围绝经期异常子宫出血合并子宫内膜病变的影响因素探究  

Influence factors of abnormal uterine bleeding complicated with endometrial disease in perimenopausal period

作　　者：高鹏飞 Gao Peng-fei(Department of Obstetrics and Gynecology,Xinzheng Tianyou Hospital,Zhengzhou 451100,China)

机构地区：[1]新郑天佑医院妇产科,河南郑州451100

出　　处：《四川生理科学杂志》2024年第9期2088-2090,共3页

摘　　要：目的:探讨围绝经期异常子宫出血合并子宫内膜病变的影响因素。方法:选取2021年5月至2023年5月期间在本院妇产科诊治的128例围绝经期异常子宫出血患者的临床资料进行回顾性分析。全部患者均接受诊刮术以获取子宫内膜组织进行病理学诊断。根据患者子宫内膜病变情况的病理学诊断结果将发生子宫内膜病变的患者分为病变组,其他未发生子宫内膜病变的患者分为正常组。查阅患者资料,分析围绝经期异常子宫出血合并子宫内膜病变的影响因素。结果:所有患者中合并子宫内膜病变93例(72.66%);单因素与多因素Logistic回归分析检验结果显示:年龄、子宫内膜厚度、出血时间均可能是围绝经期异常子宫出血患者合并子宫内膜病变的影响因素,其均是风险因素(OR>1,P<0.05)。结论:年龄大、子宫内膜厚度≥7 mm、出血时间≥3 m均可能会导致围绝经期异常子宫出血患者合并子宫内膜病变,应引起临床重视。Objective:To investigate the influencing factors of abnormal uterine bleeding complicated with endometrial lesions in perimenopausal period.Methods:The clinical data of 128 patients with abnormal perimenopausal uterine bleeding were retrospectively analyzed from May 2021 to May 2023 in the Department of Obstetrics and Gynecology of our hospital.All patients underwent curettage to obtain endometrial tissue for pathological diagnosis.Patients with endometrial lesions were included in the pathological group,and other patients without endometrial lesions were included in the normal group according to the pathological diagnosis results of endometrial lesions.The influencing factors of abnormal uterine bleeding combined with endometrial lesions in perimenopausal period were analyzed by referring to patient data.Results:There were 93 patients with endometrial lesions(72.66%).Univariate and multivariate Logistic regression analysis was performed,and the results showed that age,endometrial thickness and bleeding time were all risk factors for patients with abnormal perimenopausal uterine bleeding complicated with endometrial lesions(OR>1,P<0.05).Conclusion:Older age,endometrial thickness≥7 millimeter,and bleeding time≥3 months may lead to abnormal uterine bleeding in perimenopausal patients with endometrial lesions,which should be paid attention to clinically.

关 键 词：异常子宫出血 围绝经期 子宫内膜病变 子宫内膜厚度 出血时间 

分 类 号：R711.52[医药卫生—妇产科学]