인천 길병원 산부인과에서 1981년 1월 1일부터 1984년 12월 31일까지 4년간 시행한 자궁적출술 715례중 자궁선근증 160례에 대하여 임상 및 병리학적으로 조사 분석하여 다음과 같은 결론을 얻었다 1 자궁선근증의 발생빈도는 22 5%였다 2 호발연령은 41-50세군이 55 6%로 가장 높았고, 평균연령은 43 7세였다 3 분만횟수는 3-5회군이 가장 많았고, 경산부가 96 2%를 차지하였다 4 육안적으로 임신 10주이상의 자궁비대는 64 4%였다 5 자궁선근증의 임상증상은 하복부 불쾌감 및 골반통(60 6%)이 가장 많았고, 월경과다(40 0%), 요통(39 4%), 월경통(18 1%)등의 순이었다 6 수술전 진단의 정확도는 6 9%로 임상증상만으로는 진단이 매우 어려웠다 7 합병질환은 만성골반염(33 1%)이 가장 많았고 자궁근종(23 1%), 정체낭종(9 4%)등의 순이었다 8 본 연구에서는 자궁내막증이 동반된 예는 관찰되지 않았다 9 자궁내막소견은 분비가 41 9%였고, 증식기는 27 5%였다

One hundred and sixty patients with adenomyosis were studied clinically and pathologically among 715 hysterectomized cases in the Department of Obstetrics and Gynecology, In Cheon Gil Hospital, during 4 years, from Jan 1 1981 to Dec 31 1984 The results obtained were summerized as follows; 1 Routine pathologic examination of the 715 hysterectomized uteri revealed adenomyosis in 160 specimens, an incidence of 22 5% 2 The highest incidence was 41 to 50 years of age group, an incidence of 55 6% and the mean age was 43 7 years 3 Adenomyosis was far more frequently observed in parous woman than non-parous woman, such as 96 2% and 3 8% respectively 4 Grossly, the size of the uterus was enlarged more than 10 weeks gestational size in adenomyosis, an incidence of 66 4% 5 Pelvic pain, menorrhagia, lumbago and dysmenorrhea were common symptoms of adenomyosis, and incidence of 60 6%, 40%, 39 4% and 18 1% respectively 6 Preoperative diagnostic accuracy for adenomyosis was 6 9% 7 Myoma uteri was the most common indication for operation, showing an incidence of 40 6% 8 Pelvic inflammatory disease and myoma uteri were common combined disease in the adenomysis, and incidence of 33 1% and 23 1% respectively 9 Endometriosis was not combined with adenomyosis in this study 10 Secretory phase of endometrium was the most frequent findings of adenomysis, an incidence of 41 9% and the proliferative phase was 27 5%