임상연구 : 자궁경을 이용한 점막하 자궁근종 제거술의 예후

Objective : To examine the outcome after operative resectoscopic resection of submucosal myomas in symptomatic women. Methods : Forty eight symptomatic women with submucosal myomas underwent operative resectoscopy for resection of the submucosal myomas. A few months after the myomectomy, I compared postoperaive status of the patients to preoperative status of the patients. Results : No operative or postoperative complications occurred and all patients were discharged within 4 days. The follow-up period was 11.12±6.44 months(mean±SD). The age of the patients was 37.69±9.22 years(mean±SD) at the time of the operation. Twelve women out of 16 conceived(pregnancy rate of 75%)and all of them subsequently delivered at term. Thirty two women(menorrhagia of 28 and backache of 4) had been rid of their chief complaints that they had suffered from preoperatively. Conclusion : The results of this study indicate that operative resectoscopy achieved a pregnancy rate 75%. These results suggest that operative resectoscopy is an effective procedure to resect submucosal myomas in infertile symptomatic women.