Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy
Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy
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DOI：
10.1111/jog.12211
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发表时间：
2014-02-01
影响因子：
1.6
通讯作者：
Guo, Sun-Wei
中科院分区：
文献类型：
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作者：
Li, Xuelian;Liu, Xishi;Guo, Sun-Wei
目的本研究的目的是确定接受子宫切除术的子宫腺肌病女性中各种症状的频率及其相关特征，并确定这些患者中哪些症状可能伴随哪些其他症状。材料和方法2007年，连续1697名患者在我院接受子宫切除术。其中734例（43.3%）经组织学证实患有子宫腺肌病，其中710例为绝经前患者。检索所有734例患者的病历，记录其人口统计学、临床信息和术后发现。我们使用语言描述量表来衡量术前痛经的严重程度。Apriori算法用于挖掘不同症状之间的关联。结果在710例绝经前患者中，只有4.5%的人没有症状。痛经是最常见的主诉，发生在81.7%的患者中。痛经最常与月经过多同时发生。粘连、子宫内膜异位症、月经过多、病程较长、妊娠、盆腔检查时可触及疼痛、弥漫性子宫腺肌病与痛经的严重程度呈正相关。年龄，痛经的严重程度，子宫出血的投诉呈正相关的风险menorrhagia.ConclusionsDysmenorrhagia是最常见的投诉，在妇女子宫腺肌病，这往往伴随着月经过多。子宫腺肌病常与子宫内膜异位症和平滑肌瘤同时发生。各种因素与具有不同症状的风险相关。
AimThe aim of this study was to determine the frequency of various symptoms and their associated characteristics in women with adenomyosis who underwent hysterectomy, and to determine which symptoms are likely to go with which others in these patients.Material and MethodsIn 2007, 1697 consecutive patients underwent hysterectomy in our hospital. Among them, 734 (43.3%) were histologically confirmed to have adenomyosis, and 710 of them were premenopausal. The medical charts of all 734 patients were retrieved, and their demographic, clinical information and postoperative findings were recorded. We used the Verbal Descriptor Scale to measure the preoperative severity of dysmenorrhea. The Apriori Algorithm was used for mining the association of different symptoms.ResultsAmong the 710 premenopausal patients, only 4.5% of them had no symptoms. Dysmenorrhea was the most common complaint, occurring in 81.7% of patients. Dysmenorrhea co-occurred most frequently with menorrhagia. The presence of adhesion, presence of endometriosis, complaint of menorrhagia, longer duration of disease, gravidity, palpable pain during pelvic examination, and diffuse adenomyosis were positively associated with the severity of dysmenorrhea. Age, severity of dysmenorrhea, and complaint of metrorrhagia were positively associated with the risk of menorrhagia.ConclusionsDysmenorrhea is the most common complaint in women with adenomyosis, which often goes with that of menorrhagia. Adenomyosis often co-occurs with endometriosis and leiomyomas. Various factors are associated with the risk of having different symptoms.