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RISS 인기검색어
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- 저자 : 강윤석(YS Kang) (검색결과 4 건)
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강윤석(YS Kang),김태준(TJ Kim),조성욱(SH Cho) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.6
1968년 11월 1일부터 1978년 6월 30일가지 만 9년 8개월동안 고려병원 산부인과에서 취급한 총 50예의 자궁경부상피내암을 임상및 병리조직학적으로 고찰해 본 결과 아래와 같은 결론을 얻었다. 1. 년령별 분포는 40∼44세군이 17예934%)로 가장 많았고, 다음이 35∼39세군의 12예(24%)로 35∼44세군이 과반수 이상을 차지했다. 평균년령은 41.2세였다. 2. 결혼생활기간별 분포는 16∼20년군에 17예(34%)로 가장 많았고 다음이 21년이상군 16예(32%)였으며 평균결혼생활기간은 22년이었다. 3. 평균임신회수는 6.3였고 평균분만회수는 3.5회였으며 분만경험이 없었던 1예는 32세로서 1회의 자연유산경험이 있다. 4. Papanicolous smear가 시행된 43예중 class III가 11예(25.6%), classIV 또는 V가 27예(62.8%)로 abnormal pap smear는 38예(88.4%)였으며 나머지 5예(11.6%)는 가음성인 classI 또는 II로 나타났다. 5. 부인과적인 증상을 호소한 예는 32예(64%)였으며 이중 자궁경부 접촉출혈이 14예(43.7%), 체하(Leukorvhea)가 9예(28.1%), 자궁부정출혈이 8예(25%)의 순이였다. 6. 자궁경부의 육안적 소견은 42예(84%)에서 미란이 있었고 6예(12%)는 정상이었다. 7. 진단방법으로는 대부분 Abnormal pap smear이거나 Punch biopsy에서 상피내암으로 진단된 후 원추형생검에 의해 확진되었다. 8. 원추형생검후 척출된 자궁의 병리학적검사에서 잔유암이 없었던 것이 24예(61.5%)였으며 잔유암이 있었던 것이 15예(38.5%)였다. 9. 치료방법으로는 46예(92%)에서 전자궁척출술을 시행하였으며 1예는 임신을 더 원하므로 원추형생검후 계속 관찰중이다. 나머지 3예는 Punch biopsy 또는 원추형생검후 그 이상의 치료를 거부 하였다. 10. 소정의 치료를 받은 자중 24예(68%)가 6개월에서 5년간 계속 관찰되었는데 아직 재발된 예도 없었고 앞으로 계속 관찰하게 될 것이다. 11. 추가로 상기한 50예의 상피내암 이외에 Punch biopsy에서 상피내암으로 진단되었으나 원추형생검결과 침윤생암으로 확인된 것이 4예 있었고, 원추형생검에서 상피내암으로 진단되었으나 척출된 자궁경부에서 Microinvasion이 나온 것도 2예가 있었다. Fifty patients with intraepithilial carcinoma of the cervix were studied both clinically and pathologically in the Gynecologic ward of the Korea General Hospital, Seoul, from Nov. 1., 1968 to June 30, 1978, and the following results were obtained.
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김태준(TJ Kim),강윤석(YS Kang),이종태(JT Lee) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.8
We surveyd 76 cases with incompetent internal os of the cervix, who received the treatment at Korea General Hospital during the period from Nov. 1. 1968 to July 31. 1978. The result obtained were as follows; 1) I.I.O.C. encountered were approximately once in every 125 deliveries. 2) The most frequent age incidence were from 25 to 29 age group, and most of them had the previous history of 2 or more spontaneous abortion, one or more induced abortion and premature delivery. 3) The operation were carried out in 47 patients of 76 cases. A variety of operations, such as Shirodkar(42 cases), Shirodkar and trachelorrhaphy(2 cases), McDonald and trachelorrhaphy(1 case), McDonald after failed shirodkar(2 cases), were performed. 4) The most of patients were admitted to the hospital for about a week and the patients were placed in position with foot side of the bed elevated, also they were under close observation with the usage of progesterone, valium, gestanon, proluton depot and prophylactic antibiotics in all instances. 5) Forty-three patients undertaken surgery had been followed up to deliveries with 29 successful pregnancies, and a ovfer-all fetal salvage rate after successful operation was 67.44%. 6) The babies whose mother undertaken surgical procedures were born via vaginal route in 32(74.4%) and abdominal route in 11(25.6%). 7) The most common causes of abdominal delivery were due to cephalopelvic disproportion and feto-pelvic disproportion(6 cases), One cesarean section was carried out due to cervical dystocia following fibrotic band formation around the cervix after the surgery. 8) The most common cause of failed operation(12 cases) was hemorrhage(3 cases) and premature labor(3 cases). 9) The optimal time for operation was between the 17th and 20th week of gestation and the success rate of the surgery was 92.8%. 10) The surgical-success rate was inversely porportional to the degree of the dilation or effacement of the cervix. The surgical success rate was high in group of one Cm or less in diameter of cervical dilation.
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김용문(YM Kim),박일왕(IW Park),강윤석(YS Kang) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.8
Authors observed ninety one patients with adenomyosis during the periods November 1968 through April 1977 in Korea General Hospital, Seoul. A clinical and pathological analysis were performed and results were as follows. 1. 91 instances of adenomyosis were found in 490 hysterectomies for various reasons, showing an incidence of 18.6%. 2. Age distributions were between 24 and 53 years, and 53.8% of patients were found in 36 to 45 years old age group. Average age was 41.7% years old. 3. Adenomyosis was the most frequently found in parous women who had four children. 4. Menometrorrhagia was the most common symptom of adenomyosis, 43.8% of all cases. 5. Myoma of the uterus was the most common combined disease in adenomyosis, an incidence of 29.7%. 6. The most common type of degree of involvement by adenomyosis was moderate involvement, an incidence of 43.9%. 7. Endometrial findings of adenomyosis showed secretory endometrium in the highest incidence, 42.9% of all cases. 8. Adenomyosis combined with external endometriosis was 6 cases(6.6%). 9. Additionally, 16 cases of external endometriosis was found in 1100 exploratory laparotomies excluding cesarean sections, an incidence of 1.45%.
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자궁내피임장치를 이용한 환자에 발생한 자궁부속기 방사선균증
임태웅(TW Lim),박일왕(IW Park),김용문(YM Kim),강윤석(YS Kang) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.6
이 증례보고는 산부인과 진료에서 매우 드물게 관찰되는 난관난소를 침범한 방사선균증의 한 례를 다루었다. 환자는 15년간 자궁내 피임장치를 삽입한 46세의 경산부였다. 골반내 여성성기에 발생한 방사선 진균증을 임상적 및 병리학적 관점에서 토의했고, 발병경로를 기왕에 발표된 예들과 비교 고안 하였다. 특히 자궁내 피임장치의 장기간 삽입과 난관난소의 방사선진균감염증에 대한 상호관계를 고안한 끝에 이 질병이 드물지만 자궁내 피임장치의 장기간 삽입으로 발생할 수 있음을 저자들은 이해하게 되었다. The report dealt with a rare case of actinomycosis involing, the left salpingoovary. The case was a 46 years old multiparous female with an intrauterine contraceptive device for 15 years. The clinical & pathologic aspect of the pelvic actinomycosis, along with a mode of the infection were briefly discussed. An emphasis was made on the relationship between the insertion of an intrauterine contraceptive device for a long period and a possibility of the actinomycotic infection of the pelvic organs.
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