There were 2,975 cases of major gynecologic surgery at Department of Obstetrics and Gynecology, Kwangju Christian Hospital from January 1990 to December 1993.
Among these, 544 cases were uterine myoma, all of which were confirmed histopathologically. A clinicopathologic study on these 544 cases was carried out to understand the clinical characteristics of uterine myoma.
@ES The following results have been obtained.
@EN 1. The incidence of myoma among 2,975 cases of major gynecologic surgery during this period was 18.3%.
2. Myoma was observed most frequently in the age group 40 to 49 years, and the mean age was 43.4 years.
3. The most frequent chief complaint was pain which was observed in 426 cases (73.3%), the next abnormal bleeding in 362 cases(66.5%), palpable mass in 130 cases (23.9%)respectively.
4. The mean value of hemoglobin was 11.3% and the anemia(Hb<10.5g%) was observed in 109 cases(20.0%). Transfusion was taken in 42 cases(7.7%).
5. The corporeal myoma was observed in 523 cases (96.1%), cervical in 10 cases (1.8%), combined in 2 cases(0.4%), and intraligamentary in 9 cases(1.7%) respectively. The intramural type was observed in 369 cases (67.8%), subserous in 44
cases(8.1%),
submucous in 43 cases(7.9%), and mixed type in 88 cases (16.2%)respectively.
6. The parity was 3.1 in average. The infertility was observed in 36 cases(6.6%), in which the primary infertility was 3.5% and secondary 3.1% respectively.
7. The mean weigh of the resected uterine myoma was 297.8g. In 51 cases(9.4%). The weight was below 100g.
8. The secondary change in myoma was found in 29 cases(5.5%)and the most common change was hyaline degeneration(3.9%).
9. The most common assoicated condition was chronic cervicitis seen in 271 cases (49.8%).
10. Hypermenorrhea. Was observed in 308 cases (56.6%) and there was significant correlation between the presence of hypermenorrhea and the type of myoma(p<0.005), adenomyosis(p<0.005)but no correlation with the weight of myoma(p>0.5).
11. Dysmenorrhea was observed in 251 cases (46.1%) and there was significant correlation between the presence of dysmenorrhea and the type of myoma(p<0.005), the weight(p<0.005), and adenomyosis(p<0.005).
12. Total abdominal hysterectomy was performed in 313 cases (57.5%), total abdominal hysterectomy with unilateral adnexectomy in 189 cases (34.7%), total abdominal hysterectomy with both adnexectomy in 40 cases (7.4%), vaginal hysterectomy in 1
case(0.2%), and myomectomy in 1 case(0.2%)respectively.
13. The postoperative complications were found in 248 cases(45.6%) and the most common complication of these was the respiratory infection seen in 100 cases(18.4%).
14. The mean period of hospitalization was 9 days. It was below 10 in 470 cases (86.4%).
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