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[不同子宫内膜病理状况的围绝经期和绝经后女性住院期间症状发生情况的比较]

[Comparison of the occurrence of symptoms during hospitalization in perimenopausal and postmenopausal women with various pathological conditions of the endometrium].

作者信息

Friebe Z, Bembnista M, Nowakowski B

机构信息

Kliniki Ginekologii, Połoznictwa Akademii Medycznej, Poznaniu.

出版信息

Ginekol Pol. 1997 Aug;68(8):352-60.

PMID:9499008
Abstract

The aim of the study was to investigate the incidence and risk factors for endometrial adenocarcinoma which are associated with abnormal bleeding patterns, overweight, a lower number of deliveries and a later menopause, diabetes mellitus and hypertension. A retrospective study (from 1990 to 1993) of 2887 women with pathological gynecological signs and symptoms was performed. Risk factors such as age, weight, height, Brock index, age of menopause, diabetes mellitus and hypertension, stage and cell type were analysed. The patients were between 38 to 84 years old (average 53.9 +/- 10.2). They were divided into two subgroups: 259 patients below 84 years of age with histologically confirmed neoplasm and 2628 women hospitalised due to gynecological signs and symptoms which were not, however, diagnosed as neoplastic disorders. It was shown that overweight woman in sixth life decade with a lower number of deliveries and a later menopause had a higher risk of endometrial cancer.

摘要

该研究的目的是调查与异常出血模式、超重、分娩次数较少、绝经较晚、糖尿病和高血压相关的子宫内膜腺癌的发病率及危险因素。对2887例有妇科病理体征和症状的女性进行了一项回顾性研究(1990年至1993年)。分析了年龄、体重、身高、布罗克指数、绝经年龄、糖尿病和高血压、分期及细胞类型等危险因素。患者年龄在38至84岁之间(平均53.9±10.2岁)。她们被分为两个亚组:259例84岁以下经组织学确诊为肿瘤的患者,以及2628例因妇科体征和症状住院但未被诊断为肿瘤性疾病的女性。结果显示,处于第六个十年生活期、分娩次数较少且绝经较晚的超重女性患子宫内膜癌的风险更高。

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