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KMID : 0358419930360060847
Korean Journal of Obstetrics and Gynecology
1993 Volume.36 No. 6 p.847 ~ p.853
Clinical and Pathologic Study of Dysfunctional Uterine Bleeding
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Abstract
Dysfunctional Uterine Bleeding is defined as abnormal bleeding from the uterine endometrium, which is unrelated to anatomic lesion of uterus and excluded uterine bleeding secondary to organic lesion of uterus.
Dysfunctional uterine bleeding may occur on any age, from menarche to menopause, especially occurs periods of puberty and menopause easily.
This Study is reported on clinical and pathologic aspects in 509 cases of dysfunctional uterine bleeding, and brief review of literature.
@ES The results were as follows.
@EN 1. Age distribution of dysfunctional uterine bleeding was mainly 4th & 5th decades.
2. Obstetric history of patients with dysfunctional uterine bleeding showed 2~3 times deliveries and 4~5 times pregnancies.
3. Among variable patterns, intermenstrual bleeding (43.8%) was most frequent and menorrhagia(29.5%) was next.
4. Histologic findings of endometrium were proliferative phase, 310 cases(60.9%), secretory phase, 159 cases(31.2%) and hyperplasia, 24 cases (5.5%) in order of frequency.
5. According to endometrial biopsy, the incidence of the anovulatory DUB was 61%(82 cases out of 209 cases )and ovulatory DUB was 39% (82 cases out 209 cases).
6. Treatment were made by endometrial currettage(57.4%), Hormonal therapy(37.8%) & Hysterectomy(5.1%).
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