Yakup BAYKUŞ, Rulin DENİZ, Ebru ÇELİK KAVAK, Hasan ÇILGIN, Haldun ARPACI, Nazan ARDIÇ, Ömür ÖZTÜRK

Histerektomi Olgularında Adenomyozis İnsidansı

Amaç: Histerektomi yapılan olgularda adenomyozis insidansının araştırılması. Materyal ve Metot: Ocak 2005-Aralık 2015 tarihleri arasında değişik nedenlerle vajinal histerektomi yapılan olgularda adenomyozis insidansı araştırıldı. Bulgular: Vajinal histerektomi yapılan 205 olgunun 58’inde (%28,3) final histopatolojide adenomyozis tespit edildi. Bu olguların operasyon endikasyonları; pelvik organ prolapsusu (n: 117, %57), endometrial hiperplaziler (n: 40, %19,5), servikal displaziler (n: 15, %7,3), postmenopozal kanama (n: 11, %5,3), tedaviye dirençli menometroraji (n: 10, %4,9), leiomyomlar (n: 9, %4,4), endometriyal polip (n: 2, %1) ve mol hidatiform (n: 1, %0,5) idi. Bu olguların %64,8’ine (n: 133) vajinal histerektomi ile beraber ek operasyon uygulandı. Uygulanan ek operasyonlar; sistorektosel operasyonu (n: 46, %34,5), rektosel operasyonu (n: 26, %19,5), sistosel operasyonu (n: 22 %16,5), sakrospinöz fiksasyon (n: 21, %15,7) ve trans obturatuar tape uygulamasıydı. Sonuç: Preoperatif adenomyozis tanısı, olguların bir bütün halinde değerlendirilmesi halinde özellikle 40–50 yaş grubunda daha sık konulabilir. Özellikle tedaviye dirençli menometroraji olgularında etyolojide adenomyozis olabileceği akılda tutulmalıdır.

Anahtar Kelimeler:

histerektomi; adenomyozis; insidans

The Incidence of Adenomyosis in Histerectomy Cases

Aim: To investigate the incidence of adenomyosis in histerectomy cases. Material and Method: The incidence of adenomyosis was evaluated in cases who had undergone hysterectomy of any cause between January 2005-December 2015. Results: In 58% of 205 cases with vaginal hysterectomy the final histopathological evalaution was adenomyosis. The indication for operations of these cases was: pelvic organ prolapsus (n: 117, 57%), endometrial hyperplasia (n: 40, 19.5%), servical displasies (n: 15, 7.3%), postmenoposal bleeding (n: 11, 5.3%), treatment resistant menometroragia (n: 10, 4.9%), leimyoma (n: 9, 4.4%), endometrial polip (n: 2, 1%) and mole hydatiform (n: 1, 0.5%). An additional operation was performed together with vaginal hysterectomy in 64.8% (n: 133) of the cases. The additional operations were sistorectosel operation (n: 46, 34.5%), rektosel operation (n: 26, 19.5%), sistosel operation (n: 22 16.5%), sacrospinosis fixation (n: 21, 15.7%) and transobturatuar tape. Conclusion: Preoperative adenomyosis can be diagnosed more frequently between the ages 40–50 years. Especially in treatment resistant menometroragia cases adenomyozis should be thought in aethiology

Keywords:

hysterectomy; adenomyosis; incidence,

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