摘要
目的通过对226例子宫内膜息肉的回顾性分析,探讨子宫内膜息肉的临床表现及子宫内膜息肉的数目与年龄的关系。方法回顾性分析2008年1月～2011年7月在该院通过宫腔镜电切术及病理确诊的226例子宫内膜息肉病例资料。结果有症状组在绝经前所占的比例较高,占63.0%(102/162);无症状组在绝经后所占比例增高,占53.1%(34/64)(χ2=4.887,P<0.01),差异有统计学意义。在绝经前子宫内膜息肉的临床表现中,经量增多最常见,占29.4%,绝经前直径<4 cm的子宫内膜息肉患者出现同房后点滴出血的比例较高,占34.3%,并且常伴有经间期出血。不同年龄组息肉发生的数目不同(χ2=30.958,P<0.05),差异有统计学意义。结论绝经前的子宫内膜息肉因其常有临床症状较易被发现,绝经后的子宫内膜息肉因常无症状而较难被发现。同房后点滴出血不仅可以发生在有宫颈病变的患者中,还可以发生在直径<4 cm的未脱出宫颈口外的子宫内膜息肉患者中;40岁以上子宫内膜息肉患者的单发性较多。
Objective To evaluate the clinical manifestations of endometrial polyps,and the relationship between age and polyp numbers.Methods Two hundred and twenty six cases of endometrial polyps,which were diagnosed pathologically in our hospital from January 2008 to July 2011,were analyzed retrospectively.Rusults Premenopausal cases with symptom were in higher proportion than postmenopausal cases,63.0%（102/162）（χ2=4.887,P0.01）.Premenopausal in diameter（4 cm）.Endometrial polyps patients whose premenopausal diameter smaller than 4 cm had a higher percentage in hemorrhage after bitting（34.3%）,accompanied by bleeding in the middle period.With the increase in age,the proportion of multiple polyps gradually reduce,while single polyp proportion increased gradually（χ2=30.969,P0.01）.There was a statistically significant difference.Conclusion Premenopausal endometrial polyps were found more easily because of its very clinical symptoms.Postmenopausal endometrial polyps were difficult to be found for its asymptoms.Bleeding after contact not only can occur in patients with cervical lesions,but also occur in endometrial polyps whose diameter is smaller than 4 cm.Endometrial polyps give priority to single among patients above 40.
出处
《安徽医药》
CAS
2012年第3期335-336,共2页
Anhui Medical and Pharmaceutical Journal
