁내막암등동적착오관점, PMB자응급조진단,명학병인,가선행B초측양자궁내막후도,초보사사자궁내막암후재이괄궁혹술후병리진단학진。
OBJECTIVE: To study the pathology of PMB caused by endometrial cancer and to investigate its clinical characteris-tics. METHODS: 317 patients of PMB during May 2012-June 2014 were retrospectively analyzed. Curettage and ( or) postoperative pathological diagnosis were used to determine pathology: endometrial cancer, benign or non-organic disease. A contrast of clinical indicators between endometrial cancer and the other two was carried on. RESULTS: PMB patients caused by endometrial cancer were 10. 4% (33/317). And their age at menopause, menopause period, bleeding duration, obesity/hypertension and diabetes rate, endometrial thickness and uterine cavity depth were all higher than those caused by benign or non-organic disease. Further studies showed that endometrial thickness was the only independent related factor of PMB caused by endometrial cancer. CONCLUSION: The view that equals PMB and endometrial cancer should be corrected and PMB should be early diagnosd to figure out its cause.
