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- 저자 : 박옥랑 ( Ok Rang Park ) (검색결과 7 건)
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신동주 ( Dong Ju Shin ),변영수 ( Young Soo Byun ),장세앙 ( Se Ang Chang ),박옥랑 ( Ok Rang Park ),김신윤 ( Shin Yoon Kim ),황대희 ( Dae Hee Hwang ),이성락 ( Sung Rak Lee ),김동영 ( Dong Young Kim ) 대한골절학회 2006 대한골절학회지 Vol.19 No.4
목적: 분만과 관련한 치골 결합 분리의 임상적 특징 및 발병률을 알아보고 정상군과의 비교를 통하여 위험인자를 확인하며 치료결과를 분석하였다. 대상 및 방법: 1992년 1월부터 2004년 12월까지 66,721명의 분만 중, 치골 결합 분리로 진단된 72명을 대상으로 하였다. 치골 결합부 분리 증상이 없었던 산모 498명을 대조군으로 정하고 χ2-검사와 Student t-검사를 사용하여 위험인자를 분석하였고, 최종 추시에서 방사선학적 평가와 Majeed의 방법을 이용한 기능적 평가를 하였다. 결과: 치골 분리의 간격은 평균 13.8 mm (범위, 6∼43)이고 최종 추시상 평균 4.9 mm (범위, 3∼16)였으며 증상의 발현은 분만 중에서부터 분만 후 3일까지 다양한 시기에 나타났다. 발병률은 927명 중 1명이었고 통계학적 검증을 통하여 신생아의 체중, 분만 2기의 지연, 분만 시 흡인기의 사용이 위험인자로 확인되었다. 최종 추시된 63명 중 우수 52예 (82.5%), 양호 9예 (14.3%), 보통 2예 (3.2%)였다. 결론: 분만에 의한 치골 결합의 분리는 태아의 체중이 많이 나가는 경우, 분만 2기가 지연되는 경우, 분만 시 흡인기가 필요한 경우 위험성이 증가하였다. 최종 추시 상 다양한 방사선학적 결과에도 불구하고 보존적 치료로 좋은 결과를 얻을 수 있었다. Purpose: To evaluate the clinical features and incidence of separation of the symphysis pubis during childbirth, and to evaluate the risk factors of the lesion and the outcome of treatment. Materials and Methods: Seventy two cases of separation of symphysis pubis among 66,721 delivery between January 1992 and December 2004 was selected. The control group was composed of 498 cases without separation of symphysis pubis during childbirth. Several factors increasing the risk of this lesion were assessed using x2-test and Student t-test. The final outcome was evaluated on radiographs and the grading system of Majeed. Results: Mean width of the joint was initially 13.8 mm (range, 6∼43) and finally 4.9 mm (range, 3∼16). Onset of symptoms occurred variably from labor to postpartum day 3. Incidence of separation of symphysis pubis was one among 927 deliveries. The separation group differed significantly from the control with respect to birth weight, the prolonged 2nd stage of labor, and the use of vacuum-delivery. Of 63 cases at final, 52 cases (82.5%) had excellent result, 9 (14.3%) had good and 2 (3.2%) had fair. Conclusion: The result showed that high birth weight, the prolonged second stage of labor and vacuum-delivery were risk factors of separation of the symphysis pubis during childbirth. This lesion was treated well with conservative methods, although variable radiological findings were noted at final follow-up.
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이전제왕절개술 기왕력을 가진 산모의 분만 후에 발생한 방광자궁샛길 2예
김석배 ( Suk Bae Kim ),윤영은 ( Young Eun Youn ),박미선 ( Mi Sun Park ),박옥랑 ( Ok Rang Park ),김항진 ( Hang Jin Kim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.9
Vesicouterine fistula, a fistula between bladder and uterus, is one of the rarest urogenital fistula. Most cases are associated with repeat Cesarean section and with vaginal birth after Cesarean section (VBAC). During Cesarean section, it is important to dissect and move the bladder away from uterus carefully, especially in case of adherent bladder to the anterior vaginal wall or lower segment wall and it is necessary to explain the possibility of vesicouterine fistula development in case of VBAC. Patients usually present with urinary incontinence in the early postoperative period or present months or years later with cyclic hematuria, amenorrhea, vaginal leakage of urine, urinary tract infection and secondary infertility. The diagnosis is made by cystoscopic visualization of the fistula orifice in the bladder and outlining the fistula tract on cystogram, hysterosalpingogram or transvaginal ultrasonogram. There have been varied approaches to the treatment of vesicouterine fistula with conservative therapy or surgical therapy. We experienced two cases of vesicouterine fistulas in women with previous Cesarean section, the one is delivered with repeat Cesarean section after trying VBAC, the other is delivered with vacuum assisted VBAC, and treated with surgical repair.
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뇌하수체 거대선종으로 인한 고프로락틴혈증 환자의 만삭아 분만
김승찬 ( Seung Chan Kim ),윤영은 ( Young Eun Yun ),박미선 ( Mi Sun Park ),김항진 ( Hang Jin Kim ),박옥랑 ( Ok Rang Park ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.10
Prolactin-secreting adenomas are the most common pituitary tumors resulting in hyperprolactinemia which is one of the most important causes of female infertility with amenorrhea or galactorrhea. Although it is reported that spontaneous pregnancy occured in these patients using bromocriptine treatment or ovulation induction, it is very rare to find a pituitary tumor during a pregnancy by having neurological symptoms of headache, diplopia or visual disturbance. We experienced a case of normal delivery after symptom improvement and maintenance of pregnancy by administration of bromocriptine in a 27 year-old primigravida with diplopia and visual disturbance due to prolactin-secreting pituitary macroadenoma, which is diagnosed by brain MRI scan and serum prolactin level. A brief review of related literature was done.
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신경내분비적 분화가 포함된 자궁의 악성혼합 뮬러리안 종양
송준백 ( Jun Baek Song ),김준홍 ( Jun Hong Kim ),박옥랑 ( Ok Rang Park ),김주경 ( Ju Kyeong Kim ),김태상 ( Tae Sang Kim ),김동자 ( Dong Ja Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.1
Malignant mixed mullerian tumor (MMMT) of the uterus are uncommon tumor and highly malignant containing epithelial and stromal components which is classified as homologous or heterologous based on the nature of sarcomatous component. It is highly malignan
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중증 임신오조에 합병된 Wernicke-Korsakoff 증후군
이동규(Dong Kyu Lee),서준영(Jun Young Seo),구순정(Sun Jung Gu),박옥랑(Ok Rang Park),김항진(Hang Jin Kim),김병영(Byoung Young Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.4
Hypermesis gravidarum is a complication defined as vomiting severe enough to require hospital admission during early pregnancy. Thiamine deficiency is known to lead to certain neurological seguelae including Wernicke-Korsakoff syndrome. Wernicke's encephalopathy is an illness of acute onset characterized by global confusion, paralysis of eye ball movements, and gate ataxia due to a deficiency of thiamine. The immediate administration of thiamine prevents progression of the disease and reverses brain lesions that have not yet progressed to the point of fixed structural change. We have experienced a case of Wernicke-Korsakoff syndrome associated with hyperemesis gravidarum, which seemed to be developed by prolonged thiamine-free fluid therapy. We emphasize the need for thiamine supplementation in hyperemesis gravidarum patients.
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김주경 ( Ju Kyoung Kim ),장보승 ( Bo Seung Chang ),김승찬 ( Seung Chan Kim ),윤영은 ( Young Eun Yun ),박옥랑 ( Ok Rang Park ),손경락 ( Kyoung Rak Son ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.12
Uterine papillary serous carcinoma (UPSC) behave more aggressively than other endometrial carcinomas and have a propensity for intraabdominal spread, simulating the behavior of ovarian carcinoma. Because of high relapsing rate, and high mortality rate of
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