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KMID : 0438219720090010479
Korea University Medical Journal
1972 Volume.9 No. 1 p.479 ~ p.486
Statistical Study on Abnormal Genital Bleeding


Abstract
A statistical study was made on a series of 844 cases of abnormal genital bleedings, with the review of particular references of literature, which were complained chiefly from patients among 7991 cases of out-patients at Gynecological Department of Korea University Medical College Hospital during a period of 5 years from January, 1966 to December, 1970.
The results obtained were as follows;
1) The incience of abnormal genital bleeding was 10.6 per-cent.
2) In causative factors of abnormal genital bleeding, there were 55.7 per-cent of anatomical factor, 17.4 per-cent of obstetrical cases which did not belong to obstetrical hemorrhage, 23.2 per-cent of functional uterine bleeding and 3.6 per-cent of other gynecological bleeding.
3) Abnormal genital bleeding cases were obtained in 28 per-cent of pregnancy disorder, 17 per-cent of inflammation of genital organs, 28 per-cent of the tumors of genital organs, (benign tumor 17 per-cent and malignant tumor 11 per-cent) 23 per-cent of functional uterine bleeding and 4 per-cent of other causes.
4) In the endometrial findings of 54 cases of functional uterine bleeding, there were 85 per-cent of endometrial hyperplsia, 9 per-cent of secretory endmetrium and 6 per-cent of postmenopausal atrophic endometrium.
5) The largest age distribution of functional uterine bleeding was at the age group between 30 and 40.(32 per-cent)
6) The most frequent causative disease of abnormal genital bleeding was functional uterine bleeding, (23.3 per-cent), on the contrary, salpingitis, adnexitis and urethral caruncle were rarely associated abnormal genital bleeding. (0.3 per-cent and 9.5 per-cent respectively)
7) Abnormal genital bleeding was noted most frequently at the age group 30th(31.8 per-cent) and the lowest incidence was under the age of 20 th. (2.3 per-cent)
8) The benign disease of genital organ was in 43 per-cent and in the malignant disease in 13 per-cent of all abnormal genital bleeding.
9) The cervical cancer was 75.5 per-cent, the corpus cancer 11.8 per-cent, the ovarian cancer 4.9 per-cent and the choriocancer 7.8 per-cent of all abnormal genital bleedings.
10) The incidence of postmenopausal bleeding was 10.0 per-cent. The bleeding due to the malignant disease of genital organs was 40.5 per-cent, and the benign disease of genital organ 53.6 per-cent and undetermined causes 5.3 per-cent of all postmenpausal bleedings.
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