1989년 1월 1일부터 1994년 12월 31일까지 만 6년간 부산의료원 산부인과에 입원하여 수술을 받고 자궁근종으로 확진된 245예를 대상으로 임상 및 병리학적 연구를 하여 다음과 같은 결과를 얻었다. 1. 자궁근종의 빈도는 18.1%이었다. 2. 연령분포는 40~49세가 60%로 가장 많았고 평균연령은 43.9세이었다. 3. 임신경험이 한번도 없었던 경우가 6.9%이었고, 평균임신 횟수는 4.9회, 평균분만 횟수는 2.9회이었다. 불임인 경우는 8.2%에서 관찰되었으며 이중 원발성은 7.8%, 속발성은 0.4%이었다. 4. 발생부위는 체부가 96.3%, 경부가 3.7%이었고, 조직학적으로는 근내형이 58%, 혼재형이 18.7%, 장막하형 13%, 점막하형 10.2%의 순이었다. 5. 주소가 동통인 경우가 85.3%, 이상자궁출혈인 경우가 52.2%, 종류감이 19.2%순이었다. 6. 평균 혈식소치는 10.9g/dl이었으며, 혈식소치가 10g/dl이하인 경우가 33.5%이었다. 7. 자궁근종의 크기는 절제된 자궁 또는 자궁근종의 무게는 201~300g인 경우가 53.4%로 가장 많았고 평균 무게는 274.4 g이었다. 8. 자궁근종의 이차변성은 11.8%에서 보였으며, 초자양변성이 4.8%로 가장 많았다. 9. 자궁근종과 합병된 병변은 84.9%이었고, 이중 만성 경부염이 39.6%로 가장 많았다. 10. 월경과다증은 45.7%에서 나타났으며, 월경과 다증과 자궁근종의 조직학적 발생부위, 자궁선근증 사이에는 유의한 상관관계가 있었다(p0.5). 11. 월경곤란증은 39.2%에서 나타났으며, 월경곤란증은 자궁근종의 발생부위, 조직학적 발생부위, 자궁의 무게와 유의한 상관관계가 없었으나(p>0.5), 자궁선근증이 병합된 경우에 유의한 상관관계를 보였다(p

From January, 1989 to December, 1994, 245 cases of uterine myoma were treated at the department of Obstetrics and Gynecology, Pusan Medical Center. A clinico-statical study on these 245 cases of uterine myoma was performed to understand the clinical characteristics of uterine myoma. The following results have been obtained: 1. The incidence of uterine myoma among 1,352 cases of major gynecologic surgery during this period was 18.1%. 2. Uterine myomas were observed most frequently in the age group 40 to 49 years, and the mean age was 43.9 years old. 3. The parity was 2.9 in average, the infertility was observed in 20 cases(8.2%) in while the primary infertility was 7.8%, the secondary 0.4%, respectively. 4. The corporeal myomas were observed in 236 cases(96.3%), whereas cervical myomas were 9 cases(3.7%). The intramural types were observed in 142 cases(58%), combined types in 46 cases(18.7%), subserous types in 32 cases(13.1%), submucous types in 25 cases(10.2%), respectively. 5. The most of frequent chief complaint was pain which was observed in 209 cases(85.3%), the next abnormal uterine bleeding in 137 cases(52.2%), palpable mass in 47 cases(19.2%), respectively. 6. The mean value of preoperative Hb was 10.9gm/dl, and transfusion was performed in 43 cases(17.5%). 7. The mean weight of the resected uterine myoma was 274.9 gm. 8. The secondary changes in uterine myomas were found in 29 cases(11.8%) and the most common change was hyaline degeneration(4.8%). 9. The most common associated conditions with myomas were chronic cervicitis(39.6%). 10. Hypermenorrhea was observed in 112 cases(45.7%) and there were significant correlations between the presence of hypermenorrhea and the type of myoma(p0.5). 11. There were no significant correlations between the dysmenorrhea and the weight of myoma, location of myoma, and types of myoma(p