Adenomyosis: Symptoms, histology, and pregnancy terminations

Adenomyosis: Symptoms, histology, and pregnancy terminations
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DOI:
10.1016/s0029-7844(99)00659-6
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发表时间:
2000-05-01
影响因子:
7.2
通讯作者:
Tucker, A
Tucker, A
中科院分区:
医学2区
文献类型:
--
作者:
Levgur, M;Abadi, MA;Tucker, A

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目的:将子宫腺肌病的症状与组织病理学特征联系起来,方法:对111例体重低于280 g的子宫和宫颈标本进行了重新评估。当确定子宫腺肌病时,评估包括子宫腺肌病病灶的深度,分级为深(80%以上),中间(40-80%)和浅表(40%以下),以及子宫腺肌病病灶的数量。临床资料收集自患者病历。结果:标本分为四组,17例为单纯子宫腺肌病,19例为子宫腺肌病合并平滑肌瘤,39例为单纯平滑肌瘤,36例两者均无。单纯子宫腺肌病组终止妊娠率为58.8%,子宫腺肌病合并子宫肌瘤组终止妊娠率为47.4%,单纯子宫肌瘤组终止妊娠率为20.5%(P
Objective: To correlate symptoms of uterine adenomyosis with histopathologic features.Methods: One hundred eleven specimens of uteri and cervices that weighed under 280 g were reevaluated. When adenomyosis was identified, assessment included depth of adenomyotic foci, graded as deep (above 80%), intermediate (40-80%), and superficial (under 40%), and number of adenomyotic foci. Clinical data were collected from patient records.Results: Specimens were categorized in four groups, 17 with adenomyosis alone, 19 with adenomyosis with leiomyomas, 39 with leiomyomas alone, and 36 with neither. Among women with adenomyosis alone, 58.8% had pregnancy terminations and 47.4% of women with adenomyosis and leiomyomas had terminations, compared with 20.5% of women with leiomyomas alone (P