绝经后出血及其诊断价值的临床研究综述

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2019-01-01 DOI:10.15406/mojwh.2019.08.00213

Kanika Chopra

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引用次数: 0

摘要

绝经后出血是指绝经妇女的任何子宫出血，占所有妇科门诊就诊的近5%在其中一项研究的454例绝经后患者中，最终诊断为癌症的占6.6%，不典型增生占0.2%，无异型增生占2%，息肉占37.7%，肌瘤占6.2%，增生性/分泌性增生占14.5%，肥大/萎缩占30.8%绝经后出血的原因可以是妇科或非妇科。在妇科病因中，它既可以是宫内的也可以是宫外的，包括子宫颈、阴道、外阴或输卵管和卵巢。尿道、膀胱、肛门、直肠、肠道或会阴出血也应排除在外。

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Clinical perspective to postmenopausal bleeding and its diagnostic evaluation: a mini review

Postmenopausal bleeding refers to any uterine bleeding in a menopausal woman, accounting to nearly 5 % of all outpatient visits to a gynaecologist.1 Among the 454 postmenopausal patients in one of the study, final diagnosis was cancer in 6.6% cases, atypical hyperplasia in 0.2%, hyperplasia without atypia in 2%, polyps in 37.7%, fibroid in 6.2%, proliferative/secretory in 14.5% and hypertrophy/atrophy in 30.8% cases.2 The causes of postmenopausal bleeding can be gynaecological or nongynaecological. Among the gynaecological causes it can be either intrauterine or extrauterine and these includes cervical, vaginal, vulval, or from fallopian tube and ovaries. Bleeding from urethra, bladder, anus, rectum, bowel or perineum should also be ruled out.

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来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.