Tsukahara Y, Fukamatsu Y, Sakai Y, Tomita K, Fukuta T
Nihon Sanka Fujinka Gakkai Zasshi. 1983 Feb;35(2):207-12.
Biopsy specimens of the endometrium obtained from the 154 cases diagnosed as glandular cystic hyperplasia were classified into 3 types. The results obtained are as follows: 1) The number of cases thus classified was 43 for type I, 78 for type II and 33 for type III. 2) Clinical diagnosis showed that functional uterine bleeding had the highest incidence, followed by myoma of the uterus, endometrial carcinoma and abortion in this order. 3) By age, 69.0% of the cases was concentrated in the fifth decade, the average age being 44.7 years. 4) Major clinical symptoms were 1) irregular cycle of menstruation, 2) prolonged genital bleeding, 3) anemia and 4) recurrence of symptoms. These symptoms were observed most frequently in type I, followed by type II and type III. Similar tendency was observed also in the incidence of complications with some of these symptoms. 5) The degree of endometrial hypertrophy was 3.7 +/- 1.0 mm for type I, 2.8 +/- 0.9 mm for type II and 1.6 +/- 0.9 mm for type III. 6) The incidence of the endometrial glandular epithelium in its active form was 70.7% for type I, 26.7% for type II and 25.9% for type III. 7) Stromal hyperplasia was found in 70.7% of the type I, 50.0% of the type II and 29.6% of the type III respectively.
从154例诊断为腺囊性增生的子宫内膜活检标本分为3型。结果如下：1）I型43例，II型78例，III型33例。2）临床诊断显示，功能性子宫出血发病率最高，其次依次为子宫肌瘤、子宫内膜癌和流产。3）按年龄，69.0%的病例集中在50岁年龄段，平均年龄为44.7岁。4）主要临床症状为：1）月经周期不规律，2）生殖器出血时间延长，3）贫血，4）症状复发。这些症状在I型中最常见，其次是II型和III型。在这些症状的一些并发症发生率中也观察到类似趋势。5）子宫内膜肥大程度I型为3.7±1.0mm，II型为2.8±0.9mm，III型为1.6±0.9mm。6）活跃形式的子宫内膜腺上皮发生率I型为70.7%，II型为26.7%，III型为25.9%。7）间质增生分别在I型的70.7%、II型的50.0%和III型的29.6%中发现。
