Karakteristik Pasien Adenomiosis dengan Gambaran Ultrasonografi di Rumah Sakit Dr. Hasan Sadikin Bandung Periode 2015-2016

Meice Fitrina, Hartanto Bayuaji, Tita Husnitawati Madjid, Edwin Armawan

Abstract


Abstrak    
Tujuan: Karakteristik pasien dan hasil pemeriksaan ultrasonografi penting untuk menegakkan diagnosis adenomiosis, dapat diketahui terkait dari usia, gejala dan paritas serta pemeriksaan patologi anatomi.
Metode: Deskriptif retrospektif menganalisis gejala klinis dan ultrasonografi  adenomiosis. Data demografi (usia dan paritas), gejala klinis, hasil pemeriksaan ultrasonografi, dan hasil pemeriksaan patologi anatomi.
Hasil: Dari 116 kasus, rata-rata usia adalah 39 tahun, paritas 1 - 4 (51,7%), infertilitas sekunder (35,3%), dengan gejala klinis yang terbanyak adalah massa pada abdomen (45,7%). Hasil pemeriksaan ultrasonografi yang terutama adalah miometrium heterogen (63,8%), kista miometrium (59,5%), dan subendometrial linear striae (56,0%).  
Diskusi: Hasil pemeriksaan USG transvaginal yang paling banyak ditemukan gambaran miometrium heterogen (63,8%) dan kista miometrium (59,5%).
Kesimpulan: Adenomiosis umum terjadi pada usia reproduktif dan multiparitas dengan gejala utama massa pada abdomen dan hasil ultrasonografi yang terutama ditemukan adalah miometrium heterogen.  

Kata kunci: adenomiosis, ultrasonografi, ultrasonografi transvaginal

Characteristics Overview of Adenomyosis Patients
with Ultrasonographic  at Dr. Hasan Sadikin Bandung General Hospital
during 2015–2016

Abstract    
Objective: Characteristic patient and ultrasonography findings are important to make a diagnosis of adenomyosis. To describe common and uncommon characteristics patients which is include age, symptoms, and parity with ultrasonographic findings and histopatolgic examination of adenomyosis.
Methods: This study was a descriptive restrospective study in adenomyosis cases. Patients with clinical symptoms and confirmed with ultrasonographic was an adenomyosis were analyzed.
Results: Out of 116 cases, mean age was >35 years old (70,7%), parity was 1 - 4 (51,7%), related to secondary infertility (35,3%), with most common symptom is abdominal mass (45,7%). Most common findings of ultrasonographic were heterogenous myometrium (63,8%), myometrium cyst (59,5%), and subendometrial linear striae / shadowing (56,5%).
Discussion: Sign transvaginal ultrasound were the heterogeneous myometrium (63.8%) and myometrial cyst (59.5%).
Conclusion: Adenomyosis usually happen in reproductive age, multiparity with main symptoms is abdominal mass and the most common sonographic findings is heterogenous myometrium.

Keywords: adenomyosis, ultrasonographic, transvaginal ultrasonography.


Keywords


Adenomyosis, ultrasonographic, characteristic, diagnosis, transvaginal sonography.

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DOI: http://dx.doi.org/10.24198/obgynia.v1n1.16

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Alamat Redaksi

 

KSM/Dep Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran RSUP Dr. Hasan Sadikin

Jl. Pasteur No 38 Bandung 40161 

Telp: 0813-2012-9954

Email: obgyniajurnal@gmail.com

 

 

 




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