지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.1
- 수록면
- 74 - 83 (10page)
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초록· 키워드
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ObjectiveTo evaluate the efficacy of vaginal hysterectomy combined with anterior and posterior colporrhaphy (VH APR) for themanagement of pelvic organ prolapse (POP).
MethodsA total of 610 patients with POP who underwent VH APR from January 2010 to June 2019 at Asan Medical Centerwere included in this study. We analyzed the patient characteristics and surgical outcomes. In addition, we comparedthe POP quantification system (POP-Q) pre- and postoperatively at 2 weeks, 3 months, and 1 year, and analyzed therisk factors for recurrence.
ResultsThe mean age of the patients was 65.5±7.6 years. The most common preoperative POP-Q stage was stage 2 (60.8%),followed by stage 3 (35.9%). Complications were identified during surgery in 1.6% of the patients. The mostcommon postoperative complication (6.4%) was voiding difficulty. All POP-Q scores significantly decreased at 1year after surgery (P<0.0001). The recurrence rate was 9.6%, and most recurrences (77.5%) occurred in the anteriorcompartment. An advanced stage of preoperative POP was a risk factor for recurrence (stage 3 or 4 vs. stage 1 or 2;odds ratio [OR], 5.337, 95% confidence interval [CI], 2.58-11.036, P<0.0001). Only two patients underwent surgicalcorrection for POP recurrence, and most of the remaining patients did not undergo further treatment for prolapse.
ConclusionVH APR is a safe and effective surgical procedure for POP, with a low recurrence rate. In addition, advancedpreoperative stage was the only risk factor for recurrent POP.
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