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김숙희(SH Kim),조기환(KH Cho),나중열(JW Rha) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.6
Dysfunctional uterine bleeding is abnormal bleeding unassociated with tumor, inflammation or pregnancy. Pathologic studies have shown that although wuch uterine bleeding can be associated with any type of endometrial pathology, the most common finding is a nonsecretory pattern(novak, 1975). The division of patients into those with nonsecretory pattern is important as it distinguishes anovulatory from ovulatory types of bleeding. DUB may occur at any age and is one of the most common gynecological complaints, so the clinical and pathological studies in DUB and its relation of ovulation were studied and a brief review of literature was made. 117 cases of DUB were obtained by endometrial curettage and biopsy. The results were as follows; 1) Age distribution of DUB (117 cases) was mainly in 4th decade and 5th decade of life. 2) DUB patients were mainly multigravida and showed 4-5 times of pregnancy and 2-3 times of delivery. 3) The bleeding patterns revealed that menorrhagia with intermenstrual bleeding(45%), were most frequent and intermenstrual bleeding(31%). 4) Histologic findings of endometrium were proliferative phase, 76 cases (65%), hyperplasia, 21 cases(17.9%), and secretomy phase, 17 cases(14.5%) in order of frequency. 5) In 95 cases analysis, considering 64 patients subjected to curettage in the second half of the menstrual cycle, only 12 cases(18.8%) showed secretomy endometrium. Special emphasis was made on the relatively high frequency of anovulation.
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김종원(JW Kim),조기환(KH Cho),여재명(JM Yae),나중열(JW Rha) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.3
결론 32세의 미산부에서 발생된 거대한 1예의 자궁근종을 본 대학에서 경험하였기에 문헌고찰과 아울러 보고하는 바이다. A case of giant myoma in 32-year-old nulliparous woman is presented, and its literatures are reviewed briefly.
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