초음파와 홀몬검사를 이용한 난포성장에 관한 연구

김태선(TS Kim) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6

Ovarian follicle development was investigated in 13 normally cycling women who received clomiphene citrate 100mg per day from 3rd day of last menstrual period for 5 days. Ultrasonic determination of follicular growth was performed on a daily basis with sector scanning of gray scanner and correlated with daily concentration of serum 17β-estradiol as measured by radioimmunoassay. The results were as follows: 1. The mean concentrations of serum 17β-estradiol of the last day after clomiphene administration (day 0) and day 4 were 301 pg/ml and 906 pg/ml respectively. These values were gradually increased from day 0 to day 4. 2. The diameters of the follicle of day 0 and day 4 were 12.9mm and 21.7mm respectively. These values were gradually increased from day 0 to day 4. 3. The formula between the concentrations of serum 17β-estradiol and the growth rates of follicle was Y=0.0145X + 8.991 (r=0.991, p<0.001). 4. The mean estradiol value per follicle sized over 18 mm per day was 470 pg/ml.

체외수정에 있어서의 재수정에 의한 수정율에 관한 연구

김태선(TS Kim),최욱한(WH Choi),윤만수(MS Yoon) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.11

Aspirated oocyers were occasionally not fertilized even though sperm quality was included normal range , So we performed reinsemination in cases of none of the aspirated oocytes were fertilized from Jan.1991 to Dec in department of Obstetrics and Gynecology, PusanNational University Hospital The fertilization rate and cleabage rate by reinsemination were 27.7% , 85.3%. The fertilization rate(27.2%) of reinsemination was very low than that of initial insemination (67.15) But cleavage rate was no difference with both. One pregnancy resulted from transfer of embryos arising solely from successful reinsemination But it was aborted A concern associated with reinsemination is the possible risk of fertilizing aged oocytes. In conclusion , considering this matter Reinsemination procedure was needed more studies.

자궁내막 증식증의 관리

김태선(TS Kim) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.8

자궁내막은 매달 난소의 주기적 홀몬분비에 의하여 증식,분비,탈락, 등 일련의 변화를 반복하고 있으며, 자궁내막 과다증식은 난포홀몬(estrogen)의 과다분비, 내분비 기능의 이상 등으로 인한 난포홀몬의 자궁 내막에 대한 지속적 자극이나 난포홀몬의 외부 투여등으로 부터 유발 될 수가 있다(Schroder,1975Meyer, 1941 Gusberg, 1947). 그 밖에 최근에는 피임,월경조절,유즙분비 억제, 미용상 등의 이유로 난포홀몬을 복용하는 사례가 많아져 이것도 문제가 되고 있다. 자궁내막 과다증식중 선종성 자궁내막 과다증식증(adenomatous endometrial hyperplasia)과 이형성 자궁내막 과다증식증(atypical adenomatous hyperplasia)은 자궁내막 선암의 전구 병소로 보고되고 있고, 특히 갱년기 이후에 이러한 병변의 발견은 외과적인 자궁의 제거를 원칙으로 하고있다. 자궁내막 과다식증의 이러한 인식은 현대의학의 발전에 따라 자궁경부의 암전구병소의 조기발견에 의한 자궁경부암의 감소 추세에 영향도 받고 있으나 실제로 미국에서는 침윤성 자궁암의 경우 자궁내막암(invasive endomertrial carcinoma)이 자궁경부암(invasive cervical carcinoma)보다 높은 빈도로 나타나고 있다. 임상증상으로 흔히 이상자궁출혈을 나타내는 원인중 자궁근종 다음으로 빈발하는 자궁내막 증식증에 대하여 그 병원론,홀몬에 대한 영향, 특히 난포홀몬 및 황체홀몬에 대한receptor,그리고 치료원칙에 대하여 현재에도 많은 연구자들에 의하여 연구가 진행되고 있다. 저자는 자궁내막 과다증식증의 정의, 난포홀몬과의 관계, 자궁내막 선암 및 난포홀몬 및 황체홀몬의 receptor 및 그 치료에 대하여 참고문헌을 기초로한 간단한 정리를 하여 보았다.

초기임신에 있어서의 혈청 β-hCG와의 초음파에 의한 태낭 크기의 비교 관찰

김태선(TS Kim),최진국(JG Choi),차문석(MS Cha),김창훈(CH Kim) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.10

Thrity pregnant women who visited Busan National University Hospital were evaluated with ultrasonography and titrated serum β-hCG for early detection of pregnancy. The results of this study were summarized as follows. In seven out of eight women of IUP 5 weeks, gestational sacs were found by transvaginal ultrasound, five out of eight by transabdominal ultra sound,. In all cases of IUP 6 weeks, gestational sacs were found by transvaginal ultrasound, ten out of twelve by transabdominal ultrasound. From IUP 7 weeks to 8 weeks, inall cases, gestational sacs were found by both transabdominal and transvaginal ultrasound. The interrelation between gestational age and serum β-hCG was statistically significant. The regression line was log y=0.028x + 3.187. The coefficient of correlation was 0.578(p<0.01). The interrelation between gestational sac size and serum β-hCG was statistically significant. The regression line was log y= 0.023x +4.067. The coefficient of correlation was 0.467(p<0.01). The interrelation between gestational age and gestational sac size in vaginal ultrasound was y=0.639x-11.168, coefficient correlation was 0.654(p<0.01), the interrelation between gestational age and gestational sac size in transabdominal ultrasound was y=0.829x-20.515. The coefficient of correlation was 0.836, so both statistically significant.

중복기형아의 2예

김태선(TS Kim),박호영(HY Park),서정승(JS Seo),김원회(WW Kim) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.7

Conjoined twins are known to be very rare and to have various anatomical unions. We have recently met two of such a cases - cephalothoracopagi dysymmetros and xyphodymi with anencephali. We present these with brief review of the literature

염전을 동반한 과립난포막 세포종 1예

박호영(HY Park),김태선(TS Kim),송인문(IM Song) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.10

A case of large granulosa-theca cell tumor with torsion of pedicle and subsequent focal necrosis was reported with brief review of literatures. This unusual tumor was water melon sized, weighed 1,700gm, and showed cystic degeneration.

불임시술방법에 따른 난관복원술의 임신성공율에 관한 연구

최영철(YC Choe),김태선(TS Kim) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.7

From January,1988 to December, 1990,117 cases of tubal reversals which were followed-up more than 6 months after reanastomosis operation,which in consecutively chosen,at the Department of Obstetrics and Gynecology,Pusan National University Hospital were reviewed for comparison of pregnancy rates between two group(ring sterilization group38cases,cautery sterilization group:70cases). The summary as follows: 1. The mean age was 32.2 years in ring group and 32.7 years in cautery group.Average interval between sterilization and reversal was64.7 months in ring group and 59.1 months in cautery group. 2. The postoperative length of the trbe was 6cm of more in 89.5% in ring group and 70.0%in cautery group. 3. In two group, the most common site of the anastomosis was isthmic-isthmic portion. 4. Of all 117 cases,34(89.5%)cases were pregnant in ring group and 57(72.2%) cases in cautery group. 5. Between two group, statistical differences were found in pregnancy rates according to the previous sterilization method(P<0.05). 6. The rate of full term delivery was 41.2% in ring group(14cases/34 cases), 35.1% in cautery group(20 cases/57 cases). The rate of the spontanous abortion was 11.8% in ring group(4 cases/34 cases) and 12.3%(7 cases/57 cases) in cautery group.

거대 점막하 자궁근종의 1예

신현우(HY Shin),박정근(JK Park),김태선(TS Kim),송인문(IM Song) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.7

A case of large pedunculated submucous myoma of the uterus has been reported with a brief review of literature on uterine myoma was made. This tumor was approximately child head sized.

만삭임신과 동반된 거대난소종양

최종길(JK Choi),박은정(EJ Park),권해영(HY Kwon),김태선(TS Kim) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.3

본 부산대학교 의과대학 부속병원 산부인과에서 최근에 36주의 산모에서 4.5Kg의 거대성 점액성 난소낭종을 경험하였기에 간단한 문헌적 고찰과 함께 보고하 는 바이다. A case of huge ovarian tumor associated with term pregnancy is presented with a brief review of its literatures. Authors recently have met a case of huge ovarian tumor associated term pregn- ancy, to report it as well as a brief review of literature concerning to incidence, diagnosis and management.

자궁외임신의 임상적 관찰

박정근(JK Park),신현우(HY Shin),박호형(HH Park),김태선(TS Kim) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.10

1. The mean age was 31.9 and 27.1% of total were between 31 and 35 year of age. 2. frequency of ecoptic pregnancy showed decreasing tendency in inverse proportion to the NO. of parity and induced aboriton. 3. 44.5% had history of artificial abortion. It was suspected to be an important factor in developing ectopic pregnancy. 4. Lower abdominal pain was in 93.9% amenorrea in 64.0% vaginal bleeding in 77.3% nausea nad vomiting in 66.0% hypovolemic shock in 27.1% danforth sign in 23.0% and palpable adnexal mass in 45.3%. 5. As far as the time of onset of symtoms is concerned , they were developed initially within 6 weeks after L.M.P in 58.8% and within 8 weeks in 79.0%. 6. Culdocentesis was accuarate in 91.1% of total negative in 4.9% and failed in 4.0%. 7. Of tubal pregnancies the right side of the tube was involved in 53.2% left tube in 46.8% among whivh 80.8% were in the ampulla 12.2% in the isthmus, 3.7% in the interstital portion.