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首页> 外文期刊>International Journal of Biomedical and Advance Research >Role of Ultrasonography and Endometrial Sampling in Perimenopausal Abnormal Uterine Bleeding
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Role of Ultrasonography and Endometrial Sampling in Perimenopausal Abnormal Uterine Bleeding

机译：超声和子宫内膜采样在围绝经期异常子宫出血中的作用

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Background: Abnormal uterine bleeding (AUB) is a frequently encountered gynecologic complaint in perimenopausal woman. AUB is defined as any deviation from the normal menstrual pattern. These include change in regularity, frequency of menses, duration or amount of bleeding during or in between periods. However endometrial hyperplasia and carcinoma are commoner in perimenopausal and postmenopausal women warranting investigations like ultrasonography and endometrial biopsy.Aims and Objective: To correlate histopathological findings in patients with AUB with transvaginal scan report in perimenopausal women.Method: In present study, total 41 women of age 40 years or above, not pregnant, presenting with abnormal bleeding per vaginum were evaluated. All patients underwent transvaginal scan to note down the endometrial thickness and to rule out uterine and adnexal pathology. Endometrial biopsy was done using a curette and tissue obtained was sent for histopathological examination. Findings of these diagnostic modalities were then correlated.Results: Majority of cases (92.6%) were below 50 years, and multiparous. Obesity was the commonest (41.4 %) co-morbidity followed by hypertension (24.3%) and hypothyroidism (19.51%). USG was normal in most (41.4%) of the cases while structural abnormalities (polyp or leiomyoma) was the most common USG findings (34.13%) followed by hyperplasia (19.49%). Endometrial thickness (ET) was 8 in majority (68.52%) of cases. Proliferative endometrium was the most common histopathological finding (36.58%), only 1 case of malignancy was found.Conclusion: Ultrasonography is useful for triaging abnormal uterine bleeding, but keeping risk factors in the mind, endometrial histopathology still has important role in the management of perimenopausal AUB.
机译：背景：子宫出血（AUB）是绝经后妇女中经常遇到的妇科疾病。 AUB被定义为与正常月经方式的任何偏差。这些包括规律性变化，月经频率，持续时间或期间或间隔之间的出血量变化。然而，子宫内膜增生和癌在绝经后和绝经后妇女中很常见，需要进行超声检查和子宫内膜活检等研究。评估未满40岁，未怀孕，每个阴道有异常出血的年龄。所有患者均接受经阴道扫描以记录子宫内膜厚度并排除子宫和附件病理。使用刮匙进行子宫内膜活检，并将获得的组织送去进行组织病理学检查。结果：大多数病例（92.6％）在50岁以下，且多发。肥胖是最常见的合并症（41.4％），其次是高血压（24.3％）和甲状腺功能减退（19.51％）。 USG在大多数病例中是正常的（41.4％），而结构异常（息肉或平滑肌瘤）是最常见的USG发现（34.13％），其次是增生（19.49％）。多数情况下子宫内膜厚度（ET）> 8（68.52％）。增生性子宫内膜是最常见的组织病理学发现（36.58％），仅发现了1例恶性肿瘤。结论：超声检查有助于对异常子宫出血进行分类，但将危险因素牢记在心，子宫内膜组织病理学仍在控制子宫内膜癌中起重要作用。围绝经期AUB。

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