결론 1. 1976년 1월 1일부터 1980년 12월 31일까지 전북의대 산부인과학교실에서 시행한 부인과적 수술 총 524예중(산과적 및 소수술은 제외) 자궁근종환자수는 80예로 그 빈도는 14.13%였다. 2. 년령분포는 40∼49세군이 60.0%로 가장 많았고, 최소년령 20세 최고년령 64세였다. 3. 발생부위는 체부 88.75% 경부 5.0% 경체부 5.0%였다. 근내근종이 46.25%로 가장 많았고, 점막하 18.75% 장막하 18.75% 혼재형 16.25%였다. 4. 임상증상은 자궁출혈과 진통 및 압박증상이 합계 63.75%로 제일 많았고 자궁출혈은 월경과다와 월경간출혈이 26.25% 점막하와 근내근종에서 19예(23.75%)였다. 5. 정상임신을 경험한 예는 85.0%였고 임신회수 3∼5회가 53.7%였으며, 임신의 합병증은 20.0%였고 자연유산이 16.25%로 제일 많았다. 불임은 11.25%였으며 자궁근종의 영향을 추정할 수 없었다. 6. 초진시 혈색소치는 5∼10gm%가 37.5%였고 5gm% 미만이 1.25%였다. 7. 병발병변은 33.75%에서 볼 수 있었고 선근종이 13.75%로 가장 많았다. 8. 2차성 병변 10.0%중 소자양변성이 7.5%로 가장 많았고 육종성변성은 1.25%였다. 9. 전례에서 전자궁적출술을 시행하였으며 그 주적응증은 자궁출혈과 종양독지로 70.0%였다.

80 cases of uterine myoma treated at the Department of Obsterics & Gynecology of Jeonbug National University Hospital from January 1, 1976 to December 31, 1980 reviewd Clinicl-Statistically and the results were obtained as follows; 1. The frequency of radical surgery for myoma was 14.13% of the whole major gynecological operations (524 cases) during 5 years excluding obstetrical & minor surgeries. 2. The group of 40∼49 years was highest in the age distribution and 60.0%, while the youngest 20 years old and the lodest 64 years old. 3. The myomas were found 88.75% in the corporeal portion, whereas respectively 5.0% in the cervical and cervicocorporeal portion. Regard to histological classification, intramural myomas were 46.25%, the highest and submucous 18.75%, subserous 18.75% and mixed 16.25%. 4. The uterine bleeding, pain and pelvic heaviness were chief complaints (63.75%) and the types of uterine bleeding were mainly menometrorrhagia and intermenstural bleeding (26.25%) and frequent (23.75%) in the submucous and intramural myoma. 5. The full-term delivery was experienced in 85.0% of patients, of which 3∼5 was 53.75%. The complication of pregnancy was noticed in 20.0%, resulting in spontaneous abortion of 16.25%, whereas the infertility was observed in 11.25%. Therefore the influence of myoma was hard to suspect. 6. The andmia with hemoglobin ranged 5 to 10mg% was noticed in 37.5%, while 1.25% less than 5mg% 7. One third of the patients (33.75%) were associated with other gynecological diseases, of which adenomyosis was the most common (13.75%) 8. The secondary change of the myoma was found in 10.0% with hyaline degeneration 7.5%, sarcomatous degeneration 1.25%. indications being uterine bleeding and palpable mass in 70.0%