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안영준,신향미,전권희,문인근,서홍식,송호영,안혜선 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.1
본 저자들은 31세 임산부에서 진행된 부분포상기태가 있으면서 쌍태아 임신을 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Ultrasonography has become the preferred noninvasive diagnostic imaging modality that enables early confirmation of gestational trophoblastic disease. Twin pregnancy with partial hydatidiform mole and coexisting fetuses was lived at a later gestational age, and had higher preevacuation beta-hCG levels. When disease is not metastatic, chemotherapy is started for a rising or persistantly elevated beta-hCG level. Teh common complications of hydatidiform mole, hemorrhage and infection, decreased in incidence recently due to early diagnosis and evacuation of hydatidiform molar tissue. We recently experienced one case of advanced twin pregnancy with partial hydatidiform mole and coexisting fetuses.
양수과다증 산모에 Indomethacin 투여후 태아에 발생한 횡경막탈장 1 예
이철규,신향미,전권희,문인근,정은환 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.6
원인불명의 양수과다증 환자 1례를 대상으로 indomethacin을 투여하여 조산방지 및 양수량 감소에 성공적인 결과를 얻었으나 후에 태아의 횡경막 탈장이 발생한 예를 경험하였기에 보고하는 바이다. Indomethacin, a potent prostaglandin synthetase inhibitor, has recently been used in the treatment of polyhydramnios but appears to increase the risk of several important neonatal complications associated with preterm birth. We experienced the first case of diaphragmatic hernia after successful treatment of polyhydramnios with indomethacin and present it with the review of literatures.
안영준,신향미,전권희,황호원,문인근 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.4
본 저자들은 spiegelberg's criteria를 충족시키는 난소임신 2례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. Primary ovarian pregnancy is a rare form of ectopic pregnancy. However, improved diagnosis of acute hemoperitoneum of ovarian origin may reveal a higher incidence than reported earlier. We have experienced two cases of ovarian pregnancy and report with a brief review of literature concerned.
Methotrexate로 치유된 자궁경관 임신 1 예 보고
안영준,이철규,신향미,전권희,황호원 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.3
자궁경관임신으로 진단된 추후 임신을 원하는 29세의 젊은 환자에서 자궁보존을 목적으로 methotrexate와 leucovorin을 1 cycle을 시행하여 완전 치유된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Cervical pregnancy is one of the most uncommon form of ectopic pregnancy in which the blastocyst implants within the cervical canal below the internal os of uterine cervix. Most cervical pregnancies are complicated by severe life threatening hemorrhage and usually result in abdominal hysterectomy as a life-saving procedure. Because of her desire to maintain childbearing capacity, the patient was treated with alternative administration of MTX (1 mg/kg, intramuscularly) and leucovorin (0.1 mg/kg, intramuscularly). Follow up was done with serum beta hCG and pelvic ultrasonography. Complete resolution of pregnancy was gained at 28 days after completion of 1st course methotrexate treatment and 21 day after uneventful endocervical curettage. Methotrexate and leucovorin treatment for cervical pregnancy may be worth-while trial for preserving reproductive performance. We present a case of a cervical pregnancy that was successfully managed with methotrexate and leucovorin.