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김현찬 ( Hyun Chan Kim ),승희진 ( Hee Jin Seung ),이병재 ( Byoung Jai Lee ),김우경 ( Woo Gyeong Kim ) 대한폐경학회 2009 대한폐경학회지 Vol.15 No.3
Facing to the recent aging society, Geriatric Gynecology is on the developing phase. The clinical features and co-morbidity of the aged woman are somewhat different from those of the younger. The Gynecologist as a primary physician and also a specialist has to cope with the demanding care of the aged, Therefore a guide, based on working knowledge, would be helpful for the better care of them. In this review, Items among the leading causes of morbidity/mortality and common complaints are selected and described briefly. (J Korean Soc Menopause 2009;15:145-163)
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Cold Knife 원추 절제와 저온 응고요법의 병합 술식에 의한 고등급 자궁 경부 상피내 병변(HSIL)의 처치
승희진,김현찬 인제대학교 백병원 2001 仁濟醫學 Vol.22 No.2
Objectives: To evaluate the efficacy of combination of cold knife conization(CKC) and cold coagulation(CC) for the management of high grade cervical intraepithelial lesions(HSIL) and to compare the diagnostic accuracy of Pap. smear and colposcopy directed biopsy to that of conization. Methods and Materials: Combination of CKC and CC was carried out on the 50 cases of HSIL which were diagnosed by colposcopy directed biopsy during the period from Jan. 1993 to May 1998. Clinical records and pathological reports were reviewed for data analysis. Mean duration of follow up was 26 months. Results: Of the 50 cases, 8 cases(16%) showed margin involvement. Among the 8 cases, 4 cases were undergone immediate hysterectomy and showed residual lesion in 1 case(25%). Recurrence of lesion was found in 1 case with negative cone margin(2.4%) and 1 case of positive cone margin(12.5%) during the follow up. One case of post-operative bleeding, infection and cervical stenosis were found respectively. Diagnostic agreement between Pap. smear and conization was 60.4%. Agreement between colposcopy directed biopsy and conization was 81.1%. Conclusions: These results suggested that CKC with cold CC could be effective management procedure for HSIL to minimize post-cone complications and recurrence rate. Long term follow-up with large material is needed to confirm the above suggestion.
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