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KMID : 0372819960190010003
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Eulji Medical Journal
1996 Volume.19 No. 1 p.3 ~ p.12
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Clinical Evaluation of hysterectomies
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김주오
김연희/신정환/오혜련/박영선
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Abstract
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A study was attempted to analyze 752 women underwent hysterectomy at Department of Obstetrics and Gynecology, Eul-ji General Hospital from Jan. 1992 to Dec. 1994. We performed 452 cases of total vaginal hysterectomy(TVH) and 300 cases of cases of
total
abdominal hysterectomy(TAH). The indications of TVH were myoma, prolapse uteri, CIS, and cervix dysplasia order of frequency, while those of TAH were myoma, adnexal mass, cervix dysplasia, and endometrial hyperplasia. There were significant
differences
in the distribution age, parity, body type, and duration of operation between TVH and TAH groups. The mean age of TVH group was older than that of TAH group(47.04 vs 44.27 ; p<0.01) and the mean parity was also significantly higher in TVH group
than
that of TAH group(3.1 vs 2.26; p<0.01). More obese individuals in body type were subjected to TVH than TAH (p<0.01). The average time(min) of operation was shorter in TVH group than that of TAH group(92.28 vs 103.68;p<0.01). The mean days of
hospital
stay were almost same in both TVH and TAH group(9.5 vs 9.33;p=1757). The proportion of women of women having previous abdominal operation in TVH and TAH groups were 35.4% and 43% respectively. The common concurrent procedures in TVH group were
A-P
colporrhapy(47.4%), post, colporrhapy(41.3%), adnexectomy(10.6%), whereas those in TAH group were adnexa operation(64.8%), Post, colporrhapy(18.8%), appendectomy(13.0%). The post-op. complications in TVH group were voiding difficulty(22.5%), and
fever(9.4%), stump bleeding(3%), peroneal nerve palsy(0.4%) in order of frequency while in TAH group there were fever(11.7%), voiding difficulty(6.2%), bladder injury(0.7%).
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KEYWORD
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