1979년 1월 1일부터 1986년 12월 30일까지 본 이화여자대학교 의과대학 부속병원 산부인과에 입원하여 수술을 받고 확진된 자궁근종환자 290예를 대상으로 임상 및 병리조직학적으로 관찰하여 다음과 같은 결과를 얻었다. 1. 자궁근종의 발생빈도는 14.02%였다. 2. 연령별 분포는 40∼49세에서 가장 많았다. 3. 평균 초조 연령은 16.5세였다. 4. 자궁근종의 발생부위는 체부근종이 91%로 가장 많았고, 경부근종이 4.8%였다. 또한 자궁층별 발생율은 근층내 근종이 46.6%로 가장 많았고 장막하근종이 30%, 점막하근종이 12.1%, 혼재형이 11.4%였다. 5. 임상증상 및 증후로는 동통이 63.8%로 가장 많이 나타났고, 이상자궁출혈은 60.4%, 종류감이 31.7%, 일반증상이 14.5%의 순이었다. 6. 불임증은 전례의 19.7%이며 이중 원발성 불임증은 7.6%, 속발성 불임증은 12.1%였다. 7. 혈색소 양은 10gm%이하가 27.9%였다. 8. 합병증으로는 난소낭종의 발병율이 14.1%로 가장 많았다. 9. 수술방법은 복식전자궁적출술이 85.5%로 제일 많이 시행하였고 자궁근핵적출술이 10.3%, 질식자궁적출술은 1%였으며 사망자는 없었다.

Two hundred and ninety cases of confirmed uterine myoma were reviewed during 7 years period from the beginning of 1979 to end of Dec. 1986, at department of obstetrics and gynecology, Ewha Womans University Hospital. The results were as follows: 1. The incidence of uterine myoma among 1068 cases of the major gynecological operation was 14.02%. 2. The frequence of myoma was highest in aged group between 40-49 years. 3. The average age of menarche was 16.5 years. 4. The corporeal myoma was the most frequent deserved in 264 cases(91%), cervical in 14 cases(4.8%), corporeal-dervical in 7 cases(2.4%) respectively. Intramural myoma was observed in 135 cases(46.6%), subserosal in 87 cases(30%), submoucous in 35 cases(12.1%), and combined type in 33 cases(11.4%) respectively. 5. The most common symptoms of myoma was pain(63.8%) and the next abnormal uterine bleeding(60.4%), palpable mass(31.7%) and general symptom(14.5%) respectively. The menometrorrhagia was most frequently observed in the submucous type. 6. Infertility was observed in 57 cases(19.7%), in which the primary infertility was 7.6% and secondary 12.1% respectively. 7. Anemia(less than 10.0gm%) was observed in 81 cases(27.9%). 8. The most frequently associated condition in myoma were ovarian cyst(14.1%). 9. Total abdominal hysterectomy was performed in 248 cases(85.5%), myomectomy in 30 cases(10.3%), and vaginal hysterectomy in 3 cases(1%) respectively.