Obstetrics & gynecology science

Korean Society of Obstetrics and Gynecology (대한산부인과학회)
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Clinical analysis of the endometriosis

자궁내막증의 임상적 고찰

Moon, Jeong-Beom;Park, Su-Jin;Lee, Yong-Ho;Kim, Kyeong-A;Hong, Sang-Ki;Baek, Su-Kyung
문정범;박수진;이영호;김경아;홍상기;백수경

  • Published : 20061100
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Abstract

Objective: We studied clinical characteristics of patients have endometriosis to provide basic knowledge for diagnosis, treatment, and futher study of endometriosis. Methods: We have performed a retrospective clinical study on 163 patients diagnosed with endometriosis during laparotomy, cesarean section, laparoscopic surgery at our medical center from January, 2000 to December, 2004. Results: Incidence of endometriosis was 4.38%. The more frequent occurrence was noted in the young women with low parity and in the nulliparous women. Most frequent symptom comprised dysmenorrhea and lower abdominal pain. 33.7% of patients were asymptomatic. And 82.3% of the patients were in stage III and IV. The frequent sites involved were ovaries, Cul-de sac, uterus, tubes, peritoneum and rectum in order. Frequently combind gynecologic disease were uterine myoma, benign ovarian tumor. In Stage III & IV, there are more patients, who had abnormal elevated serum CA 125 level than patients of stage I & II. Conclusion: Early diagnose and appropriate management of Endometriosis for young women can lowered the development of hihger stage case and it is important for fertility and better life quality.

목적: 자궁내막증 환자의 임상적 특징을 파악하여 향후 진단과 치료 및 연구에 도움이 될 기초 연구 자료를 마련하고자 하였다. 연구 방법: 2000년 1월부터 2004년 12월까지 5년 동안 본원 산부인과에서 개복수술, 제왕절개수술, 골반경 수술로 자궁내막증으로 진단된 163예를 대상으로 이들의 임상양상에 대해 후향적으로 조사분석 하였다. 결과: 자궁내막증의 빈도는 4.38% 였고, 미산부 및 임신회수가 적은 젊은 여성에서 호발하였다. 주증상은 월경통, 하복부 통증이었으며, 증상이 없는 경우가 35%였다. 병기는 III, IV기가 82.3%였으며, 호발병소는 난소, 더글라스와, 자궁, 나팔관, 복막, 직장 순이었다. 자궁근종과 양성 난소낭종이 흔히 동반되는 부인과 질환이었으며, 혈청 CA125치는 I, II기 보다 III, IV기에서 평균수치가 증가하였고, 비정상적으로 높은 수치를 보이는 경우도 많았다. 결론: 젊은 여성에서 자궁내막증에 대한 조기 진단과 적절한 치료로 가임력 보존 및 여성의 삶의질 향상을 도모하여야 한다.

Keywords

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