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이지은(Ji Eun Lee),천연희(Yeon Hee Cheon),최형주(Hyoung Ju Choi),유순원(Sun Won Yoo),김용욱(Yong Wook Kim),김태웅(Tae Eung Kim),김장흡(Jang Heub Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.5
The endometrial osseous metaplasia is one of a very rare conditions which gynecologists experience clinically. The characteristics of this disease are history of irregular menstruation, recurrent abortion, infertility with histopathologic evidence of chronic inflammation, and bone formation. This is one of heterotopia(the presence of mature tissue in abnormal location) histopathologically and it is important clinically that infertility can be brought about in the reproductive age women, but the etiology and treatment about this disease are unclear. A case of endometrial osseous metaplasia diagnosed by endometrial biopsy is presented with a brief review of the literatures.
터어키양 안장내 지주막 낭종에 의한 저성선자극호르몬성 저성선증
조현희(Hyun Hee Jo),여경아(Kyeong A Yeo),김진홍(Jin Hong Kim),길기철(Ki Cheol Kil),최형주(Hyoung Ju Choi),류순원(Sun Won Yoo) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.7
Primary amenorrhea due to intrasella arachnoid cyst is a very rare disease and require careful and frequent evaluation because may produce intracranial hemorrhage, elevated intracranial pressure and rapid expansion. Surgical intervention is needed only when visual disturbance, hypopituitarism or enlarging lesion is shown. Thus, we present a case of primary amenorrhea due to intrasella arachnoid cyst which was resected through the transsphenoidal approach.
긴장성 요실금 여성에서 vaginal cone을 이용한 골반저 근육운동에 대한 평가
김진홍(Jin Hong Kim),류순원(Sun Won Yoo),길기철(Ki Cheol Kil),천연희(Yeon Hee Cheon),최형주(Hyoung Ju Choi),이지은(Ji Eun Lee),조현희(Hyun Hee Jo),나종구(Jong Gu Rha),김수평(Soo Pyung Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.3
N/A Defective or inadequate pelvic floor function is important etiologic factor for urinary stress incontinence and uterine prolapse. Pelvic floor muscle exercise is the mainstream of the nonoperative treatment for female stress urinary incontinence. Especially Vaginal cones have been known as a simple and practical means of improving both pelvic floor muscle strength and genuine stress incontinence using biofeedback mechanism. Forty adult women suffering from mild and moderate stress incontincnce were instructed to exercise their pelvic muscles using vaginal cones. They retained cones of increasing weight in the vagina by contracting pelvic floor muscles for 15 minutes twice a day for 4 weeks. The comparison of pelvic floor muscle function before and after the exercise were assessed by the frequency of incontinence, vaginal digital palpation, vaginal pressure measurement and speculm lift test. The results were as follows ; 1. The frequency of incontinence was significantly reduced after the exercise using vaginal cone (P<0.001). 2. Vaginal digital palpation score (strength of vaginal levator muscle) was significantly increased after the exercise using vaginal cone (P<0.001). 3. The vaginal pressure by perineometer was significantly increased after the exercise using vaginal cones (P<0.001). 4. The vaginal lumen during contraction was significantly narrower after the exercise using vaginal cones (P<0.001). 5. The maximal cone weight which patients could hold over 1 minute was significantly increased after the exercise using vaginal cones (P<0.001).
김진홍,김장흡,김수평,최형주,길기철,유순원 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.4
사춘기 이전 소아에서 난소의 작은 난포성 낭종은 매우 흔한 소견이고 대부분이 비기능성으로 임상적 중요성을 가지지 않는다. 그러나 때때로 이 낭종들이 커지고 계속해서 에스트로젠을 분비하여 이차성징의 조기발달과 질출혈 증상들을 나타내기도 한다. 저자들은 난포성 난소낭종으로 인한 사춘기 조발증 1례를 외과적 적출술로 성공적으로 치료하였기에 간단한 문헌고찰과 함께 보고한다. Small follicular cysts are common findings in the ovaries of prepubertal girls, and in most cases, they are of no clinical importance. Ocassionally these cysts may enlarge and continue to produce estrogen, resulting in signs of precocious sexual development and vaginal bleeding. We have experienced a case of a precocious pseudopuberty causing ovarian follicular cyst which was treated by exploratory laparotomy. we present this case with a brief review of literatures.