Jobda Katarzyna, Szeszko Łukasz, Wróbel Grzegorz, Głuchowska Marta, Krupińska Joanna, Szeszko Artur, Makaruk Beata, Oszukowski Przemysław, Zieliński Paweł
Department of Gynecology and Obstetrics, Międzyleski Specialist Hospital, 04-749 Warsaw, Poland.
Obstetrics and Gynecology Ward Provincial Specialist Hospital, 21-500 Biała Podlaska, Poland.
Diagnostics (Basel). 2022 Feb 25;12(3):594. doi: 10.3390/diagnostics12030594.
Abnormal uterine bleeding (AUB) is a condition defined as all uterine bleeding that differs from physiological menstruation. The etiology of AUB has been classified by the International Federation of Gynecology and Obstetrics (FIGO). It includes structural categories, such as endometrial polyps, adenomyosis, leiomyomas, hyperplasia, and malignant neoplasms, and non-structural categories, i.e., hemorrhages due to congenital and acquired coagulopathies, ovarian dysfunction, disorders of the local endometrial hemostasis mechanism with normal organ structure, iatrogenic causes, and due to other poorly defined causes. This is a retrospective study based on the medical data of a group of 543 women aged 21−88 years (52.81 ± 11.79) (p < 0.01) hospitalized at the Gynecology and Obstetrics Department in Biała Podlaska, Poland. These patients underwent an hysteroscopy procedure due to excessive uterine bleeding of varied, FIGO-divided etiology. The results show the dependence of postoperative hemoglobin and platelet count on the etiology of bleeding and the age of the women. The majority of patients had normal hemoglobin and platelet counts after the procedure, while moderate anemia was the most common disorder. It occurred most frequently in patients undergoing hysteroscopy due to heavy menstrual bleeding.
异常子宫出血（AUB）是一种被定义为与生理性月经不同的所有子宫出血的病症。AUB的病因已由国际妇产科联合会（FIGO）进行了分类。它包括结构性类别，如子宫内膜息肉、子宫腺肌病、平滑肌瘤、增生和恶性肿瘤，以及非结构性类别，即先天性和获得性凝血障碍、卵巢功能障碍、器官结构正常的局部子宫内膜止血机制紊乱、医源性原因以及其他不明原因引起的出血。这是一项基于波兰比亚瓦河畔波德拉斯卡妇产科住院的一组543名年龄在21 - 88岁（52.81 ± 11.79）（p < 0.01）女性的医疗数据的回顾性研究。这些患者因不同病因（按FIGO分类）导致的子宫出血过多而接受了宫腔镜检查。结果显示术后血红蛋白和血小板计数与出血病因及女性年龄有关。大多数患者术后血红蛋白和血小板计数正常，而中度贫血是最常见的病症。它最常发生在因月经过多而接受宫腔镜检查的患者中。
