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Vaginal bleeding after menopause clinical analysis of 101 cases
Was (56 ± 7) years of age. Asked the two groups there was a significant difference (P <0.01). 2.3.2-menopausal period of 11 years after the onset of menopause in cancer patients were 17 down. Accounted for 62% of malignant tumors; l9 cases of benign disease, accounting for 25% of benign diseases. 2.3.3 the nature of significant bleeding bleeding malignancy was 29%. Contact bleeding malignant tumors was 20%. Spotting cancer incidence by 19%. 2,3.4 bleeding time bleeding time more than 1 month were 62% incidence of malignant tumors, benign disease was 48%. 3 discussion with the life expectancy of women, vaginal bleeding after menopause has become one of the common symptoms of older women. Gradual increase in its incidence. Modern medicine menopause one of the important research topics. -61 · / 12L / A Vol 22 l of Medicine, University of Yanbian University Vol22No. 11999 on March JOURNA1OFMEDICA1SCIENCEYANBIANUNIVERSITYMar1999 adenomyosis clinical analysis of 51 cases Xia 7tf. 7 ,----~'--- First, Affiliated Hospital of Yanbian University College of Medicine 'Summary [Background] The incidence of uterine myopathy chest rise. The preoperative misdiagnosis of the disease is higher. [Case Report】 5l example of adenomyosis were confirmed by surgery and pathology license feast. 23 cases in which an increase in menstrual flow, prolonged menstrual l9 Li. 7 down cycle is shortened. 5 Li cycle disorder. Li Mao l5 menstrual changes. Dysmenorrhea 30 Li, asymptomatic 9 down; the uterus by 47 down too, the normal uterus is too small 4 Li. L6 inverted uterus uneven surface. 3l Li uterus increased uniformity, hard 39 Li. Li candle accessories and mass 1l. Clinical and pathological diagnosis of compliance rate was 41% (21/51), misdiagnosis rate was 59% (30/51); B-type ultrasonic diagnosis and pathological diagnosis of compliance rate was 23% (12/51) + the error Zheng rate of 76% (39/51). [Discuss] beat the uterine muscle is the most wild confusion with uterine disease of addiction myopathy, seriously is to improve the identification of two preoperative diagnosis of adenomyosis Nymphoides Taiwan slaughtered constricted volume key for one keyword Palace disease; uterine gland; error Assessment of female labor Pi Circle CLC R71l Document code A Article ID 1000-1824 (1999) 01-0062-02 reported in the literature. The incidence of adenomyosis upward trend 【I1, has now become common gynecological diseases. Our hospital from January 1988 ~ December 1997 admitted 51 cases of uterine adenomyosis. Were confirmed by surgery and pathology, are discussed below. 1 1.1 General Information Clinical turn to feed the group of patients aged 30 to 55 years, mean 40 years old. High age of 35 to 50 years old. 78%; addition to 2 cases of primary infertility, pregnancy history are; 29 patients with history of induced abortion, 4 cases had cesarean section history, the history of sterilization in 5 cases, 9 cases had the history of Central, and 3 patients had diagnostic curettage history. 1 patient had history of hysterosalpingography; Korean in 31 cases, 19 cases of the Han, Manchu in 1. 12 clinical symptoms: increased by the amount of 23 cases (45%). Menstruation in 19 cases (37%), significantly reduced cycle cause of postmenopausal bleeding has gradually changed. Kintis reported before the 1940s were postmenopausal vaginal bleeding in the tumor as high as 60% to 80%. 1960,1970 s decreased gradually in the 1980s to 7%. This was 27%. He Feng and Huang close to the reported 22.7%. This is because we only counted patients, many non-tumor patients with vaginal bleeding is not included in the statistics. Endometrial cancer in the most common vaginal bleeding, followed by cervical cancer. Benign lesions to senile vaginitis due to vaginal bleeding, the most common, followed by atrophic endometrium. Although the malignancy decreased vaginal bleeding after menopause. But the disease still can not paralysis. Patients in this age, menopausal period, the nature of the 62 blood, bleeding time and the nature of disease. The older, longer duration of menopause, the more the amount of bleeding, bleeding time longer, the more possibility of cancer too. Diagnosis of postmenopausal bleeding points for the detailed history and gynecological examination, B-ultrasound, hysteroscopy, cytology, sub-diagnostic curettage, laparoscopy, endocrine determination of such additional tests. Loller other scholars advocate hysteroscopy combined with biopsy and the diagnostic sensitivity of up to 98%, while the accuracy of diagnostic curettage alone was only 65%. Hysteroscopy with biopsy is thus far a clear cause of postmenopausal bleeding means of the highest positive rate. (1998.10.22 Received)
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