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기능장애성 자궁출혈의 임상 및 병리학적 고찰

Clinical and Pathologic Study of Dysfunctional Uterine Bleeding

대한산부인과학회지 1993년 36권 8호 p.3312 ~ 3316
소속 상세정보
김성배 부문현/동가진/배국환

Abstract


Dysfunctional uterine bleeding (DUB) is defined as abnormal bleeding form the uterine endometrium, which is unrelated to anatomic lesion. According to definition, dysfunctional uterine bleeding seems to be a exclusive term.
The problem of abnomal uterine bleeding is the most frequent problem of all gynecologic disease and may occur on any age, from menarch to menopause, but occurs more frequently especially on puberty and menopause, It may occur in an ovulatory
cycle,
although it is more comonly associated with an anovulatory one.
139 cases of dysfunctional uterine bleeding were evaluated on clinical and pathologic aspects, and we performed brief review of literature.
@ES the results were as follows:
@EN 1. Age distribution of DUB was localized mainly in 30~40 years, mean age was 41.5 years.
2. Dysfunctional uterine bleeding patients were mainly multigravidas(mean gravidities ; 5.2 times, mean parities; 2.6 times).
3. Among various bleeding patterns, intermenstrual bleeding was the most common pattern(42%) and the next was menorrhagia(30%).
4. Histologic findings of endometrium were proliferative phase, 76 cases(55%), secretory phase, 42 cases (30%), and hyperplasia, 8 cases(6%) in order of frequency.
5. According to endometrial biopsy, the incidence of anovulatory DUB was 71% (59 cases out of 93 cases) and ovulatory DUB was 29% (24 cases out of 83 cases).

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