THE ENDOMETRIUM IN PATIENTS WITH METABOLIC SYNDROME

Yıl 2018, Cilt: 49 Sayı: 4, 0 - 0, 15.12.2018

Özgül Çelikel , Özlem Yelda Barak Serkant

https://doi.org/10.16948/zktipb.422248

Öz

Introduction: Metabolic disorders can increase the risk of endometrial diseases
and endometrial cancer. Patients with metabolic syndrome are at risk for endometrial
pathologies. Advising routine gynecological examination even to the patients
with metabolic syndrome having no gynecological complaints may be helpful in
early diagnosis.

Materials and Method: 120 patients diagnosed with metabolic syndrome in the Internal Diseases
Outpatient Clinic were examined for endometrial diseases in the Gynecology Clinic.
Data were analyzed using SPSS 16 statistical software, and Chi-square test was
performed. p<0.05 was considered
as statistically significant.

Results: 36 patients had undergone a diagnostic curettage. There was no
endometrial cancer in any patient. The rate of endometrial hyperplasia without
atypia was found significantly increased in the patient group with abnormal
uterine bleeding when compared to the patient group with menopause having
postmenopausal bleeding and an increased endometrial
thickness (p=0.001).

Conclusion: Endometrial pathology was diagnosed in 15% of the patients with
metabolic syndrome. It was concluded that the question of whether routine
gynecological examination of metabolic syndrome patients is required in
clinical practice could be answered by
further studies including larger patient groups.

Anahtar Kelimeler

Metabolic syndrome, probe curettage

Metabolik Sendromlu Hastalarda Endometriumun Değerlendirilmesi

Öz

 

Giriş: Metabolik hastalıklar endometrial hastalıklar ve endometrium
kanseri riskini artırabilmektedir. Metabolik sendromlu hastalar endometrial
patolojiler açısından risk altındadırlar. Tanı alan hastaları jinekolojik
yakınması olmasa bile  rutin olarak
jinekolojik muayeneye yönlendirmek erken tanı için faydalı olabilir.

Materyal Metod: Dahiliye polikliniğinde metabolik sendrom tanısı alan 120 hasta
jinekoloji polikliniğinde endometrial hastalıklar açısından
değerlendirilmiştir. Veriler SPSS 16 istatistik programında analiz edilmiş Ki
kare(chisquare)  testi uygulanmıştır.
P<0.05 istatistiksel olarak anlamlı kabul edilmiştir.

Bulgular: 36 hastaya probe küretaj yapılmıştır. Endometrial kansere
rastlanmamıştır. Atipisiz endometrial hiperplazi anlamlı olarak anormal uterin
kanaması olan grupta; postmenopozal kanama ve endometrial kalınlığı bulunan
menopozlu hasta grubuna gore daha fazla bulunmuştur (p=0.001).

Sonuç: Metabolik sendromlu hastaların %15’de endometrial patoloji tesbit
edilmiştir. Hasta sayısı artırılarak yapılan çalışmalarla klinik pratikte
metabolik sendromlu hastaların jinekolojik muayenelerinin rutin olarak yapılıp
yapılmamasının tesbit edilebileceği kanaatine varılmıştır.

Anahtar Kelimeler

metabolik sendrom, endometrial polip

Kaynakça

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