子宮腺筋症의 臨床的 考察 = A Clinical Apprasial of Adenomyosis

국문 초록 (Abstract)

부인과 질환중 상당한 비율을 차지하고 있는 자궁선근증의 빈도, 증상, 동반된 질환 및 수술전 진단의 가능성 등을 조사하여 수술전 진단의 정확성을 높임으로써 효과적인 치료를 할 수 있게 하기 위하여 본 연구를 시행하게 되었다.

다국어 초록 (Multilingual Abstract)

Adenomyosis is a singular disease whose diagnosis frequently eludes the physician. In spite of the fact that it causes distressing and often serious functional disturbances requiring major operation for correction, many physicians, even gynecologists, tend to neglect the possibilty of this entity Adenomyosis was encountered in 199 cases or 25.5% of the surgically removed uteri from women who had been admitted to Sanggye Paik Hospital from Sep. 1, 1989, to Dec. 31, 1992.
The peak incidence was in the fifth decade (51.8%), in late reproductive life or early menopausal years.
Of the 199 patients, 186 (93.5%) were parous and 13 (6.5%) were nulliparous.
Menorrhagia, metrorrhagia, pelvic pain, lumbago, and dysmenorrhea were common symptoms in this study and 17 patients (8.6%) had no symptoms.
In comparing uterine weight in those cases wish and without associated myoma, we find the distribution is similar in both groups except for a larger number of uteri in the "under 120gms without myoma" category.
Preoperative diagnosis of the adenomyosis was possible in only 3.5% Leiomyoma was the most common associated disease with adenomyosis and the incindence was 39.7%.
Proliferative phase of the endometrium was the most frequent endometrial findings, an incidence of 51.8%, and the secretory phase, 29.1%.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.재료 및 방법
• Ⅲ.조사성적
• 1.빈도
• 2.연령별 빈도
• 3.분만 경험의 유무별 발생 빈도
• 4.임상증상
• 5.자궁무게
• 6.수술전 진단
• 7.합병질환
• 8.자궁 내막 소견
• Ⅳ.고찰
• Ⅴ.결론