Vaginal Bleeding in the Nonpregnant Patient Received in Emergency at Yalgado Ouedraogo University Hospital of Ouagadougou, Burkina Faso

• 作者: Adama Ouattara Ali Ouedraogo Blandine Thieba Boubakar Toure Dantola Paul Kain Hyacinthe Zamane Issa Ouedraogo Sibraogo Kiemtore Yobi Alexis Sawadogo
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: METRORRHAGIA GYNECOLOGY AETIOLOGY Treatment OUAGADOUGOU
• 年，卷（期）: 2018,（10）
• 页码范围: 847-853
• 页数: 7页
• 分类号: R73

摘要

Objective: To describe the epidemiological, clinical and therapeutic aspects of cases of vaginal bleeding in the nonpregnant patient received in emergency at Yalgado OUEDRAOGO University Hospital. Materials and Methods: It was a retrospective and descriptive study that involved the clinical records of 326 patients collected from January 01, 2009 to December 31, 2013. Results: The average age of women was 47 years old with extremes at 12 and 82 years old. Women of childbearing age accounted for 61.6% and postmenopausal women 18.7%. 70.7% of women were pauciparous or nulliparous. Menorrhagia and pelvic pain were the main signs associated. This symptomatology required hospitalization in 85.2% of cases. The main aetiologies were uterine myomas 49.69%, cervical cancer 23% and functional metrorrhagia 11.04%. Progestin was the most used drug in 67.1% of cases. Total abdominal hysterectomy and abdominal myomectomy were the most commonly used surgical methods with 22.3%, 44.4% of cases. Eleven death cases were observed. Conclusion: Gynecological metrorrhagia is more common in women of childbearing age than in menopausal women. The main causes are fibroma, cervical cancer and functional metrorrhagia.