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KMID : 0358419920350081181
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Korean Journal of Obstetrics and Gynecology
1992 Volume.35 No. 8 p.1181 ~ p.1189
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Clinical Evaluation of Total Abdominal Hysterectomy
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신규미/Shin GM
김현옥/최현경/김정혜/Kim HO/Choi HG/Kim JH
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Abstract
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This study was attempted to analysis 378 women who undeerwent total abdominal hysterectomy at the department of Obstet & Gynecol, Ilsin Christian Hospital from Jan. 1985 to Dec. 1989. The results were summerized as follows; 1. The peak incidence of age distribution was in 40 to 49 years old age group and 53.4% of patients was belonged to that age range. 2. The most common gravity was gravida 4 to 5 group and the most common parity was para 2. 3. Lower abdominal pain was the most common symptom and followed by hypermenorrhea. 4. Uterine myoma was the most common indication of hysterectomy and followed by cervical intraepithelial neoplasia. 5. The most common postoperative pathologic finding was uterine myoma and followed by adenomyosis and cervical intraepithelial neoplasia. 6. Overall 64.8% of the preoperative clinical diagnosis was confirmed by pathologic examination. But diagnostic accuracy rate of adenomyosis was only 9.5%. 7. 115 patients (30.42%) were performed prehysterectomy curettage and 2 cases of endometrial adenocarcinoma were diagnosed. 8. Intravenous pyelograms were performed on 344 patients (91%) and 5 patients had congenital urinary tract abnormalities.
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KEYWORD
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