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18.97.14.87
18.97.14.87
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SCOPUS
자궁선근종의 임상적 고찰
Clinicopathologic Analysis of Adenomyosis
김광희(KH Kim),김정란(JR Kim),이선(S Rhee),곽소명(SM Kwak),강재성(JS Kang)
UCI I410-ECN-0102-2009-510-005407613

1. 자궁선근종의 발생빈도는 13.4%이었다. 2. 호발연령은 40대가 57.7%로 가장 높았으며 평균 44.7세이었다. 3. 자궁선근종은 경산부에서 94.9%의 발생율로 거의 대부분을 차지하였다. 4. 자궁선근종을 가진 자궁의 무게는 정상보다 증가 하엿으며 81~120gm군이 46.1%로 과반수를 차지하였다. 5. 자궁선근종의 주요 임상증상은 월경통, 골반내 동통, 월경과다 및 부정기 자궁출혈이었으며 6.4%에서는 아무런 입상증상이 없었다. 6. 수술전 진단의 정확도는 6.4%로 비교적 임상증상만으로는 진단이 어려웠다. 7. 합병질환으로는 만성골반염이 46.2%로 가장 높았고. 자궁근종이 25.6%의 순이었다. 8. 자궁내막의 조리학적 소견은 분비기가 43.6%. 증식기가 26.9%이었으며 노인성 변화를 일으킨 예도 15.4%에서 관찰되었다.

A retrospective study of adenomyosis 78 cases among the surgically removed uteri, 580 cases was done at Korea Veterans Hospital during 5 year period from January, 1977 through December, 1981. The results obtained were summarized as follows ; 1. Histo-pathologic examination of 580 uteri showed adenomyosis in 78 cases, an incidence of 13.4%. 2. The highest age incidence was in 5th decade of age group, an incidence of 57.7% and the mean age was 44.7 year old. 3. Adenomyosis was more likely to occur in the multiparous than nulliparous women, such as 94.9%, 5.1% respectively. 4. A uterine weigh of adenomyosis increased more than the normal and there were 46.1% in 81~120 gm. group of uterine weight. 5. Dysmenorrhea, pelvic pain, and meno-metrorrhagia were the common symptoms of the adenomyosis and there were 6.4% in symptomless group 6. There were only 6.4% in preoperative diagnosis of the adenomyosis 7. Chronic pelvic inflammatory disease and myoma uteri were common associated disease in the adenomyosis, an incidence of 46.2%, 25.6% respectively. 8. Secretory phase of endometrium was the most frequent endometrial fndings of adenomyosis, an incidence of 43.6%, and the proliferative phase, 26.9%.

[자료제공 : 네이버학술정보]
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