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제왕절개 수술 반흔 부위에 착상한 자궁벽내 임신의 Methotrexate 치료
홍진화 ( Jin Hwa Hong ),정유아 ( Yu A Jeong ),황종하 ( Jong Ha Hwang ),김재원 ( Jae Won Kim ),이경주 ( Kyung Ju Lee ),김철환 ( Chul Hwan Kim ),서호석 ( Ho Suk Saw ),박용균 ( Yong Kyun Park ),조수용 ( Soo Yong Chough ),허준용 ( Jun 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.9
Intramural pregnancy implanting in the previous cesarean section scar is one of the rarest form of an ectopic pregnancy and probably the most dangerous form because of its risk of rupture and humorrhage. Pathologically, the location of the gestational sac is completely isolated from the uterine cavity and entirely surrounded by myometrium without any contract of endometrium. For young patients who wish to maintain their fertility, an earlier diagnosis and more conservative treatment are highly desirable. We have recently experienced a case of intramural pregnancy implanting in the scar of cesarean section, treated completely with systemic methotrexate injection. So, we report this case with a brief review of the literature.
홍진화 ( Hong Jin Hwa ),송승훈 ( Song Seung Hun ),이재관 ( Lee Jae Gwan ),오민정 ( O Min Jeong ),서호석 ( Seo Ho Seog ),박용균 ( Park Yong Gyun ),허준용 ( Heo Jun Yong ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.3
Objective : To evaluate the role of uterine artery embolization as treatment for symptomatic uterine leiomyoma. Methods : From January 2000 to March 2002, 40 consecutive patients (mean age, 42.5 years; range, 27-53 years) underwent uterine artery embolization for the treatment of uterine leiomyomas. After a nonselective pelvic arteriogram was obtained, bilateral embolization was performed in each case. After discharge from the hospital, the patients were followed up at regular intervals (at 1st, 2nd, 3rd months, at 6th months, at 12 months and annually thereafter). The mean duration of follow-up was 11.5 months (range; 2-30 months). During the follow-up period, consecutive myoma volume, serum hemoglobin, menstrual index (MI) were checked. All patients were contacted by telephone to confirm any change in their symptoms after the embolization and were questioned regarding their satisfaction with the procedure. Results : A total of 40 patients were treated successfully. Initially, the presenting symptoms of the participants were menorrhagia (34.40, 85%), dysmenorrhea (14/40, 35%) and bulk symptoms (4/40, 10%). Most patients had improvement in symptoms by 3 months after the procedure and patient satisfaction paralleled the symptom change. Of 34 patients who initially presented menorrhagia, 28 patients checked their own serum hemoglobin levels and recorded MI regularly. The patterns of change of serum hemoglobin levels and MI during follow-up period were statistically correlated with their symptom changes. And the mean dominant myoma volume was reduced by 40% after 1 month, by 56% after 3 months, by 71% after 6 months and by 72% after 12 months (ANOVA, SAS 8.0, p<.0007). Conclusion : We conclude that uterine artery embolization for leiomyoma is minimally invasive and effective method of treatment. Most patients report improved symptoms and satisfaction with the outcome from treatment.
김동은(Kim, Dong-Eun),홍해리(Hong, Hae-Ri),서동구(Seo, Dong-Goo),권영진(Kwon, Young-Jin),홍진화(Hong, Jin-Wha),허윤섭(Hong, Yun-Seop) 한국화재소방학회 2010 한국화재소방학회 학술대회 논문집 Vol.2010 No.춘계
최근 축조되고 있는 건축물의 경우 고층을 넘어서 초고층화가 되어가는 현실이다. 이러한 사항에서 현재 이용되고 있는 피난계단 및 수평 수직 피난에서는 고층화가 되어가는 건축물에서의 피난이 어렵다는 점을 인지하여 고층건축물의 필수요소인 EV를 통한 피난계획 작성에 기초적인 자료가 되기 위하여 국외적으로 연구중인 EV피난에 대해서 알아보고 또한 그 내용을 토대로 현재 국내에서의 EV피난에 대한 효율성을 제시하여 향후 고층건축물의 피난계획에 일부분에 기초자료가 되고자 한다.
정유아 ( Yu A Jeong ),홍진화 ( Jin Hwa Hong ),황종하 ( Jong Ha Hwang ),송승훈 ( Seung Hun Song ),이경주 ( Kyeong Ju Lee ),오민정 ( Jun Young Hur ),허준용 ( Min Jeong Oh ),박용균 ( Yong Kyun Park ),조수용 ( Soo Yong Chough ),김철환 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.2
The definition and management of microinvasive cervical cancer varies from time to time depending on the organization involved and is a persistent focus of controversy. The purpose of defining microinvasion is to identify a group of patients who are not a