1. 1959년부터 1963년말까지 만 5개년간에 237명의 자궁탈환자를 진료하였으며 그중 161명에 대하여 수술을 시행하였고 5명에 대하여 pessary를 사용하였다. 자궁탈의 발생률은 2.3%이었다. 2. 수술시의 연령은 40대가 41%로서 가장 많았고 다음은 50대, 40대의 순으로 많았다. 3. 자궁탈의 발생연령은 25세이하가 105명으로 거의 반수를 차지하고 있고 25세부터 40세까지가 90명으로서 약년층에 많았음을 알 수 있었다. 4. 자궁탈의 발생과 분만과의 관계는 미산부 6명(2.4%), 1회 분만후에 발생한 자가 71명(29.9%), 2회 분만후에 발생한 자가 41명(17.2%), 3회 분만후에 발생한 자가 28명(11.8%)로 되어 있으며 최고로 13회 분만후에 발생한 자가 1명이었다. 5. 완전자궁탈이 23.6%, 제3도가 41.2%로서 심한 자궁탈이 많았고 이 심한 자궁탈은 40세 이상의 고령자에게 많았다. 6. 자궁탈환자의 자연유산율은 17.2%, 속발성불임증은 16.2%였다. 7. 237명의 자궁탈환자 중, 고혈압을 나타낸 환자는 89명(36.7%)이었다. 8. 신우조영술을 시행한 38명의 자궁탈환자 중, 신우·신, 수뇨관등의 이상이 있는 환자는 22명이었고 이러한 이상은 심한 자궁탈환자에게 많았다. 9. N.P.N. 피검사 87명중 9명, creatinine 피검사 35명중 6명이 이상치를 나타냈다. 10. Urinary stress incontinence는 47.3%의 환자가 포소하였다. 11. 161명의 수술환자 중 147명을 술후 6개월 이상 경과한 후에 조사한 바, 자궁탈의 재발은 Manchester 식수술에서 1명, interposition operation에서 2명, 합계 3명으로서 그 치유율은 97.8%였고, Le Fort 수술은 100%의 치유율을 나타냈다. 그러나 경한 방광탈 및 직장탈 등의 재발을 합하면 그 치유율은 91.2%였다. 12. 수술환자 161명중 1명은 부적합한 수혈로, 1명은 급성신유신염-요독증으로 사망하였고, 술중 수뇨관손상 1명, 술중 또는 술후의 대출혈이 3명 있었다. 수술합병증으로서 가장 많은 것은 요로감염(27.9%)이었으며 이것은 sulfa제 또는 항생물질로 용이하게 치유되었다.

Two hundred and thirty seven cases of uterine prolapse of Korean women (161 cases -operated. 76 cases- not operated) were studied clinically and statistically and the results were as follows. 1) The incidence of the uterine prolapse of the Korean women found in the Obst. and Gynec. Department of the National Medical Center during the past 5 years (1959-1963) was 2.3%. 2) 105 out of 221 cases, the uterine prolapse developed before the age of 25 years, and the greater majority of the cases: 195 cases, developed before the age of 40 years. 3) The relation between the parity and the developement of uterine prolapse was as follows. Nulliparous 6 cases (2.9%), primiparous 71 cases (29.9%), 2 parous 41 cases (17.2%), 3 parous 28 cases (17.2%), 4 parous 22 (9.2%), and 5 or more parous 58 cases (29.0%). 4) The rate of spontaneous abortion of the patients with uterine prolapse was 17.2% and the secondary sterility was 16.2%. 5) According to the Gibson`s classification of prolapsus uteri, the 4 th degree (complete prolapse) was 24.5% and the 3rd degree was 42.2%. Comparing with the foreign author`s reports, a significantly high incidence of advanced degree of prolapse seemed to be partly due to the delayed admittance because of poor economic condition. 6) 22 out of 38 cases examined by the intravenous pyelography, showed some abnormalities of the urinary system such as hydronephrosis and/or hydroureter, and these were found mostly in the advanced cases with 3rd or 4th degree of uterine prolapse. 7) 9 out of 87 cases examined with N.P.N. and 6 out of 35 cases examined with serum creatinine showed abnormal values, and these abnormalities were found mostly in those cases who had suffered from the uterine prolapse for more than 10 years. 8) 147 out of 161 operated cases were followed up more than 6 months after the operations and the cure rate was as follows. Manchester operation 93.8%, vaginal hysterectomy 87.0% inter-position operation 90.6%, Le Fort 100%, making a whole figure of cure rate 91.2%. 9) As to the failure of operations, we could observe one recurrent prolapse of uterus after Manchester operations and 2 after "Interposition operation", and 10 cases of recurrent cystocele, rectpcele or enterocele or combination of these. To avoid this complication it is recommended to tie and to approximate all the parametrial stumps as high up and as solidly as possible. 10) There were 2 cases of postoperative death: one died of incompatible blood transfusion, and the other died or acute pyelonephritis-uremia, which were confirmed by autopsies. 11) A high incidence of postoperative urinary infection (28.0%), wound infection and/or necrosis (15.5%), were found but these complications were well controlled with sulfadrugs and antibiotics. Since infectious complications are so common after prolapse operations prophylactic treatment with chemotherapeutica is recommended. 12) The secondary hemorrages were observed in 8 cases and 2 of them were so massive and difficult to control vaginally that the abdominal hysterectomies were carried out.