경관임신의 1례

배도환(DH Pai),이수자(SJ Lee),최대영(DY Choi),박수자(SJ Park) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.2

A case of cervical pregnancy in s 23 year old, nulliparous woman is presented with a brief review of literature available.

15세 소녀에 발생된 미분화배세포종 의 1예

배도환(DH Pai),이상진(SJ Lee),박종택(JT Park) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.4

A case of dysgerminoma of right ovary in 15 year-old girlis reported. And the literatures on dysgermi- noma of the ovary is reviewed briefly.

뇌수종및 이분척추 내반족을 겸한 기형아의 1예

배도환(DH Pai),김동창(DC Kim),손창수(CS Sohn),이상윤(SY Lee) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.8

A case of hydrocephalus associated with spina bifida & equinovarus was presented who got C-section at the 37 weeks of pregnancy which was infrequently seen by the obsterician and a brief review of literature was made.

Psychiatric Complications ( II ) 산후 정신병

배도환(DH Pai) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.4

N/A

임신중의 난소종양에 대한 임상적 고찰

조무호(MH Cho),배도환(DH Pai) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.11

중앙대학교 의과대학 부속 성심병원 산부인과에서 1970년 1월 1일부터 1976년 12월 31일까지 만 7년간 임신중의 난소종양 32예에 대한 임상적 고찰을 하여 가음과 같은 결론을 얻었다. 1) 양성난소종양의 임신 및 분만에 대한 빈도는 각각 1:264, 1:121이었으며 악성종양은 1예도 발견할 수가 없었다. 2) 임신력과 연령과의 관계를 보면 초임부에서 19예(59.3%)로서 평균 연령은 27세, 경 산부에서 13예(40.6%)로서 평균연령은 34세였다. 3) 진단시기는 first trimester에서 21예(65.7%), second trimester에서 5예(15.6%), 제 왕절개술시 5예(15.6%), 분만후 1예(3.1)이었다. 4) 종양의 발생부위는 일측성이 30예(93.7%), 양측성이 2예(6.3%)로서 일측성의 경우 우측이 16예(50%), 좌측이 14예(43.7%)이었다. 5) 종양의 크기는 5∼6㎝을 넘지 않는 예가 8예(25%)이었으며 6㎝이상인 예가 24예 (75%)이었다. 6) 종양발견시 환자의 주소는 무증상이 14예(43.7%)이었으며, 염전으로 인한 선통을 포 함한 하복토이 10예(31.3%), 자궁출혈이 5예(15.6%)이었다. 7) first trimester와 second trimester에 발견된 종양 26예중 1예는 자연소퇴된 것으로 추정되었으며 8예는 임신 2∼3개월에, 16예는 임신 4개월에, 1예는 임신 5개월에 적제 술을 받았다. 8) 병리조직학적 진단은 양성낭종기형종이 12예(38.7%), 장액성낭선종이 8예(25%), 점 액성낭선종이 6예(19.3%), 황체낭포가 3예(9.7%), 포상낭종이 2예(6.5%)이었다. 9) 염전이 유일한 합병증으로 5예(15.6%)을 보였다. The thirty two cases of ovarian tumors in pregnancy among 8,436 pregnancies (3,865 deliveries) seen at the Dept. of OB. & GY., sung shim Hospital, Chung. Ang University, from Hanuary 1,1970 to Cecember 31 1976 were clinically observed and statistically reviewed. The results were summarized as follows; 1. the incidence of benign tumors in pregnancy was 1 in 264 pregnancies and 121 deliveries, and none of malignancy was encountered. 2. The mean age was 27 uears old with 19 cases (59.3%) in nullipara and 34 years old with 13 cases (40.7%) in multipara. 3. twenty one cases (65.7%) were diagnosed in the first trimester, 5 cases (15.6%) in the second trimester, 5 cases (15.6%0 in the cesarean section and one case (3.1%) in the puerperium. 4. Thirty cases (93.7%) were unilateral and two cases (6.3%) were bilateral. The right side tunors were found in 16 cases (50%) and the left in 14 cases (43.7%). 5. Eight cases (25%) were within 5-6cm in diameter and 24 cases (75%0 over 6cm 6. As to the initial chief complaints, a free of symptoms and signs was found in 14 cases (43.7%) lower abdominal pain including colicky pain due to torsion of tumor in 10 cases (31.3%) vaginal spotting or bleeding in 5 cases (15.6%). 7. Among the 26 cases which were diagnosed in the first and second trimester, 8 cases were operated at 2-3 months gestation age, 16 cases at 4 months, 1 case at 5 months and 1 case was suggested a spontaneous regression at 4 months. 8. Accoring to the histopathological type, benign cystic teratoma was found in 12 cases (38.7%), serous cystadenoma in 8 cases (25.8%), mucinous cystadenoma in 6 cases (19.3%), corpus luteum cyst in 3 cases (9.7%0 and follicular cyst in 2 cases (6.5%). 9. The torsion of tumor, the only complication, was found in 5 cases (15.6%).

임신중 급성 충수염

이성재(SJ Lee),이동화(DH Rhee),박흥원(HW Park),배도환(DH Pai) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.8

1) 기간은 비교적 짧으나 5년간 총분만수가 2,753명이었으며 임신중 급성충수염환자는 18예 로 그 빈도는 0.65%였으며 타보고서보다 고율을 보였다. 2) 과거에 충수염의 기왕력이 있었던 환자는 8명(44.4%)으로 비교적 많은 편이었다. 3) 급성수농성 및 천공성충수염 환자는 7예(38.8%)였으며, 그 중 4예(22.2%)는 drain을 삽입 하였다. 4) 경산부가 6.7%로 초산부보다 많았다. 임신주수에 따른 빈도를 보면 임신초충반기가 88.9%로 많은 율을 차지하고 있었다. 5) 임신 중 급성충수염은 임신자체로 인한 제증상과 해부학적 변화로 진단이 어려우며 특히 산욕기의 충수염은 산욕열, 후진통 등과 구별이 곤란하였다. 임신 중의 acute abdomen에 대 해서는 신중을 기하여야 할 것이다. Appendicitis is the most frequent extrauterine surgical complication of pregnancy. During pregnancy the differential diagnosis of acute appendicitis is very difficult, and its diagnosis is made so late that appendectomy may be deferred. From June, 1968 to June, 1973 there were 18 cases of acute appendicitis complicating pregnancy at the Sacred Heart Hospital. During this period 2753-deliveries were performed. An incidence of 0.67% of all pregnancies was complicated by acute appendicitis. The author has reviewed literatures to appendicitis in pregnancy and report a case of appendicitis occurred in puerperium.

산부인과 외래환자의 비특이성 질염에 대한 임상적 고찰

이상훈(SH Lee),김동호(DH Kim),허민(M Hur),배도환(DH Pai) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.11

1. The average incidence of H. vaginalis Vaginitis was 25.2%. that of trichomonas vaginitis was 28.0% and that of candida vaginitis was 10.7% (12.4% among pregnant women and 8.6% among non-pregnant women). 2. In relation to age distribution the majority of H. Vaginalis positive cases was found in the age groups of 24 to 34 years old. 3. Nearly 100% of the women who harbored H. Vaginalis in their vaginal exudates complained of leucorrhea 27.6% of vulva itching 17.9% of unspecified discomfort and 14.6% of recurrent vaginitis. 4. The coexistence of trichomonas and /or Candida with H. Vaginalis in the Vaginal exudates was as follows ; patients wiht H. Vaginalis alone were 81 cases (65.7%) patients with H. Vaginalis and trichomonas simultaneously, 32 cases (25.9%) patients with H. Vaginalis and Candida simultaneously, 8 cases (6.2%) and patients with H. Vaginalis trichomonas and Candida simultaneously were 2 cases (2.2%)

임신지속기간에 따른 포도당 Creatinine농도 및 트롬보플라스틴 활성도에 관한 연구

이원강(WK Lee),이미영(MY Lee),배도환(DH Pai) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.6

1. 양수내 glucose, creatinine 및 TAAF는 임신 지속 기간에 따라 의의있는 상관관계를 보였다. 2. 정상 만삭 임신에서의 양수니 glucose, creatinine과 TAAF의 평균치는 각각 11.08 1.82mg/dl, 2.03 0.25mg/dl와 52.93 11.74초이었다. 3. Preterm의 양수내 creatinine, 혈청 creatinine, AF/MS ratio 및 TAAF는 term에 비해 낮았고 양수내 glucose는 높았다. 4. postterm의 양수내 creatinine은 term에 비해 비교적 높았으나 혈청 creatinine과 AF/MS ratio는 큰 차이가 없었다. postterm의 양수내 glucose는 term에 비해 낮았고 TAAF는 높았다. 5. 임신자간전증군에서의 양수내 creatinine, AF/MS ratio는 정상임신군에 비해 높았으나, 혈청 creatinine, 양수내 glucose 및 TAAF는 큰 차이를 보이지 않았다. 6. 자궁내 태아발육지연군의 양수내 creatinine, AF/MS ratio는 정상임신군에 비해 낮았으나, 혈청 creatinine, 양수내 glucose 및 TAAF는 큰 차이를 보이지 않았다. Amniotic fluid glucose, creatinine concentration and thromboplastic activity were measured in 69 women with normal and abnormal pregnancies from 28 to 43 week gestation. Based on the present study, these parameters can be used as indicators of fetal maturity. Combining these parameters of fetal maturity results in a more reliable tool. The results were as follows: 1) There was high degree of correlation between gestational week and glucose, creatinine concentration and TAAF(thromboplastic activity in amniotic fluid)(glucose;r=-0.869, p<0.001, creatinine;r=0.708, p<0.001, TAAF;r=-0.913, p<0.001). 2) In normal pregnancies, the mean values of glucose, creatinine and TAAF were 11.08 1.82mg/dl, 2.03 0.25mg/dl and 52.93 11.74 seconds. 3) Amniotic creatinine, serum creatinine, AF/MS ratio(amniotic fluid creatinine/maternal serum creatinine ratio) and TAAF levels in preterm pregnancies were lower than term pregnancies. However amniotic glucose levels in preterm pregnancies were higher. 4) Amniotic creatinine levels in postterm pregnancies were higher than term pregnancies. There was no significant difference in serum creatinine and AF/MS ratio in postterm and term pregnancies. Amniotic glucose levels in postterm pregnancies were lower than in term pregnancies. TAAF levels on the other hand were higher in postterm pregnancies. 5) Amniotic creatinine levels and AF/MS ratio were higher in preeclamptic group than normal pregnancy group. But serum creatinine, amniotic glucose and TAAF levels showed no significant difference. 6) Amniotic creatinine and AF/MS ratio were lower in IUGR group than in normal pregnancy group. Serum creatinine, amniotic glucose and TAAF showed no significant difference in IUGR group and normal pregnancy group.

노인성 또는 위축성 질염 치료에 대한 Dienestrol 연구의 임상적효과

강천수(CS Kang),허민(M Hur),배도환(DH Pai),김두호(DH Kim) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.10

1978년 2월 1일부터 8월 10일까지 노인성 또는 위축성 질염 환자 53예에서 Dienestrol연고를 사용하여 그 임상적 경과를 관찰하였으며 그 결과 다음과 같은 결론을 얻었다. 1. Dienestrol 연고는 노인성 또는 위축성 질염에 매우 우수한 효괄ㄹ 나타내었다. 2. Dienestrol 연고는 주사나 경구 투여에 의해서 나타나는 부작용이 전혀 없었다. 3. Dienestrol 연고는 암종 또는 암전구증을 제외하고는 금기 사항이 없어 다른 전신질환이 있을 때도 사용할 수 있었다. 4. Dienestrol 연고에 의한 치료는 장기간을 요하지 않았으며, 대부분 4주 이내에 치료되었다. The effectiveness of dienestrol cream in the treatment of atrophic or senile vaginitis has been evaluated in the 53 patients. In the 53 cases, 36 cases or 67.9%, were definitely improved both subjectively and objectively, or were cured; 11 cases of 20.8%, were not cured, but better improved either clinically or symoptomatically than when they were first seen. In one case or 1.9%, the condition was aggrevated and 5 cases or 9.4% could not be evaluated because of other complications such as trichomonal infestation or monilial infection which was developed after dienestrol therapy was begun. Topical application of the dienestrol cream was prescribed 2 times a day for a one week and once a day for the next one week, and once an every other day after 2 weeks during the last 4 weeks. Total of the cases were 53 cases and the age distribution was from 23 years to 74 years, the most frequent age group was from 51 years to 60 years. Relief of symptoms had to be accompanied by clinical response before the patient was considered improved. The healthy vagina maintained in many instance by using dienestrol cream over 3 weeks. No untoward affects were noted.

비산욕기 자궁내번증

구제춘(JC Koo),조무호(MH Cho),허민(M Hur),배도환(DH Pai) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.11

1) 비산욕기 자궁 내번증은 한국에서 뿐만이 아니라 전 세계에서도 드문 부인과적 질환의 하나이다. 2) 14세된 소녀에서 발생한 원인 불명의 비산욕기 완전 자궁 내번증 1예를 보고하였다. 3) 자궁내번증의 분류는 일반적으로 다음과 같다. A. 산욕기 또는 산과적(puerperal or obstetric) a) 급성(acute) b) 만성(chronic) B. 비산욕기 또는 부인과적(Non-puerperal, or Gynecologic) ㄱ. 종양성(tumor-produced) 급성(acute) 만성(chronic) ㄴ. 원인불명(Idiopathic) 급성(acute) 만성(chronic) 4) 내번의 정도는 완전과 불완전(complete and incomplete)로 나누고 완전한 경우가 비 산욕기에 많다. 5) 종양성 자궁 내번증의 기전은 ㄱ. 종양에 의해 자궁이 팽창된 다음 갑자기 자궁의 빔(emptying) ㄴ. 종양에 의해 자궁벽의 얇아짐(thinning) ㄷ. 자궁경부의 개대(dilatation) 등이다. 6) 원인적 종양으로서 fibroid가 대부분이다. 7) 비산욕 자궁 내번증은 30세 이후에 호발한다. 8) 증상은 월경 곤란증, 월경과 다증과 냉증 등이다. 9) 진단은 대개 이학적 방법으로 쉽게 행할 수 있다. 10) 치료는 질을 통한 복구 방법으로서 Kustner와 Spinelli법이 있고 복벽을 통한 복구 방법으로서는 Huntington과 Haultain법이 있다. Nonpuerperal inversion of uterus is one of the rarest gynecological disease. A case of nonpuerperal inversion of uterus, occured in only 14-years old girl with unknown cause, experienced in thes gospital in May 1976, is reported with brieg review of the literaturew.