Clinical and epidemiological aspects of endometrial hyperplasia in perimenopausal women
DOI:
https://doi.org/10.11603/1811-2471.2015.v23.i2-3.5277Abstract
SUMMARY. To improve the efficiency of diagnosis of endometrial hyperplastic processes in perimenopausal women
was conducted a retrospective analysis of 52 cards inpatient women who were treated at gynecological departments
of Ternopol region. According to the histopathological finding 1st group included 28 women with simple endometrial
hyperplasia; 2nd group – 24 women with complex endometrial hyperplasia. Comparison group consisted of 12 somatically
healthy women. The average age of patients of group 1 – (47,0±1,0) years, group 2 – (56,0±1,5) years. In order depth
analysis parameters neural network clustering applied. Established that the risk factors for hyperplastic processes of
endometrium in women of perimenopausal period include disadvantaged socio-economic factors: residence in rural
areas, difficult working conditions, bad habits and burdened obstetric and gynecological history, 3 or more pregnancies,
a large number (4 and more ) obstetrical interventions, use of intrauterine contraception. In women with different types
of endometrial hyperplasia the course of the climacteric syndrome was moderate and severe with neuro-vegatative,
endocrine-metabolic, and psycho-emotional manifestations. Among the comorbid conditions often seen dyshormonal
pathology of breast and hepatobiliary tract disorders.
Key words : endometrial hyperplasia, menopausal syndrome, perimenopausal age, dysfunctional uterine bleeding,
comorbid diseases, neural network clustering.
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