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KMID : 0613119940070010253
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Journal of St. Benedict Hospital
1994 Volume.7 No. 1 p.253 ~ p.263
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Clinico-statistical Observation of Uterine Myoma
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이란옥/Lee, Ran Ok
박경일/김종철/박무실/김철/지정희/Park, Gyung Il/Kim, Jong Chul/Park, Mu Sil/Kim, Chul/Chi, Chung Hee
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Abstract
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From January, 1983 to May, 1994, 816 cases of uterine myoma were treated at department of Obstetrics and Gynecology, Pusan St. Benedict Hospital.
A clinicostatistical study on these 816 cases of uterine myoma was performed to under-stand the clinical characteristics of uterine myoma and to compare the relationship among the pathologic types of uterine myoma and hypermenorrhea, dysmenorrhea, adenomyosis, and preoperative Hb.
The results were obtained as follows:
1. The incidence of uterine myoma among 4,784 cases of major gynecologic surgery during this period-was 17.0 %.
2. Uterine myoma was observed most frequently in the age group 40 to 49 years, and the mean age was 42.97 6.95 years old.
3. Pregnancy was never experienced in 56 cases (10.4 %), and the mean gravidity was 4.62 2.96, and the mean parity was 2.25 1.33.
4. The most frequent chief complaint was abnormal uterine bleeding which was observed in 360 cases (44.1 %), whereas pain in 333 cases (40.8 %) and 132 cases (16.2 5o) were detected incidentally at routine check.
5. The mean weight of the resected uterus with myoma was 376.90 241.43 gm.
6. Corporeal myoma was observed in 728 cases (89.2 %), cervical in 52 cases (6.4 cervicocorporeal in 25 cases (3.1 %), and intraligamentary in 11 cases (1.3 %) respectively. Intramural type was observed in 419 cases (51.3 %), submucosal type in 154 cases (18.9 %), combined type in 128 cases (15.7 %), and subserosal type in 115 cases (14.1 %) respectively.
7. Hypermenorrhea was observed in 345 cases (42.3 %), and dysmenorrhea in 286 cases (35.0 %).
8. There were no significant correlations between the hypermenorrhea and the weight of myoma, and location of myoma (p > 0.05). The incidence of hypermenorrhea was significantly higher in corporeal type than subserosal type and higher than in cases with adenomyosis than that in cases without adenomyosis (p < 0.05).
9. There were no significant correlations between the dysmenorrhea and the weight of myoma, location of myoma, and types of myoma (p > 0.05). The incidence of dysmeonrrhea was significantly higher in cases with adenomyosis than that in cases without adenomyosis (p < 0.05).
10. Total abdominal hysterectomy was performed in 747 cases (91.5 %) independent of adnexectomy.
11. The mean value of preoperative Hb was 10.92 f 2.13 gm/dl, and transfusion was performed in 307 cases (37.6 %).
12. There was significant correlation between the preoperative value of Hb and types of myoma (p < 0.05).
13. The most common condition associated with myoma was chronic cervicitis (62.3%).
14. The secondary changes of uterine myoma were observed in 45 cases (7.96 %) and cystic degeneration was the most common degenerative change (38.5 %).
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