功能失调性子宫出血158例临床表现分析

发布时间：2018-11-22 07:52

【摘要】：目的探讨不同年龄段功能失调性子宫出血(功血)住院病人临床特点。方法收集2009年3月至2014年2月间因确诊功血为主要诊断而入住中山大学附属第一医院的病人158例。收集病人年龄等一般情况、血常规、B超及诊刮内膜病理资料进行分析。158例病人分为3个年龄组按照贫血程度比较。结果≤30岁住院病人发生重度贫血占46.9%,其次为40岁组(32.9%)。30~40岁组最低(27.3%),3组间比较,差异有统计学意义(P=0.03)。3组间输血率比较,差异亦有统计学意义(P=0.001),≤30岁病人住院输血比例达到71.4%。不同年龄组间子宫内膜厚度及内膜异常增生情况比较,差异无统计学意义(P0.05)。不同子宫内膜厚度组间内膜异常增生率差异有统计学意义(P=0.014),在子宫内膜厚度超过12mm组,内膜异常增生率达53.3%,而5mm组无子宫内膜异常增生发生。结论功血住院病人的贫血情况和年龄明显相关;子宫内膜厚度对预测子宫内膜异常增生有重要作用。
[Abstract]:Objective to investigate the clinical features of dysfunctional uterine bleeding (dysfunctional uterine bleeding) in different age groups. Methods 158 patients admitted to the first affiliated Hospital of Sun Yat-sen University from March 2009 to February 2014 were collected. The data of age, blood routine, B-ultrasound and pathological data of endometrial curettage were analyzed. 158 patients were divided into 3 age groups according to the degree of anemia. Results the incidence of severe anemia in inpatients 鈮，

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