中华妇产科杂志
中華婦產科雜誌
중화부산과잡지
CHINESE JOUNAL OF OBSTETRICS AND GYNECOLOGY
2012年
11期
829-832
,共4页
仝佳丽%郎景和%朱兰%冯瑞娥%崔全才
仝佳麗%郎景和%硃蘭%馮瑞娥%崔全纔
동가려%랑경화%주란%풍서아%최전재
子宫内膜异位症%增生%息肉
子宮內膜異位癥%增生%息肉
자궁내막이위증%증생%식육
Endometriosis%Hyperplasia%Polyps
目的 分析内异症患者在位内膜病理特征.方法 回顾性分析2007年1月至2008年12月在北京协和医院经手术治疗、病理证实为盆腔内异症的176例患者的在位内膜病理特征.结果 72.2％(127/176)患者的在位内膜处于增殖期.35例(19.9％,35/176)为子宫内膜息肉,其中32例为单纯子宫内膜息肉,3例为子宫内膜异常增生合并子宫内膜息肉;子宫内膜异常增生者7例(4.0％,7/176);在位内膜病变发生率为22.2％(39/176).53例合并不孕症者在位内膜病变发生率为35.9％(19/53),高于无不孕症者的16.3％(20/123),两者比较,差异有统计学意义(x2=8.24,P=0.004).65例合并月经异常者,子宫内膜息肉和子宫内膜异常增生的发生率分别为20.0％(13/65)、10.8％(7/65),均分别高于月经正常者17.1％(19/111)和0,两者比较,差异有统计学意义(x2=13.839,P=0.003).结论 内异症患者在位内膜细胞处于持续增殖状态,内异症合并不孕症患者以及月经异常者在位内膜病变的发生率显著增高.
目的 分析內異癥患者在位內膜病理特徵.方法 迴顧性分析2007年1月至2008年12月在北京協和醫院經手術治療、病理證實為盆腔內異癥的176例患者的在位內膜病理特徵.結果 72.2％(127/176)患者的在位內膜處于增殖期.35例(19.9％,35/176)為子宮內膜息肉,其中32例為單純子宮內膜息肉,3例為子宮內膜異常增生閤併子宮內膜息肉;子宮內膜異常增生者7例(4.0％,7/176);在位內膜病變髮生率為22.2％(39/176).53例閤併不孕癥者在位內膜病變髮生率為35.9％(19/53),高于無不孕癥者的16.3％(20/123),兩者比較,差異有統計學意義(x2=8.24,P=0.004).65例閤併月經異常者,子宮內膜息肉和子宮內膜異常增生的髮生率分彆為20.0％(13/65)、10.8％(7/65),均分彆高于月經正常者17.1％(19/111)和0,兩者比較,差異有統計學意義(x2=13.839,P=0.003).結論 內異癥患者在位內膜細胞處于持續增殖狀態,內異癥閤併不孕癥患者以及月經異常者在位內膜病變的髮生率顯著增高.
목적 분석내이증환자재위내막병리특정.방법 회고성분석2007년1월지2008년12월재북경협화의원경수술치료、병리증실위분강내이증적176례환자적재위내막병리특정.결과 72.2％(127/176)환자적재위내막처우증식기.35례(19.9％,35/176)위자궁내막식육,기중32례위단순자궁내막식육,3례위자궁내막이상증생합병자궁내막식육;자궁내막이상증생자7례(4.0％,7/176);재위내막병변발생솔위22.2％(39/176).53례합병불잉증자재위내막병변발생솔위35.9％(19/53),고우무불잉증자적16.3％(20/123),량자비교,차이유통계학의의(x2=8.24,P=0.004).65례합병월경이상자,자궁내막식육화자궁내막이상증생적발생솔분별위20.0％(13/65)、10.8％(7/65),균분별고우월경정상자17.1％(19/111)화0,량자비교,차이유통계학의의(x2=13.839,P=0.003).결론 내이증환자재위내막세포처우지속증식상태,내이증합병불잉증환자이급월경이상자재위내막병변적발생솔현저증고.
Objective To study the pathologic characteristics of eutopic endometrium in patients with endometriosis.Methods Pathologic characteristics of eutopic endometrium were studied in 176 patients with endometriosis in Peking Union Medical College Hospital from January 2007 to December 2008 retrospectively.Results About 72.2％(127/176)of eutopic endometrium were in proliferative phase,19.9％(35/176)of were observed as endometrial polyp,including 32 cases with simple endometrial polyp and 3 cases with abnormal hyperplasia combined with endometrial polyp.And 4.0％(7/176)showed abnormal hyperplasia.The incidence of pathologic changes in eutopic endometrium was 22.2％(39/176).Among 53 endometriosis patients combined with infertility,the incidence of pathologic changes of eutopic endometrium was 35.9％(19/53),which was significantly higher than 16.3％ in non-infertile patients (x2 =8.24,P =0.004).Among 65 cases with irregular menstruation,the incidence of endometrial polypus and endometrial hyperplasia were 20.0％(13/65)and 10.8％(7/65),which were significantly higher than 17.1％(19/111)and 0 in normal menstruation patients(x2 =13.839,P =0.003).Conclusions The eutopic endometrium of endometriosis were in proliferative phase state.The pathologic changes of eutopic endometrium were more in patients combined with infertility and irregular menstruation.
