篇名 | 戰後台灣婦產科的手術技藝與性別政治 |
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卷期 | 14 |
並列篇名 | The Surgical Technique and Sexual Politics of Gynecology in Post-War Taiwan |
作者 | 傅大為 |
頁次 | 045-079 |
關鍵字 | 婦產科 、 性別政治 、 手術技藝 、 台灣醫學史 、 子宮頸癌 、 抹片篩檢 、 gynecology 、 sexual politics 、 surgical technique 、 history of medicine in Taiwan 、 cervical cancer 、 pap smear 、 THCI 、 TSSCI |
出刊日期 | 200211 |
本文從婦產科的基本技藝子宮搔爬術開始討論,然後再進入到戰後徐千回流派的婦產科絕學子宮頸癌根除術最後以七零年代而興盛的子宮頸抹片篩檢技術來結束,並同時旁及戰後剖腹產技術的興起過程。
From the basic technique ofD&C (dilatation and curettage) to the supreme gynecological operation called Radical Hysterectomy (RH) for cervical cancer, in this paper I trace the technical construction and development of a typical obstetrics-gynecology doctor during Taiwan's postwar years of 50s and 60s. Because of the poor conditions of women's health (high morbidity and mortality rate of cervical cancer) in the 50s, plus the difficulties and hence the medical prestige of RH operation, Taiwan's postwar tradition of gynecology has constructed and developed a certain type of doctors who are eager to perform surgical operations and value them more than any other medical treatments. On the other hand, contrary to some feminists' generalization, gynecology in Taiwan was not inherently fond of opening woman's body by a surgical knife, and the complications and contradictions of different gynecological trends are explored and analyzed. However, ironically and almost sadly, around Taiwan's 1970s various trends of gynecological tradition were finally unified under the paradigm of surgical operation, with RH for cervical cancer as the top of gynecological achievements. Only from the vantage point of this highest gynecological "achievement," I argue in this paper, can we begin understanding why in later days Taiwan the notorious C/S operation is so prevalent among obstetricians, and why the long established Pap smear techniques was so much delayed in being received and practiced in Taiwan.