妊娠期阴道出血1186例临床分析

Clinical analysis of 1186 cases of vaginal bleeding of pregnancy

目的:探讨妊娠期阴道出血的病因及防治。方法:回顾分析2001年4月至2004年10月我院门诊妊娠期阴道出血1186例B超已排除前置胎盘和胎盘早剥而做妇科检查明确诊治。结果:妊娠期阴道出血病因诊断:先兆流产265例(22.34%)、先兆早产153例(15.34%)、阴道炎278例(23.44%)、宫颈糜烂114例(9.61%)、宫颈息肉324例(27.31%)、宫颈癌2例(0.17%)、泌尿道炎16例(1.35%)、肛裂及痔疮4例(0.34%)。结论:妊娠期阴道出血病因常见与宫颈炎和阴道炎,给予孕前防治及孕期对症治疗是行之有效的方法。

Objective： To investigate the causes, preventions and treatments of vaginal bleeding of pregnancy. Methods： From April 2001 to October 2004, 1180 cases of vaginal bleeding of pregnancy in outpatient service of our hospital excluded placenta previa and placenta abruption by type B ultrasonography were diagnosed by the gynecological examination and then analyzed between. Resu/ts： The cases of vaginal bleeding of pregnancy were diagnosed. 256 cases were threatened abortion（22.34%）. 153 cases were preterm labor （15.34%）. 278 cases were vaginitis （23.34%）. 14 cases were cervical erosion （9.61%）. 324 case were cervical polypus （27.31%）. 2 cases were cervical cancer（0.17%）. 16 cases were urethritis （1.35%）. 4 cases were anal fissure and hemorrhoid （0.34%）. Conclusion： Vaginal bleeding of pregnancy was often in the conditions of cervicitis and vaginitis. The effective treatment methods were treatment before pregnancy and causal treatment.