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KMID : 0381219900220030262
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Journal of RIMSK
1990 Volume.22 No. 3 p.262 ~ p.267
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Clinicopathological and Ultrasonographic Studies of Myoma of the Uterus
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Abstract
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Clinicopathological and ultrasonographic studies were made on the 302 cases of uterine myoma operated in the department of Obstetrics and Gynecology, Chung Ang University Hospital during 3 years and 3 months from 1984 to 1987.
The results obtained were as follows:
1) Myoma was observed most frequently in the age group 40 to 49 years.
2) Pregnancy was not experienced in 5.3vis and number of gravidity more than 8 was most common and 27.1%. Number of parity between 2 to 4 was 67.2% and most common.
3) The chief complaints were made in order of uterine bleeding (63.9%), pain (56.6%), leucorrhea (18.9%), pressure symptom (17.9%), and secondary symptoms (7.0%). Menorrhagia (36.1%) and low abdominal pain (32.1%) were most common in uterine bleeding and pain, each other.
4) The infertility was observed in 10.9% of the myoma cases in which consisted of 5.3% of primary and 5.6% of secondary infertility.
5) The accuracy rate of myoma in the diagnosis prior to operation was 79.8% and PID was most common in misdiagnosis.
6) The ultrasonography was performed in 58 cases (19.2%) and diagnostic accuracy rate was 91.4%. 7) The most frequent sonographic findings was enlarged uterus and encountered in 58.6%. 8) Outline of the myoma, there was pattern of clean, hazy, unclear, and nodular which showed
frequency of 58.4%, 35.9%, 3.8% and 1.9%.
9) Secondary degeneration in sonographic findings was revealed in 16.1% and of which hyaline degeneration was most frequent and 7.5% in frequency.
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