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首页> 外文期刊>Indian medical journal >A Study of Abnormal Uterine Bleeding in Perimenopausal and Postmenopausal Age Group
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A Study of Abnormal Uterine Bleeding in Perimenopausal and Postmenopausal Age Group

机译：围囊肿和绝经后期血管血管出血异常血液

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摘要

Abnormal uterine bleeding represents one of the most common reasons for referral to gynaecological services, largely due to suspicion of an underlying endometrial malignancy. Endometrial cancer is present in approximately 10% of patients referred with abnormal uterine bleeding, especially in postmenopausal age group. However, vaginal atrophy, and benign focal lesions such as endometrial polyps and fibroids, are also common. (1, 2) Endometrial cancer is the most common gynaecological malignancy. (3) Risk factors include obesity, unopposed estrogens, polycystic ovary syndrome, and nulliparity. Ninety percent of women with endometrial carcinoma present with vaginal bleeding. Unlike ovarian cancer,endometrial cancer often presents at an early stage when there is a possibility of curative treatment by hysterectomy; early, accurate and timely diagnosis is therefore important.Formerly, the principal means of hospital investigation was by dilatation and curettage (D&C), but newer methods of investigation such as outpatient endometrial aspiration, transvaginal ultrasonography and hysteroscopy have superseded D&C. However, there is professional uncertainty concerning the most accurate, acceptable and efficient diagnostic approach. (4)
机译：异常子宫出血是转诊妇科服务的最常见原因之一，主要是由于怀疑潜在的子宫内膜恶性肿瘤。子宫内膜癌存在于大约10％的患者中，患者异常出血，特别是在绝经后血症。然而，阴道萎缩，以及子宫内膜息肉和肌瘤等良性局灶性病变也是常见的。 （1,2）子宫内膜癌是最常见的妇科恶性肿瘤。 （3）风险因素包括肥胖，未嵌起的雌激素，多囊卵巢综合征和缺陷性。九十百分之九十的患有子宫内膜癌存在的妇女存在阴道出血。与卵巢癌不同，子宫内膜癌通常在早期呈现出疗效治疗的早期术语;因此，提前准确和及时的诊断是重要的。格式，医院调查的主要手段是通过扩张和刮曲（D＆C），但是诸如门诊子宫内膜吸入，经阴道超声和宫腔镜检查的新调查方法已经取代了D＆C。然而，有专业的不确定性关于最准确，可接受和有效的诊断方法。 （4）

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