1993년 9월부터 1994년 2월까지 이화의대 목동병원 산부인과에서 자궁내막증으로 진단된 43 예를 분석하여 다음과 같은 결과를 얻었다. 1. 자궁내막증은 개복수술을 한 환자 중 4.2% 골반경을 한 환자중 24.3%의 빈도를 보였다. 2. 환자의 평균연령은 33.9세였으며 30-34세 사이가 가장 높은 빈도를 나타내었다. 3. 초경이 14세이전에 있었던 경우와 월경이 33일 이내로 규칙적인 경우, 월경기간이 5일이 상으로 긴경우에 자궁내막증의 발생빈도가 높았다. 4. 임상증상에 있어서 증세가 없는 경우가 32.6%, 불임이 30.2%, 자궁부속기 종양이 27.9% 였다. 5. 자궁내막증과 수반된 불임이 전체 예중 30.2%였으며 그 중 원발성 불임이 76.9% 속발성 불임이 23.1%였다. 6. 자궁내막증의 병기는 1기가 46.5%, 4기가 30.2%로 가장 많았다. 7. 자궁내막증의 진단은 골반경으로 진단된 경우가 39.5%로 가장 많았다. 8. 호발부위는 자궁천골 인대에 81.4%(cul-de sac obliteraion포함)로 가장 많았다. 9. 동반된 질환으로 자궁 근종이 30.2%로 가장 많았다. 10. 혈청 CA 125치는 경증에서보다 중증에서 비정상적으로 높은 경우가 많았다. 11. 불임환자의 치료후 임신율은 46.2%였다.

The endometriosis is one of the reason for infertility and recently, the incidence of endometriosis is increased. However the difficulties include problems of explanatation of etiology, pathophysiology and progression. It is very difficult to determine the method of treatment for infertility patient who has been confirmed as endometriosis. This study was perfomed to evalute the clinical characteristics and treatment of 43 patients who has been confirmed as endometriosis by lapartotomies, C-section, pelviscopy perfomed at the Department of Obstetrics and Gynecology, College of Medicine Ewha Mock Dong Hospital from September 1993 to February 1995. The result were as follows; 1. The incidence of endometriosis was 6.7% of gynecologic operation . 2. The age of patients was between 18 and 48, and the mean age was 33.9 years old. The most of the patients were in their thirties. 3. Incidence of endometriosis was higher among early menarche, regular menstruation and prolonged menstruation groups. 4. The clinical symptoms of patients were infertility known mass and dysmenorrhea in order of frequency . 5. The infertility with endometriosis was noted as 30.2% of the cases (primary infertility was 43.1% and secondary infertility was 15.9%). 6. Stage I of endometriosis was most frequently noted as 46.5% 7. The most frequent used diagnostic method was pelviscope(39.5%). 8. The most common endometriotic site was uterosacral ligament including cul de sac obliteraion. the other predilection site was ovary. 9. Associated disease were myoma dermoid cyst and pelvic inflammatory diesease in order of frequency . 10. 71.5% of the patients who were in stage III and IV were noted abnormal serum CA 125 level 11. The pregnancy rate of infertile endometriosis patient was 46.2% after treatment.