CAJ | 학술논문

目的：探讨阴式子宫次全切除术的临床效果。方法回顾分析98例阴式子宫次全切除术患者的临床资料，比较引流患者和非引流患者的术后感染率，分析术中患者改开腹手术的原因。结果术后引流患者的感染率比非引流患者低，术中患者改开腹手术的原因主要有子宫腺肌症、盆腔粘连、子宫过大和骨盆狭窄等。结论阴式子宫次全切除术适合大部分患者，但有一些细节问题需进一步完善。
목적：탐토음식자궁차전절제술적림상효과。방법회고분석98례음식자궁차전절제술환자적림상자료，비교인류환자화비인류환자적술후감염솔，분석술중환자개개복수술적원인。결과술후인류환자적감염솔비비인류환자저，술중환자개개복수술적원인주요유자궁선기증、분강점련、자궁과대화골분협착등。결론음식자궁차전절제술괄합대부분환자，단유일사세절문제수진일보완선。
Objective To investigate clinical effect of transvaginal subtotal hysterectomy.Methods Ninety-eight paitens which underwent transvaginal subtotal hysterectomy were chosen. Postoperative infection rate of the patients with postoperative drainage was compared with it of the patients without postoperative drainage. The reason for changing surgical method to transabdominal subtotal hysterectomy was investigated.Results Postoperative infection rate of the patients with postoperative drainage was lower than it of the patients without postoperative drainage. The reason for changing surgical method to transabdominal subtotal hysterectomy included adenomyosis, pelvic adhesions, big uterus and contracted pelvis. Conclusion Transvaginal subtotal hysterectomy is suitable for most patients. However, there are many details which need to be further perfected.