Clinical characteristics of abnormal uterine bleeding in Tibetan women
Objective To investigate the clinical characteristics of abnormal uterine bleeding in Tibetan women.Methods The clinical characteristics of 243 Tibetan women diagnosed with abnormal uterine bleeding in Lhasa Peo-ple's Hospital from January 2021 to October 2023 were retrospectively analyzed.Results Among the 243 AUB pa-tients,1.2％were ≤ 25years old,8.2％were 26 to 35years old,44.4％were 36 to 45 years old,41.6％were 46 to 55 years old,2.9％were 56 to 65 years old,1.7％were ≥ 65years old,the proportion of patients aged between 36 to 55 was the highest,reaching86％.Among the clinical manifestations,irregularmenstrual cycle accounted for the highest proportion,up to 44.9％.EH and NE were the main pathological diagnoses,taking up 34.6％and 27.2％respectively.There was no significant difference in body mass index between patients with EP and EH and normal endometrium in the normal weight group and the obese group(P＞0.05).There was no significant difference in the incidence of differ-ent pathological diagnosis of AUB between the normal weight group and the obese group.The endometrial thickness of EH and EC was significantly thicker than that of normal endometrium(P=0.049,P=0.000),with statistically sig-nificant difference.The endometrial thickness of EP and AH was thicker than that of the normal endometrial,but there was no statistically significant difference(P=0.173,P=0.065).The diagnostic coincidence rate between abdomi-nal ultrasonography and disease examination was 9.1％;the diagnosis coincidence rate between hysteroscopy and dis-ease examination was 59.7％;there was significant difference between the two.Conclusions Abnormal uterine bleed-ing mainly occurs in women of childbearing age and perimenopausal women.The irregular menstrual cycle was main clinical manifestation.EH and EP were the main causes.Endometrial thickness is associated with the occur-rence of disease.There was no significant association between BMI and disease occurrence.At the same time,it is worth promoting the use of vaginal ultrasound or vaginal ultrasound combined with hysteroscopy for the diagnosis and treatment of abnormal uterine bleeding diseases to improve the professional technical level.
万方数据
维普
