Endometrial Histopathology in Abnormal Uterine Bleeding: A Retrospective Analysis

S. Thapa, Indira Acharya
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引用次数: 1

Abstract

Introduction: Abnormal uterine bleeding (AUB) is a very common gynaecological condition that affects women of all age groups. Majority of the cases are diagnosed by sampling the endometrium by procedure like dilatation and curettage (D and C). The aim of this study was to analyse the different types of endometrial histopathology of patients with the abnormal uterine bleeding and to find the association between various patterns of abnormal uterine bleeding and histopathological findings. Methods: This was a retrospective study carried out in the Department of Obstetrics and Gynaecology of Shree Birendra Hospital, Chhauni, Kathmandu over a period of two years from August 2018 to August 2020. All cases of AUB who underwent D and C procedure were included in the study. Data was entered in Microsoft excel and managed in SPSS Version 21. Analysis was done in the form of percentage and proportion and represented as tables where necessary. Results: Total 192 patients were analysed. Age group ranged from 21 to 75 years and most common age group presenting with AUB was 41 to 50 years. The most common presenting complaint was menorrhagia 47.9% (92/192) followed by metrorrhagia 19.8% (38/192). Most common endometrial histopathology was proliferative endometrium 33.3% (64/192), followed by secretory endometrium 21.9 % (42/192). Endometrial malignancy was found in 1.5% (3/192) cases. Conclusions: Histopathological examination of the endometrium showed a wide spectrum of pathological changes ranging from normal endometrium to malignancy. This emphasises the importance of endometrial sampling like D and C as an important diagnostic tool in the management of abnormal uterine bleeding.
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异常子宫出血的子宫内膜组织病理学回顾性分析
引言:异常子宫出血(AUB)是一种非常常见的妇科疾病,影响所有年龄段的女性。大多数病例是通过子宫内膜取样,如刮宫术(D和C)来诊断的。本研究的目的是分析异常子宫出血患者不同类型的子宫内膜组织病理学,并找出不同类型的异常子宫出血与组织病理学表现之间的联系。方法:这是一项回顾性研究,于2018年8月至2020年8月在加德满都乔尼Shree Birendra医院妇产科进行,为期两年。所有接受D和C手术的AUB病例均纳入研究。数据输入到Microsoft excel中,并在SPSS Version 21中进行管理。分析以百分比和比例的形式进行,必要时用表格表示。结果:共分析192例患者。年龄组为21至75岁,最常见的AUB年龄组为41至50岁。最常见的主诉是月经过多,占47.9%(92/192),其次是子宫出血,占19.8%(38/192)。最常见的子宫内膜组织病理学是增生性子宫内膜33.3%(64/192),其次是分泌性子宫内膜21.9%(42/192)。子宫内膜恶性肿瘤发生率为1.5%(3/192)。结论:子宫内膜的组织病理学检查显示了从正常子宫内膜到恶性子宫内膜的广泛病理变化。这强调了子宫内膜取样(如D和C)作为治疗异常子宫出血的重要诊断工具的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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25
审稿时长
12 weeks
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