80例围绝经期阴道出血患者的病因分布及恶性病变发生的相关因素分析  

Clinical analysis of the reason of vaginal bleeding during perimenopausal period

作　　者：祁燕 徐桂冉 郁金芬 

机构地区：[1]张家港市中医医院妇产科,江苏苏州215600

出　　处：《中国性科学》2016年第4期80-82,共3页Chinese Journal of Human Sexuality

摘　　要：目的:统计围绝经期阴道出血的病因,并对恶性病变的危险因素进行分析。方法:采用问卷调查结合病历记录的方式对80例围绝经期阴道出血妇女的临床资料进行分析,了解围绝经期妇女出血原因和可能的11个危险因素。结果:围绝经期阴道出血病因为良性病变15例(18.8%),恶性病变10例(12.5%),功能失调性子宫出血55例(68.8%)。单因素和多因素Logistic回归分析显示,就诊年龄、子宫内膜厚度和阴道出血持续时间对恶性病变的发生有显著影响。结论:功能失调性子宫出血是围绝经期阴道出血的首要原因,就诊年龄高、阴道出血时间持续长、子宫内膜增厚是围绝经期阴道出血恶性病变的危险因素,临床上应当予以重视。Objectives：To investigate the reason of vaginal bleeding during perimenopausal period and the risk factors influencing the occurrence of malignancy.Methods：Questionnaire and medical records were adopted to investigate the clinical data of 80 patients with vaginal bleeding during perimenopausal period to study the reason of vaginal bleeding during perimenopausal period and analyze possible risk factors.Results：In all patients,15 cases （18.8%） were with benign lesions,10 cases （12.5%） were with malignant lesions and 55 cases （68.8%） were with dysfunctional uterine bleeding.Univariate and multivariate logistic regression analysis indicated that mean age,endometrial thickness and duration of vaginal bleeding significantly influenced the malignancy rate.Conclusion：Dysfunctional uterine bleeding is the primary reason of vaginal bleeding during perimenopausal period.High age,long lasted vaginal bleeding and endometrial thickening are risk factors for perimenopausal bleeding malignant lesions,which should be paid attention in clinical practice.

关 键 词：围绝经期阴道出血 病因 危险因素 

分 类 号：R711[医药卫生—妇产科学]