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KMID : 0613119930060010217
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Journal of St. Benedict Hospital
1993 Volume.6 No. 1 p.217 ~ p.223
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Clinical and Pathologic Study of Dysfunctional Uterine Bleeding
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하부수/Ha, Boo Soo
정종기/강소희/김철/지정희/Jeung, Jong Gi/Kang, So Heuy/Kim, Chul/Chi, Chung Hee
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Abstract
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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 pathol. gic aspects in 509 cases of dysfunctional uterine bleeding, and brief review of literature.
The results were as follows.
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 on anovulatory DUB was 61 % (82 cases out of 209 cases) and ovulatory DUB was 39 % (82 cases out of 209 cases).
6. Treatment were made by endometrial currettage (57.4 %), Hormonal therapy (37.8 %) & Hysterectomy (5.1 %).
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