Goswami A, Khemani M, Logani K B, Anand R
Department of Obstetrics and Gynaecology, Smt. Sucheta Kripalani Hospital, New Delhi, India.
J Obstet Gynaecol Res. 1998 Aug;24(4):281-4. doi: 10.1111/j.1447-0756.1998.tb00090.x.
To assess the possibility of diagnosing adenomyosis by hysteroscopic endomyometrial biopsy in patients with menorrhagia and to compare the incidence and depth of penetration in patients who did not have menorrhagia.
The study group included 53 patients who had menorrhagia and the control group included patients who were to have hysterectomy for conditions like prolapse uterus. Hysteroscopic endomyometrial biopsy was done in the menorrhagia group. The incidence and depth of penetration of adenomyosis were compared in both the groups using Kruskal Wallis H test. For correlation of severity of menorrhagia with depth of adenomyosis: Student's t-test and ANOVA were used.
The incidence of adenomyosis was 60% (18 patients) by endomyometrial biopsy in the menorrhagia group as compared to 33.3% in the control group. The mean depth of invasion of myometrium was 4.103 mm in the menorrhagia group and 2.03 mm in the control group.
There is a definite correlation between menorrhagia and adenomyosis both in incidence and depth of penetration.
评估宫腔镜下子宫内膜活检诊断月经过多患者子宫腺肌病的可能性，并比较非月经过多患者的发病率及浸润深度。
研究组包括53例月经过多患者，对照组包括因子宫脱垂等疾病行子宫切除术的患者。对月经过多组患者进行宫腔镜下子宫内膜活检。采用Kruskal Wallis H检验比较两组子宫腺肌病的发病率及浸润深度。对于月经过多严重程度与子宫腺肌病浸润深度的相关性：采用Student's t检验和方差分析。
月经过多组经子宫内膜活检诊断子宫腺肌病的发病率为60%（18例患者），而对照组为33.3%。月经过多组子宫肌层的平均浸润深度为4.103 mm，对照组为2.03 mm。
月经过多与子宫腺肌病在发病率及浸润深度方面均存在明确的相关性。
