Anormal Uterin Kanamalı Hastaların Tanısında Dilatasyon ve Küretaj Sonuçları ile Histeroskopi Sonuçlarının Karşılaştırılması

Yıl 2023, , 30 - 35, 30.03.2023

Esin Kasap , Fatmahorasan Altıntaşoğlu

https://doi.org/10.57221/izmirtip.1256711

Öz

Amaç: Anormal uterus kanamaları, kadını, hayatının değişik dönemlerinde fizyolojik psikolojik ve patolojik anlamda etkileyen önemli bir yakınmadır. Sebepleri oldukça geniş bir spektrum içerir. Bu çalışmamızda; anormal uterus kanaması olan premenapozal ve postmenapozal dönemdeki kadınların endometrial patolojilerinin teşhisinde, diagnostik histeroskopinin dilatasyon ve küretaja göre etkinliği ile karşılaştırdık. Gereç ve Yöntemler: Şubat 2002 ve Aralık 2003 yılları arasında SBÜ, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği’ne (eski ismi SSK Ege Doğumevi ve Kadın Hastalıkları Hastanesi) jinekoloji polikliniğine başvuran anormal uterin kanaması olan veya uterin patolojiden şüphelenilen 40 hasta çalışmaya alındı. Hastaların küretaj materyallerinin histopatolojik bulguları ile histeroskopik bulguları karşılaştırıldı. Bulgular: Olguların %67.5’unda kanama paterni menometroraji iken %20 ’inde metroraji %12.5’unda postmenopozal kanama şeklinde idi. Çalışma grubu içerisinde %52.5 oranında anormal histopatolojik bulgularla karşılaşırken, %47.5 olgunun histopatolojik incelemeleri normal olarak değerlendirildi. Bu dönemde en çok karşılaşılan patolojik bulgu %17.5 oranında hiperplazi iken bunun %15 oranında endometrit %10 oranında endometrial polip ve %7.5 oranında yetersiz mataryel (atrofi) takip etti. Myoma ise %2.5 oranında rastlanmıştır. Hiperplazilerin tamamı basit atipisiz formdaydı. Endometrial maligniteye ise olgularımızda rastlanılmadı. Sonuç: Dilatasyon ve küretaj öncesi histeroskopi yapılırsa uterin kavite direk olarak görüntülenmiş olur böylece anormal endometrial alanlar lokalize edilmiş ve buralara daha fazla forse küretaj yapmama imkanı doğar.

Anahtar Kelimeler

anormal uterin kanama, histeroskopi, dilatasyon ve küretaj

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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WITH D&C RESULTS IN THE DIAGNOSIS OF PATIENTS WITH ABNORMAL UTERINE BLEEDING COMPARISON OF HYSTEROSCOPY RESULTS

Öz

Aim: Abnormal uterine bleeding is an important complaint that affects women physiologically, psychologically and pathologically at different stages of their life. The causes include a fairly broad spectrum. Materials and Methods: Forty patients with abnormal uterine bleeding or suspected uterine pathology who applied to the gynecology outpatient clinic of SSK Ege Maternity and Gynecology Hospital between February 2002 and December 2003 were included in the study. The histopathological findings of the curettage materials of the patients were compared with the hysteroscopic findings. Results: While the bleeding pattern was menometrorrhagia in 67.5% and metrorrhagia was in 20% of the cases, it was postmenopausal bleeding in 12.5% of the cases. While 52.5% of the study group encountered abnormal histopathological findings, Histopathological examinations of 47.5% of the cases were evaluated as normal. In this period, the most common pathological finding was 17.5% hyperplasia, 15% of which was endometritis, 10% endometrial polyp, and 7.5% insufficient material (atrophy). Myoma was found at a rate of 2.5%. All hyperplasias were in simple form without atypia. Endometrial malignancy was not encountered in our cases. Conclusion: If hysteroscopy is performed before dilation and curettage, the uterine cavity will be directly visualized, so that abnormal endometrial areas have been localized and it is possible to avoid further forced curettage.

Anahtar Kelimeler

abnormal uterin bleeding,dilatation and curettage,hysteroscopy

Proje Numarası

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Kaynakça

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