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子宮筋腫에 對한 臨床統計的 觀察

The Clinico-Pathological Observation on the Uterine Myoma

고려대학교의과대학잡지 1976년 13권 1호 p.159 ~ 168
박승신,
소속 상세정보
박승신 (  ) - 고려대학교 의과대학 산부인과학교실

Abstract


This clinico-pathological observation on the uterine myoma was based upon 133 cases in the 993 cases of gynecological major operation in the Dept. of Obstetrics and Gynecology, Woo Sok Hospital, College of Medicine, Korea University from the beginning of 1970 to the end of 1974.
Results were as follows;
1. Myoma was noted in 13.4% of the total cases of major gynecological operation.
2. The mean age was 44.3 years and the most frequent age was 41-50 years group. Only 3 cases encountered before the age of 30 years.
3. The average age of menarche was 16.2 years.
4. Myoma was the most common in the corpus uteri (86%), and least common in the cervix (10.5%). Intramural type was the most common type of myoma (33.8%), subserous myomas were 30.8%. mixed forms were 19.5% and submucous myomas were 15%.
5. Pain in the pelvic region or lower abdomen was the most frequent complaint (58.6%). and the next were abnormal uterine bleeding (40.6%) and palpable mass (54.1%). The submucous and the intramural type of myoma were more common types in the patients with menorrhagia and irregular bleeding, whereas subserous type was the predominent type in dysmenorrhea and pelvic heaviness.
6. Infertility was observed in 47.7% of total cases (primary infertility; 43.5% and secondary infertility; 56.5%) with the highest infertility rate in subserous type.
7. The average hemoglobin value was 10.269m/dl and among those cases 2.2% had severe anemia (less than 6 gm%).
8. The most common associated conditions in myoma were adnexal changes (34%) including ovarian cyst, tumor and P. I. D.
9. The most frequent secondary changes in myoma was hyaline degeneration (10%). No any sarcomatous change had been noticed.
10. The method of treatment was surgical, ie, abdominal hysterectomy (83.4%), vaginal hysterectomy (13.5%), myomectomy (1.5%) and subtotal hysterectomy (1.5%). No operative motality was
observed.
11. The postoperative cbinplications were noted as urinary tract infection (6.1%), wound infection (4.5%) and respiratory tract infection (1.5%).

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