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- 저자 : 권승일(SI Kwon) (검색결과 1 건)
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권승일(SI Kwon),최영달(YD Choi),유성하(SH Ryu),이재철(JC Lee) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.8
Various statistical studies have apperaed in the literature dealing with the relative merits of the three methods of hysterectomy (total abdominal, subtotal abdominal and vaginal). In recent years the trend has been toward complete rather than partial removal of uterus. This report covered 516 cases of hysterectomy which were done at Kyungpook National University Hospital in last five years, and analyses were made as follows: 1) Abdominal total hysterectomy consistently reperesented 81%, abdominal subtotal hysterectomy was 12%, ad vaginal hysterectomy was 7% of all hysterectomy. 2) Prolapse of all degree serced as the primary indication in the vast majority of vaginal hysterecto- mies. This operation was seen as an accompanying precedure in 30 vaginal platic repairs. 3) Prime indication of hysterectomy was uterine fibroid and consisted of 34% of all operation. 4) Uterine malignancies (Cervical ca, Endometrial ca and choiriocarcinoma) were 29% (150 cases) of all cases. 5) Operative Complication were naoted in 4.6% of all procedures. These complications were composed with shock, hemorrhage, and ureter injury. 6) Vaginal procedure showed higher incidence of postoperative complications compare to abdominal precedure. Wound infection and urinary tract infection were leading complications. 7) Spinal anesthesia was done in 74.4% and general anesthesia was 24.8% of all procedures. 8) In comparing the morbidity of the three types of hysterectomies, subtotal and vaginal hysterecomy showed higher morbidity. 9) Duration of hospitalization showed no difference among the three type of hysterectomy and average duration was 12.5 days. 10) 4 cases of death occured among 516 case of hysterectomy.
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