ZKTB Hi̇sterektomi̇ Olgularında Adenomyosi̇s Prevelansı ve İli̇şki̇li̇ Faktörler
Amaç: Adenomyosis, endometrial gland ve stroma- nın endometriumla ilişkisiz bir şekilde myometrium içine gömülmesidir. Tanısı histolojik incelemeye da- yandığı için, bu durum en iyi histerektomi materyal- lerinin incelenmesi ile belirlenmektedir. Gereç ve Yöntemler: Bu çalışmada histerektomi ol- muş 109 hastanın sonuçları retrospektif olarak ince- lendi. Yaş, parite, menapozal durum ve histerektomi endikasyonları adenomyosis olan ve olmayan grup arasında karşılaştırıldı. P değerinin 0,05 altında ol- ması istatistiksel olarak anlamlı kabul edildi. Bulgular: Adenomyosis olan olguların ortalama yaşı 55 idi. Parite ve anormal uterin kanama ade- nomyosis olan olgularda daha yüksek idi (p
The Prevelance of Adenomyosis at Hysterectomy and Associated Factors
Objective: Adenomyosis is a entity characterized by the presence of endometrial glands and stroma embedded within the myometrium without apparent contact with the endo-myometrial junction. As the diagnosis of adenomyosis is based on histological examination, the condition is best described in wo- men at the time of hysterectomy. Material and Method: We evaluated results of 109 hysterectomized patients retrospectively. Age, pa- rity, menopausal status and indication of hysterec- tomy were compared between adenomyosis positive and negative patients according to histological fin- dings. P value under 0.05 was considered statisti- cally significant. Results: The mean of age patients with adenomyo- sis were 55. Parity and abnormal uterine bleeding were associated factors with adenomyosis (p<0.05). Conclusion: Our study demonstrated that the pre- valence of adenomyosis at hysterectomy was 29.4%. Adenomyosis is more frequent among women repor- ting abnormal uterine bleeding and with high pa- rity.
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