두흉결합체의 쌍태 기형아의 1예

배국환(KH Bae),하옥근(OK Ha),강대경(DK Kang),김성환(SW Kim),정재훈(JH Chung) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.2

A case of cephalothoracopagus in monozygotic female twins is reported. The case is discussed briefly from the points of view of etiology, incidence, problem of delivery, postnatal correction of the abnormal condition, and finally the prognosis in future pregnancies.

Estradiol Valerate 와 Testosterone Enanthate 를 사용한 부인에 있어서 산후 유즙분비억제에 관한 임상적 고찰

김성식(SS Kim),김진국(JG Kim),이대선(DS Lee),배국환(KH Bae) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.2

1978년 6월 1일부터 1978년 12월 31일까지 약 6개월동안 산후 유즙분비를 억제한 산모 167예를 대상으로 관찰하여 다음과 같은 결과를 얻었다. 1. 산후 수유를 하지 않은 산모의 빈도는 21.3%였다. 2. 산후 비수유부의 적응증을 보면, 산모가 자기의 평리를 위해서 원한 예가 108예(64.6%)로서 대다수를 차지했고, 조산아 및 미숙아가 19예(11.4%), 자궁내 태아사망이 12예(7.3%), 급만성 산모의질병이 11예(6.6%), 직장관계가 9예(5.4%), 신생아 사망이 5예(2.9%), 선천적 기형이 3예(1.8%)였다. 3. 유즙분비가 전혀 없었던 예가 95.5%였으며 유방증상은 전혀 없었거나 경했던 예가 89.4%였다. 4. 초산부와 경산부, 임신 주수에 따른 유즙분비 억제와 유방증상에는 별 효과 차이가 없었으며 모유수유경험이 있던 산모에서도 효과의 차이는 없었다. 5. 약물투여로 인한 부작용은 전예에서 없었다. A clinical survey of the suppression effects of postpartum lactation and breast symptoms has been made on 167 nonursing mothers using 4ml of Estradiol Valerate (4mg/ml) combined with Testosterone Enanthate (90.27 mg/ml) out of 785 deliveries from June 1, 1978 to December 31, 1978. The clinical data obtained were as follows, 1) The incidence of nonnursing mothers was 21.3%. 2) In indication the cases desiring suppression of lactation for their convenieece were most common. Its rate was 64.6% and others were as follows, premature & immature births 11.4%, F.D.I.U. 7.3%, Acute & Chronic maternal disease 6.6%, Maternal occupational problems 5.4%, Neonatal death, 2.9%, Congenital malformation 1.8%. 3) Lactation was inhibited completely in 95.5% and breast symptoms were absent or mild in 89.4%. 4) There appeared to be no correlation between response and parity, gestational period or previous nursing experience. 5) No undesirable side effects were present in all cases.

제왕절개수술에 대한 임상적 고찰

한영(Y Han),김태균(TK Kim),김병철(BC Kim),배국환(KH Bae) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.2

1978년 1월부터 1984년 12월까지 만 7년간 부산 메리놀병원 산부인과에 입원한 산모 10,809례중 쌍태아 임신 40례를 포함한 제절환자 1,743례에 대한 임상적 통계적 관찰을 하여 다음과 같은 결론을 얻었다. 1. 제절의 빈도는 16.1%이었고, 1차제절이 11.4%, 반복제절이 4.6%이었다. 2. 연령분포는 26~30세군이 전체의 52.6%로 가장 높은 빈도를 보였다. 3. 임신 39주에서 40주사이에 시행한 경우가 56.7%로 반 이상을 차지하였다. 4. 신생아 체중분포는 3,000~3,499gm군이 전체의 40.1%로 가장 많았다. 5. 일차제절의 적응증은 초산부에서는 아두골반불균형(34.9%), 골반위(12.7%), 태아절박증(12.1%)의 순서이었고, 경산부에서는 선택적제절(73.0%)이 가장 많았고, 다음이 아두골반불균형(11.5%), 골반위(2.8%), 자궁기능부전(2.8%)의 순서이었다. 7. 제절과 병행한 수술은 총 제절의 36.47%이었으며, 충수절제술(18.36%), 난관결찰술(14.5%)이 대부분이었다. 8. 난관결찰술은 1차제절에서 11.3% 시행한데 반하여 반복제절에서는 41.3% 시행하였다. 9. 제절술식은 자궁협부횡절개술이 98.4%로서 대부분을 차지하였다. 10. 모성이환율은 백분율로 총 제절의 13.7%이었으며, 산욕열이 8.15%로서 가장 많았다. 11. 주산기 사망율은 총 36례로 2.02%이었다. 12. 모성사망은 1례이었다. 1. Cesarean section rate was 16.1% for the period. 2. The primary cesarean section rate was 11.4%, and that of repeat cesarean section was 4.6%. 3. The indications for the primary cesarean section were that C.P.D. was 34.9%, breech presentation 12.7%, fetal distress 12.1% in order. 4. In the type of operation, low cervical section was 98.4%, classic 1.1%, and cesarean hysterectomy was 0.5%. 5. In the type of anesthesia, general anesthesia was 96.9%, and spinal anesthesia was 3.1%. 6. Perinatal mortality rate was 2.02%. 7. Maternal morbidity was 13.7%. 8. In the combined operation with cesarean section, appendectomy was 18.3%, tubal ligation was 14.5%.

경관임신의 1례

정재훈(JH Chung),하근수(KS Ha),박두철(DC Park),하옥근(OK Ha),배국환(KH Bae) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.10

A case of cervical pregnancy recently admitted to Pusan Maryknoll Hospital was presented and a brief review of the literature on cervical pregnancy was made.

Osteogenic Sarcoma의 소견을 보이는 난소의 원발성 Malignant Mixed Mesodermal Tumor

허만하(MH Huh),박두철(DC Park),하근수(KS Ha),배국환(KH Bae),강대경(DK Kang),정재훈(JH Chung) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.4

난관에 발생한 malignant giant cell tumor와 구별이 불가능한 병변을 특징으로 하는 mixed mesodermal tumor 1예를 보고한다. A case of malignant ovarian mixed mesodermal tumor in a 42 years old Korean female (in a artificial menopause) is presented. The histology of the tumor is unique in that it reveals mesenchymal components histologically indistinguishable from primary osteogenic sarcoma of bone. Discussion and literature review are made in relation to the histogenesis and histopathological features of malignant Mullerian mesodermal tumor or ovary. This reprents the first reported case of malignant mixed mesodermal tumor or ovary in Korean literature.

임신말기에 만출된 Lippes loop의 1 례

노응준(EJ Noh),김동열(DY Kim),백상붕(SB Baeg),유진철(JC Yoo),배국환(KH Bae) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6

A case of Lippes loop which was expelled at spontaneous rupture membrane in the late pregnancy is reported with the brief review of literature.

자궁내 피임장치와 동반된 골반 방선균증 1 례

손성대(SD Son),박근식(KS Park),정주섭(JS Chung),한광수(KS Han),배국환(KH Bae) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.1

저자들은 7년간 자궁내 피임장치를 사용한 여성에서 진행된 난소암을 의심하고 개복수술을 시행한 결과 병리조직학적소견상 방선균증으로 판명된 1례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. Actinomycosis is a chronic suppurative and granulomatous disease characterized by peripheral spread and extension to contiguous tissue, rare hematogenous spread, and the formation of multiple draining sinus tracts. Pelvic actinomycosis is being reported with increasing frequency in association with intrauterine contraceptive devices, and the most common oranism is Actinomyces israelii. The inflammatory changes created may fool the examiner into believing that the findings are due to advanced cervical or ovarian cancer. We experienced a case of pelvic actinomycosis associated with an intrauterine contraceptive device(Cu-T) and report on it with a brief review and related literature.

산전 초음파로 진단된 태반혈관종 1 례

배국환,김은주,정주섭,김상국,배임철 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.9

Benign chorioangioma of the placenta is the most common primary tumor of the placenta followed by the hydatidiform mole and choriocarcinoma. Only two nontrophoblastic primary placental tumors are known to occur: The relatively common chorioangioma, and the extremely rare teratoma. Most chorioangioma are small and only detected by careful sectioning of the placenta. Large, externally visible chorioangioma, although uncommon, may result in both maternal and fetal complications. The incidence of chorioangioma is still an unsettled issue varying between one in 3,500 and one in 9,000 placentas because of overlooking at examination of the placenta. Large tumors more than 4 cm in diameter are clinically important. The maternal complication of polyhydramnios, preeclampsia, and premature labor are those described in the chorioangioma syndrome. The neonatal complications include microangiopathic anemia, thrombocytopenia, hymolysis, low birth weight, and neonatal death. In this respect, the importance of ultrasound in the diagnosis of placental chorioangioma has now been recognized. In this paper, a case of large chorioangioma in a viable pregnancy, associated with hydroamnios, preterm labor, is presented with the brief review of the literature related to this type of tumor.

Krukenberg 종양 11 예에 대한 임상적 고찰

배국환,한광수,박정실,배임철,이환우,박재홍 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.6

저자들은 1988년 1월부터 1997년 12월까지 만 10년 동안 부산 메리놀병원 산부인과에 난소종양으로 진단되어 수술 후 병리학적 검사 결과 krukenberg 종양으로 진단받은 11예의 환자에서 다음과 같은 결과를 얻었다. 1. 발생 빈도는 전체 난소종양 중 2.06%, 난소의 악성 종양 중 8.66%였다. 2. 환자의 연령은 26∼65세 사이에 고른 분포를 보이 며 평균 연령은 46.5세이었다. 3. 가장 흔한 증상은 복부 종괴였고 다음으로 복부팽 만, 상부 위통증, 복부 통증, 변비, 빈뇨, 부정자궁출혈의 순이었다. 4. 복수는 11예 중 10예에서 존재하였으며 그 양은 소량에서부터 5,000 ml 이상인 경우까지 다양하였다. 양 측성이 6예, 일측성은 우측이 3예, 좌측이 2예 있었다. 난소의 크기는 장지름이 6∼15 cm인 경우가 8예로 가장 많았으나 각 예마다 아주 다양하였다. 원발성 병소는 위 암이 10예, 대장암이 1예였다. 5. 평균 생존 기간은 7.68개월이었다. 1) cisplantin을 포함한 복합항암요법으로 치료한 예의 평균 생존 기간이 12.9개월, cisplantin을 포함하지 않은 화학요법에서는 4개월의 평균 생존 기간을 보였다. 2) 전자궁적출술과 양측 부속기 절제술은 14.7개월, 조직생검만 시행한 경우에는 2.5개월의 생존기간을 나 타내었다. 3) 원발 병소를 먼저 수술한 경우 평균 생존 기간이 10.5개월, 원발 병소를 수술하지 못한 경우는 3.4개월의 평균 생존 기간을 나타내었다. 4) 1예(38개월 생존)를 제외한 9예에서 12개월 이내 에 사망하였고 1예는 현재 생존하여 수술 후 11개월째 로 복합항암요법으로 추적 관리중에 있다. 이상의 결과로 저자들은 위암으로 진단된 여성의 경 우 난소에 대한 정밀검사가 중요하고, 수술중 동결절편 에서 전이성 난소암이 확인된 경우는 전자궁적출술과 양측 부속기절제술을 시행하고 원발병소의 제거와 수술 후 cisplantin을 포함한 복합항암화학요법이 필요하다고 사료된다. We reviewed 11 cases of Krukenberg tumors which had been treated at the department of Obstetrics & Gynecology, in the Maryknoll Hospital from January 1988 to December 1997. Eleven Krukenberg tumors among 127 cases of ovarian cancers were found in the hospital records for a 10 year period. The results obtained were as follows: 1. The incidence of Krukenberg tumor was 2.06% among all ovarian tumors (533 cases) and 8.66% among malignant ovarian tumors (127 cases). 2. The age of the patients ranged from 26 to 65 years, and the mean age was 46.5 years. 3. The most common symptom was palpable abdominal mass, followed by abdominal pain with distension, epigastric pain, and other gastrointestinal symptoms. 4. Among 11 cases of Krukenberg tumor, 10 cases had ascites, but the volume of ascites was variable. Bilateral involvement was shown in 6 cases and unilateral involvement in 5 cases. The size of the tumors were variable. The primary sites of these tumors were the stomach in 10 cases and the colon in 1 case. 5. The mean survival period for 11 patients was 7.68 months. (1) The mean survival period of the patients who had been treated with a cisplatin based chemotherapy regimen was 12.9 months, that of the patients who had been treated with a non-cisplantin based regimen was 4 months. (2) The mean survival period of the patients who had total abdominal hysterectomy with bilateral oophorectomy was 14.7 months, and the survival period of the patient who had only ovarian biopsy was 2.5 months. (3) When the operation for a primary lesion was performed, the mean survival period was 10.5 months but the mean survival period was 3.4 months without an operation. (4) Nine patients died within 1 year and one patient died after 38 months. One woman is still alive for 11 months. In conclusion, we think that the further evaluation of the ovary is necessary in stomach cancer of the women. In view of this, we conclude that it would seem worthwhile to consider removal of the primary lesioin case of metastatic cancer and furthermore, postoperative cisplantin based combination chemotherapy are necessary.

자궁내장치와 병발된 원발성 난소임신 1 예

배국환,한광수,김재찬,배임철,이환우,채인석 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.6

저자들은 최근 본원 산부인과에서 부인과 영역에서 비교적 드문 자궁내장치와 병발된 난소임신 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Primary ovarian pregnancy with intrauterine device is a rare form of ectopic pregnancy. It is unclear whether the use of an intrauterine device predisposes to ovarian pregnancy. Recently, we have experienced a case of ovarian pregnancy with intrauterine device and reviewed it briefly.