인천 부천 지역에서의 자궁경부 상피내종양 3 환자의 수술적 치료의 변화에 대한 연구
The change of trend on surgical treatment of patients with cervical intraepithelial neoplasia 3 in Incheon and Bucheon area
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목적: 인천 부천 지역에서의 자궁경부 이형상피증 (CIN) 3 환자의 치료로서 전자궁적출술과 원추형생검수술의 시행비율과 연도 및 환자 연령에 따른 치료 경향을 파악하고자 하였다. 연구 방법: 1996년 1월부터 2005년 3월까지 인천 부천 지역 소속 5개 병원에서의 CIN 3로 진단받은 환자들의 의무기록을 조사하였다. 결과: 약 10년 동안에 1,428명의 CIN 3 환자가 있었다. 전자궁적출술을 받은 환자는 808명으로 원추형생검수술을 받은 환자 620명보다 많았다 (57%:43%). 그러나 원추형생검수술이 2000년도 이전에는 10-30%만이 시행된 반면, 2001년도부터 급격히 많이 시행되어 2003년도에는 약 70%의 비율로 행하여졌다. 또 연령이 높아질수록 전자궁적출술을 선호하였으며, 40대 환자의 경우는 약 60%에서 전자궁적출술을 시행받고, 약 40%에서 원추형생검수술을 시행받았다. 결론: 인천 부천 지역에서의 CIN 3 환자의 치료에 있어, 전체적으로는 원추형생검수술보다 전자궁적출술이 약간 많이 시행되었으나, 2003년부터는 원추형생검수술이 약 70%로 더 많이 시행되었다. 또 연령이 높아질수록 전자궁적출술에 대한 선호가 많았다.
Abstract
Objective: To know the ratio of hysterectomies and cones for the treatment of CIN 3 in Incheon and Bucheon area, and to know the trend of changes of treatments according to the year operated and age of patients. Methods: From Jan. of 1996 to Mar. of 2005, clinical information was reviewed for the patients with CIN3 at 5 hospitals, which were members of Gynecologic Oncology Study Group in Incheon and Bucheon area. Results: Among 1428 patients with CIN 3, 808 patients underwent hysterectomies and 620 underwent cone (57% vs. 43%). Before 2000, almost 10-30% of patients selected cones for themselves. After 2003, however, 70% have selected cones. And younger patients prefer cones and older patients prefer hysterectomies. 60% of patients of their 5th decades have selected hysterectomies and remainders have selected cones for their CIN3 treatments. Conclusion: In Incheon and Bucheon area, hysterectomies have been performed slightly more than conization of cervix for the patients with CIN3. After 2003, however, about 70% of patients with CIN3 have been treated by cone. As patients get old, they get to prefer hysterectomy.
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