摘要
Abstract
Objective:Through the analysis of related factors, early clinical manifestations, auxiliary examinations, and other features in endometrial carcinoma (EC) and endometrial polyps (EP) to improve the early diagnosis of EC in young women. Methods: A total of 48 young women patients under 40 - year- old suffering from EC treated in Obstetrics and Gynecology Hospital of Fudan University from January 2008 to December 2011 were taken as study group, while 80 cases of EP under 40 - year - old who had been treated in the same period of time were taken as control group. The retrospective analysis is conducted. Results: In the study group, 42% of the patients were obesity, 36% were infertility patients, 29% had oligomenorrhea; while in the control group, the ratios were 35% , 21 % and 8% , respectively. Except for obesity which had no statistically significant difference between the two groups, the other two aspects had statistically significant difference (P<0. 05). In the study group, 6% were with diabetes, 15% with high blood pressure, 6% with family history of cancer. 13% with polycystic ovary syndrome; while the ratios in the control group were 1%, 3%, 4%, 1% respectively. Among them, high blood pressure and polycystic ovary syndrome had statistically significant difference (P<0. 05). In the study group, the patients with the control of menstrual disorders accounted for 92%, compared with 32% in the contract group, the difference was statistically significant (P<0. 01). In the study group , 17% were with anemia, 40% with the womb substantial structure demonstrated by B ultrasonic, 52% with lining owe; while in the control group, the ratios were 1% ,93% and 6% , respectively, the differences were statistically significant (P<0. 01). Conclusions: For those women who have obesity, infertility, long - term oligomenorrhea menstrual disorders especially menorrhagia secondary anemia, high blood pressure, polycystic ovarian tumor, family history of cancer, and B ultrasonic echo owe all the tips lining, the follow - up blow or hysteroscopy inspection should be done as early as possible to detect EC earlier.关键词
子宫内膜癌/早期/年轻/诊断Key words
Endometrial carcinoma/ Early/ Young/ Diagnosis分类
医药卫生
