性交后出血的临床病理研究
A clinico-pathological study of postcoital bleeding.
作者信息
Selo-Ojeme Daniel O, Dayoub Nawal, Patel Adila, Metha Mahishi
机构信息
Department of Obstetrics and Gynaecology, Southend Hospital, Prittlewell Chase, Westcliff-on-sea, Essex, UK.
出版信息
Arch Gynecol Obstet. 2004 Jul;270(1):34-6. doi: 10.1007/s00404-002-0457-6. Epub 2003 Jan 21.
METHODS
To undertake a clinical study of postcoital bleeding (PCB) in a district general hospital we retrospectively reviewed the records of 248 patients referred to the gynaecology department over a 5-year period.
RESULTS
63% were in the 21-40-year age group and 80% were multiparous. Seventy per cent were referred to the gynaecology out patients' clinic and 28% to the colposcopy clinic. Associated symptoms included menstrual abnormalities (39%) and dyspareunia (13%). Twenty per cent had benign polyps, including endometrial polyps and 25% had cervical ectropion. Cervical intraepithelial neoplasia was detected in 6.8% of cases. There was no case of invasive cancer of the lower genital tract.
CONCLUSIONS
This is the first report of associated endometrial polyps contributing to PCB. We conclude that CIN may not always be asymptomatic and the incidence of cervical or endometrial cancer is low in women with PCB.
方法
为在一家地区综合医院开展一项性交后出血（PCB）的临床研究，我们回顾性分析了5年间转诊至妇科的248例患者的病历。
结果
63%的患者年龄在21 - 40岁之间，80%为经产妇。70%的患者被转诊至妇科门诊，28%被转诊至阴道镜门诊。相关症状包括月经异常（39%）和性交困难（13%）。20%的患者有良性息肉，包括子宫内膜息肉，25%有宫颈外翻。6.8%的病例检测出宫颈上皮内瘤变。未发现下生殖道浸润癌病例。
结论
这是关于子宫内膜息肉导致PCB的首例报告。我们得出结论，CIN可能并非总是无症状，PCB女性中宫颈癌或子宫内膜癌的发病率较低。
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