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      • KCI등재

        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.

      • KCI등재

        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.

      • KCI등재

        임신5개월의 흔적자궁 파열 1례

        윤대영(DY Yun),문시영(SY Moon),김상갑(SK Kim),박정근(JK Park) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.2

        부산 성분도병원 산부인과에서 경험한 18세의 미산부에 발생한 18주의 흔적자궁임신 례를 보고하며 간단한 문헌고찰을 하였다. A case of rupture of rudimentary uterine horn with 18 weeks gestation which was diagnosed as a intra-abdominal pregnancy is presented and some articles are reviewed briefly.

      • KCI등재

        골반경수술 583 예에 대한 고찰

        김준영(JY Kim),강승철(SC Kang),윤병목(BM Yoon),이형근(HG Lee),박원곤(WG Park),장미경(MK Chang),박정근(JK Park) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.10

        저자들은 1993년 9월부터 1997년 12월까지 본원 산부인과에서 583예의 골반경수술을 시행한 결과 자궁외임신이 204예(33%), 자궁근종이 201예 (32%), 난소낭종이 108예(21%)로서 대부분을 차지하였고, 각각을 비교 분석해 보았다. 골반경수술시 적절한 환자를 잘 선택해서 시술한다면 통증이 적고, 입원기간이 단축되고 회복기간이 빨라짐에 따라 경제적 절감 효과와 사회복귀에 부분적으로 도움 이 되리라고 생각되며 또한 Pelvic floor의 신경과 혈관 분포를 보존 하게 되어 성생활에도 많은 도움이 있을 것 으로 생각된다. 골반내시경을 시행하기 위해서는 수술기 구의 전반적인 파악과 고도의 숙련훈련이 필요하고, 수술기법과 의료장비의 발달, 환자의 호응도, 만족도가 증 가 하고 있어 일반 부인과적 수술은 개복수술보다 골반 내시경수술에 의해서 해결 되리라 생각되며, 고도로 숙련된 내시경 시술자들에 의해 적용범위가 더욱 광범위 해 지리라 기대된다. Five hundred eighty three cases of pelviscopic operation were performed at Kwang-Hye General Hospital from September 1993 to December 1997. The common indications were ectopic pregnancy (33%), myoma uteri (32%), ovarian cyst (21%) and types of surgery were salpingectomy (28%), Classical Intrafascial S.E.M.M Hysterectomy (CISH) and Laparoscopic Assisted Vaginal Hysterectomy (LAVH) (27%), salpingo-oophorectomy (17%), oophorectomy (8%) and ovarian cystectomy (8%). The age of the patients ranged from 21 to 55 years and the mean age was 37.6 years and mean parity of the patients was 1.66 and mean duration of postoperative hospitalization was 3.77 days. The operation time was varied from 30 minutes to 7 hours, mean time of CISH 112.34 minutes, ectopic pregnancy 67.45 minutes, ovarian cyst 69.37 minutes, but recently it was shorter than previously. In our conclusion, pelviscopic surgery makes minimal incision, minimal postoperative adhesion, and low morbidity , and early recovery brings short hospitalization, and reduction of medical cost. Pelviscopic surgery is effective and useful method of treatment in the community hospital.

      • KCI등재

        무월경 14 주에 동반된 속발성복강임신 1 예

        박정근,김준영,장미경,박원곤,이형근 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.7

        Abdominal pregnancy is very rare and potentially life-threatening variation of ectopic pregnancy. Early diagnosis is very difficult. In the last several decades prenatal care has improved and noninvasive procedures such as ultrasound scanning and fetal cardiotocography have led to us a better assessment of fetal and maternal disorders. In the last 30 years an increase of diagnosed ectopic pregnancies has been noted and attributed to the greater frequency of pelvic inflammatory disease. Although the incidence of ectopic pregnancy is rising, the incidence of abdominal pregnancy, which is primarily a sequel of a missed ruptured ectopic pregnancy, remains low. We presented a case of secondary abdominal pregnancy in 14 wks with its review of literature.

      • KCI등재

        골반경수술 110 예에 대한 고찰

        박정근,김준영,나상,정종기,장진석,박원곤,이형근 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.7

        저자들은 1993년 9월부터 1995년 3월까지 본 병원 산부인과에서 110예의 골반경수술을 시행 한 결과 다음과 같은 결론을 얻을 수 있었다. 1. 골반경수술의 적응증은 총 110예중 자궁외임신이 43예(39%), 자궁근종이 26예(24%), 난소 종낭이 23예(21%)로서 대부분을 차지하였다. 2. 골반경수술의 방법은 총 110예중 난관절제술이 34예(32%), CISH LAVH operation 이 26예 (24%), 난소관절제술이 16예(15%), 난소절제술이 8예(7%) 및 난소낭종절제술의 8예(7%)순으 로 많았다. 3. 환자들의 연령분포는 21-40세가 78%였고 평균나이는 33.6세였다. 4. 환자들의 평균출산력은 1.52였다. 5. 입원기간은 수술후 1일에서 6일 사이였으며, 평균 입원기간은 3.57일이었다. 6. 수술시간은 30분에서 7시간까지 수술의 방법, 난이도에 따라 다양한 차이를 보였는데 근 래에 들어 많이 단축되었다. One hundred ten cases of pelviscopic operation were perfomed at Pusan Kwang-Hye General from September 1993 to March 1995. The common indication were ectopic pregnancy(39%) myoma uteri(24%) ovarian cyst(21%) and frequent types of surgery were salpingectomy(32%), CISH and LAVH operation (24%) , slapingoophorectomy(15%) oophorectomy(7%) and ovarian cystectomy(7%). The age of the patients ranged from 21 to 55 years and the mean age was 33.6 years and maen parity of the patients was 1.52 and mean duration of hospitalization was 3.57 days. The operation time was variable from 30 minutes to 7 hours because of operation method and difficulty, but was more shorter recently. In our conclusion, pelviscopic surgery makes minimal incision, minimal postoperative adhesion, and low morbidity rate, and early recovering brings short hospitalization, and reduction of medical cost. This pelviscopic surgery is simple and useful method of treatment in the community hospital.

      • KCI등재

        비디오 골반경을 이용한 난소임신 치험 2 예

        이형근,박원곤,박정근 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.1

        Ovarian pregnancy is a rare form of ectopic pregnancy which has Spiegelberg`s criteria for a primary ovarian pregnancy. Two cases of ovarian pregnancy which were diagnosed and operated by surgical pelviscopy are presented with a brief review of literatures.

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