자궁선근증에 대한 임상 몇 병리학적 고찰 = A Clinical and Pathological Study of Adenomyasis

다국어 초록 (Multilingual Abstract)

The clinical study was performed to 311 patients with adenomyosis among 1324 patients who were undertaken total hysterectomy in the department of Gynecology, Seoul National University Hospital, during July 1983 and February 1985. For comparison 1013 patients without adenomyosis were selected for control group among the same 1324 patients. The results were summarized as follows: 1. The incidence of adenomyosis was 23.5%(311/1324). 2. The patients with adenomyosis in the fifties were 179(57.6%), peak in incidence and statistically significant compared to control group (P*<0.01). 3. Parity was 3.05 in average and 295 patients(94.9%) were parous(p*>0.10). 4. Frequency of artificial abortion was 3.32 in average ande 267 patients(85.9%) experienced more than one (p*<0.01). 5. Frequency of spontaneous abortion was 0.43 in average and 92 patients(26.4%) experienced more than one (p*=0.03). 6. There was no significant relationship between the incidence of adenomyosis and previous laparotomy including cesarean section. 7. Menstrual disturbances were present in 243 patients(78.8%) and the duration of symptoms was below 6 months in about half. 8. Preoperatively adenomyosis was suspected in 25 patients(8.0%), especially up to 15.0% in uncomplicated adenomyosis. 9. The associated pathology was leiomyoma(34.1%), pelvic endometriosis(6.8%, p*<0.01) and endometrial adenocarcinoma(1.0%, p*>0.10). etc. 10. Uterus was enlarged significantly in patients with adenomyosis without myomas and mean uterine weight is 159gm (p*<0.01). 11. Endometrial findings were proliferative phase 41.1%, secretory phase 32.5%, and hyperplasia 3.2%, etc. 12. There was no statiscally significant difference between uncomplicated and complicated adenomyosis.