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子宮筋腫의 臨床的統計 觀察

Uterine Myoma

대한산부인과학회지 1968년 11권 2호 p.23 ~ 24
이중희 (  ) - 서울대학교 의과대학 부속병원 산부인과학교실

Abstract


The uterine myoma is the most common tumor of the uterus, being estimated about 20% of all women over 34 years of age.
From April 1953 to June 1967, 247 cases of myoma uteri were treated at Dept, of Obst. & Gynec., Seoul National University Hospital.
1. During this same period, 2,218 cases of gynecological major surgery (excluded obstrical
operations) were performed, giving a ratio 1 myoma to 8.8 major surgeries (11.4% ).
2. The mean age was 43. 1 years, the most frequent age was 41?45 years group, and 99.2%
of all cases was over 30 years of age.
The youngest was 21 and the oldest was 64 years.
3. The mean age of menarche was 16. 1, and 62.8% of all cases had their menarche before age of 16.
4. The corporeal myoma was the most frequent location (89.6%), whereas, the cervical was 7.6% and the cervicocoporeal was 2.8%.
5. The subserous myoma was about one thirds (34.0%), the interstitial type was another one thirds(32.8%), and the left was the mixed form (19.3%). and the submucous type (13.9%). The submucous type was the least common type.
6. The menometrorrhagia was the most common chief complaints (23.1%), whereas dysmenorrhea in 14.2% and pelvic heaviness in 13.4%, etc, in orders.
The submucous and the interstitial type of myoma were the predominant types in patients with menometrorrhagia and irregular bleeding, especially, the submucous type in irregular bleeding. Whereas subeserous type was more common type in dysmenorrhea and pelvic heaviness.
7. Infertility was observed in 55.9% of myoma patients, among them primary is 20. 1% and secondary sterility is 35.8% of all cases.
The sumucous and the mixed type revealed relativly high incidence of infertility, 59.8% and 68.3% respectively.
8. Adnexal change was observed in 34% of myoma uteri, ovarian follicullar cyst was the most common (45.3%). And 1 case of congenitl unilateral absence of. ovary was seen.
9. Secondary change of myoma was observed in 10.3%, and hyaline degeneration was the most common degenerative change. No. sarcomatous change was observed in this study.
10. Anemia (less than 10.0 gm.% as tentative criteria) was seen in 40.9/, and 7.3% of patients was severe anemic condition (Hb.: less than 6gm. %). 11. The method of treatment we apllied, was surgical operation, ie, abdominal hysterectomy(88.4%c´), vaginal hysterectomy (4.9%), myomectomy (4.1%) and subtotal hysterectomy (2.8,%).
No operative motality was observed.
Lumbar anesthesia was the most common method we used, performed in 97.6%. No distinct anesthetic complication was seen.

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