{{위키데이터 속성 추적}}
{{질병 정보
|병명 = 자궁탈출
|동의어 = 여성 생식기 탈출
|그림 = Uterine prolapse.jpg
|설명 = 
|발음 = 
|진료과 = 
|증상 = 골발장기탈출
|합병증 = 
|발병 = 
|기간 = 
|유형 = 
|병인 = 
|위험 = 임신, 분만, 만성적 복강내압 증가
|진단 = 
|유사 질병 = 
|예방 = 
|치료 = 
|투약 = 
|예후 = 
|빈도 = 
|사망 = 
}}

'''자궁탈출'''(子宮脫出, {{lang|en|Uterine Prolapse}}, pelvic organ prolapse, prolapse of the uterus <small>(womb)</small>)은 [[골반장기탈출]]의 일종이다. '''여성 생식기 탈출'''(Female genital prolapse), 또는 간단히 '''자궁탈'''(子宮脫)이라고도 한다.

자궁탈출의 위험 요인에는 임신, 분만, 만성적 복강내압 증가(예: 리프팅, 기침, 염좌, 결합조직 질환<ref>{{저널 인용|url = |title = Urinary incontinence and pelvic organ prolapse in women with Marfan or Ehlers-Danlos syndrome|last = Carley|first = Michael|date = May 2000|journal = American Journal of Obstetrics & Gynecology|doi = 10.1067/mob.2000.105410|pmid = |access-date =|volume=182|pages=1021–1023}}</ref><ref>{{저널 인용|url = |title = Prolapse and sexual function in women with benign joint hypermobility syndrome|last = Mastoroudes|first = H|date = December 2012|journal = British Journal of Obstetrics & Gynecology|doi = 10.1111/1471-0528.12082|pmid = |access-date =|volume=120|pages=187–192}}</ref>, 근육 약화의 위험)가 있다.<ref>{{저널 인용|url = |title = Comparison of Levator Ani Muscle Defects and Function in Women With and Without Pelvic Organ Prolapse|last = DeLancey|first = John|date = February 2007|journal = Obstetrics & Gynecology|doi = 10.1097/01.AOG.0000250901.57095.ba|pmid = |access-date =|volume=109|pages=295–302}}</ref> 치료는 보수적일 수도 있고 수술을 할 수도 있는데, 이는 환자의 증후와 선호에 기반하여 결정하는 것이 좋다.

== 치료 ==
치료는 보수적으로, 기계적으로, 수술적으로 진행된다. 보수적 치료에는 행동 교정, 근육 강화 운동([[케겔 체조]] 등)이 포함된다.<ref>{{저널 인용|url = |title = Conservative prevention and management of pelvic organ prolapse in women|last = Hagen|first = Suzanne|date = 7 December 2011|journal = The Cochrane Library|doi = 10.1002/14651858.CD003882.pub4|pmid = 22161382|access-date =|pages=CD003882|issue=12}}</ref> 페서리(pessary)라는 기구는 자궁을 들어올려서 지탱해주는 기계적 치료를 위해 사용된다.<ref>{{저널 인용|url = |title = Pessaries (mechanical devices) for pelvic organ prolapse in women|last = Bugge|first = Carol|date = 28 February 2013|journal = Cochrane Library|doi = 10.1002/14651858.CD004010.pub3|pmid = |access-date = }}</ref><ref>{{저널 인용|url = |title = The PESSRI study: symptom relief outcomes of a randomized crossover trial of the ring and Gellhorn pessaries|last = Cundiff|first = Geoffrey|date = April 2007|journal = American Journal of Obstetrics & Gynecology|doi = 10.1016/j.ajog.2007.02.018|pmid = |access-date =|volume=196|pages=405.e1–405.e8}}</ref> 수술적 선택사항들은 여러 개가 있으며<ref>{{저널 인용|url = |title = Surgical management of pelvic organ prolapse in women|last = Maher|first = Christopher|date = 30 April 2013|journal = The Cochrane Library|doi = 10.1002/14651858.CD004014.pub5|pmid = 23633316|access-date =|volume=4|pages=CD004014}}</ref> 복강경 자궁고정술<ref>{{저널 인용|url = |title = Laparoscopic hysteropexy: 1- to 4-year follow-up of women postoperatively|last = Rahmanou|first = Philip|date = January 2013|journal = International Urogynecology Journal|doi = 10.1007/s00192-013-2209-5|pmid = |access-date =|volume=25|pages=131–138}}</ref>, [[자궁탈출교정술]](Sacrohysteropexy)<ref>{{저널 인용 | author = Price N, Slack A, Jackson S | year = 2010 | title = Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse | url = | journal = BJOG | volume = 117 | issue = | pages = 62–68 | doi = 10.1111/j.1471-0528.2009.02396 }}</ref><ref>{{저널 인용|url = |title = A review on the role of laparoscopic sacrocervicopexy|last = Rosati|first = Maurizio|date = August 2014|journal = Current Opinions in Obstetrics & Gynecology|doi = 10.1097/GCO.0000000000000079|pmid = |access-date =|volume=26|pages=281–289}}</ref>, [[맨체스터 수술]]과 같은 자궁 스페어링(sparing) 기법이라든지 [[자궁적출술]]이 포함될 수 있다.<ref>[https://www.icsoffice.org/Abstracts/Publish/47/000534.pdf Surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication versus vaginal hysterectomy with high uterosacral ligament plication] {{웨이백|url=https://www.icsoffice.org/Abstracts/Publish/47/000534.pdf |date=20111008185530 }} By de Boer T, Milani F, Kluivers K, Withagen M, Vierhout M. Part of [http://www.urotoday.com/images/conferences/ics_2009/ics_2009_scientificprogramme.pdf ICS 2009 Scientific Programme, Thursday 1 October 2009] {{웨이백|url=http://www.urotoday.com/images/conferences/ics_2009/ics_2009_scientificprogramme.pdf |date=20111008185530 }}</ref>

== 각주 ==
{{각주|30em}}

== 외부 링크 ==
{{Medical resources
|   DiseasesDB     = 13651 
|   ICD10          = {{ICD10|N|81|4|n|80}} 
|   ICD9           = {{ICD9|618.1}} 
|   ICDO           = 
|   OMIM           = 
|   MedlinePlus    = 001508 
|   eMedicineSubj  = 
|   eMedicineTopic = 
|   MeshID         = D014596 
}}


* {{언어링크|en}} [https://web.archive.org/web/20170613195920/http://www.atlasofpelvicsurgery.com/5Uterus/8ManchesterOperation/chap5sec8.html Illustrated description of Manchester Operation] at atlasofpelvicsurgery.com
* {{언어링크|en}} [http://www.thepelvicclinic.co.uk The Pelvic Clinic]

{{전거 통제}}
{{토막글|질병}}

[[분류:산부인과 질환]]