Pepe F, Panella M, Pepe G, Panella P, La Spina E, Saia C
Department of Obstetrics and Gynecology, Catania University Medical School, Italy.
Clin Exp Obstet Gynecol. 1988;15(3):80-3.
Between 1982 and 1984 330 women in postmenopause for at least one year were admitted to the First Clinic of Obstetrics and Gynecology, Catania University Medical School, Catania, Italy, with a frequency of 10.04% of gynecological admissions. The most frequent pathologies were metrorrhagia (32.72%; 108 cases) from an atrophic endometrium or glandular hyperplasia of the endometrium, vaginoperineal lacerations with cystorectocoele with or without urinary incontinence (10.90%; 36 cases), cancer (11.21%; 37 cases) and ovarian cystoma (11.21%; 37 cases), uterine prolapse (9.30%; 31 cases), and endometrial polyps (9.09%; 30 cases). Uterine fibromyoma (3.93%; 13 cases) and carcinoma of the portio (3.93%; 13 cases) were among the rare pathologies. Uterine pathologies were the most prevalent (68.78%; 227 cases), followed by ovarian (15.15%; 50 cases), pathology of involving the pelvic and perineal containment (10.90%; 36 cases), vulvar pathology (2.72%; 6 cases), and vaginal pathology (1.51%; 5 cases). Malignant neoplastic pathology was reported in 25.45% of cases (84 cases) consisting only of uterine cancer (47.61%; 40 cases) and ovarian cancer (45.23%; 38 cases). In comparison with the study performed by Cetroni in 1952 one notes a net reduction in the frequency of uterine prolapse (by about three times), and a smaller reduction in cancer of the uterine cervix with a slight increase in cervical polyps, endometrial cancer, and above all in metrorrhagia from atrophic endometrium or glandular hyperplasia of the endometrium.
1982年至1984年间，330名绝经至少一年的女性入住意大利卡塔尼亚大学医学院卡塔尼亚第一妇产科诊所，占妇科住院人数的10.04%。最常见的病症是萎缩性子宫内膜或子宫内膜腺体增生引起的子宫出血（32.72%；108例）、伴有或不伴有尿失禁的阴道会阴撕裂伴膀胱直肠膨出（10.90%；36例）、癌症（11.21%；37例）和卵巢囊肿（11.21%；37例）、子宫脱垂（9.30%；31例）以及子宫内膜息肉（9.09%；30例）。子宫纤维瘤（3.93%；13例）和宫颈部癌（3.93%；13例）属于罕见病症。子宫病症最为普遍（68.78%；227例），其次是卵巢病症（15.15%；50例）、涉及盆腔和会阴容纳结构的病症（10.90%；36例）、外阴病症（2.72%；6例）以及阴道病症（1.51%；5例）。25.45%的病例（84例）报告有恶性肿瘤病症，仅包括子宫癌（47.61%；40例）和卵巢癌（45.23%；38例）。与1952年塞特罗尼进行的研究相比，人们注意到子宫脱垂的发生率大幅下降（约为原来的三分之一），子宫颈癌的发生率下降幅度较小，同时宫颈息肉、子宫内膜癌尤其是萎缩性子宫内膜或子宫内膜腺体增生引起的子宫出血略有增加。
