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      • KCI등재

        쌍태임신 146예

        전현권(HK Jun),신승권(SK Shin),윤광섭(KS Youn),박주현(JH Park),임헌정(HJ lm) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.3

        A clinical review of 145 twin pregnancy among 11490 women, who delivered in the seven year period from Jan 1972. to Dec. 1978 in the Kwang-Ju Christian Hospital . the results of study were as follows. 1. the incidence of twin birth was one in 78.7 births. 2. The youngest was 20 year old woman the oldest was 42 year old woman and average age was 28.2 year old in twin pregnancy 3. Multipara was 60.1percent of twin pregnant women. About 10.3% of twin pregnant women had familial history of twin pregnancy 4. The diagnosis was made by simple X-ray (47.2%) and clinical findings (34.2%) women who had been taken antenatal care were only 48.6% in twin pregnant women. 5. An incidence of 55.4% of twin were delivered between 37th. Week and 40th. Week of gestation. The average duration of twin pregnancy was 37.2 weeks of gestaion. 6. In presentation both cephalic combination was 39.1% cephalic-breech was 29.4% 7. The average duration of labor in primiparas was 10.6hours, and in multiparas, about 7.2 hours. An incidence of 54.1% of cases were within 5 minutes in time interval between first and second baby delivery. 8. The average birth weight of newborn infant was 2412gm(2476gm in 1st baby, 2392 gm in 2nd baby)

      • KCI등재

        사정 정자를 이용한 세포질내 정자주입술에서 수정률과 임신율에 영향을 미치는 요인

        전종영,강인수,궁미경,김정욱,손일표,최범채,백은찬,유근재,전진현,이호준,임천규,변혜경,한미현 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.4

        본 연구에서는 1994년 5월부터 1996년 12월까지 제일병원 불임크리닉에서 사정 정자를 이용하여 IC SI를 시행한 975 주기를 대상으로 수정률과 임신율에 영향을 줄 수 있는 여러 가지 요인들을 비교, 분석하였으며 그 결과는 다음과 같다. 1. ICSI를 시행한 975주기, 10,927개의 난자 중에 서 8,809개(69.7%)가 수정되었고, 933주기에서 배아 이식을 시행하여 213주기(22.8%)에서 태아의 심박동이 확인되었다. 2. 수정률은 채취 난자 수, 성숙 난자 수, 난자의 성숙율 그리고 정자의 상태 등에 따라 유의한 차이를 나타내었지만 모든 비교군에서 64% 이상의 양호한 수정률을 나타내었다. 3. 임신율은 환자의 연령이 낮을수록(35세 이하), 채취 난자와 성숙 난자의 수가 많을수록(6개 이상) 그리고 ICSI 후 수정률이 높을수록(61% 이상) 그렇지 않은 경우에 비해 유의하게 높게 나타났다. 결론적으로 사정 정자를 이용한 ICSI의 임신율은 정자의 상태보다는 환자의 연령, 채취 난자와 성숙 난자의 수와 ICSI 후 수정률 등에 따라 차이가 있음 을 알 수 있었다. Intracytoplasmic sperm injection (ICSI) has been reported as the most successful technique to obtain high fertilization and pregnancy rate in infertile couples who could not be helped by traditional in vitro fertilization or previously described techniques of assisted fertilization. We performed retrospective analysis, in relation to the number of retrieved (NRO) and injected oocytes (NIO), sperm parameters, maturation rate of retrieved oocytes (MRO), fertilization rate after ICSI (FRI) and age of patient (AGP) in 975 ICSI cycles using ejaculated sperm during 1994∼1996. The purpose of this study was to determine the important factors affecting fertilization and ongoing pregnancy rate in the ICSI cycles using ejaculated sperm. A total of 8,809 injected oocytes, 6,138 (69.7%) oocytes were normally fertilized and 213 (22.8%) ongoing pregnancies were achieved in 933 cycles of embryo transfer. The fertilization rates were significantly different in relation to NRO (from 67.3% to 75.0%), NIO (from 68.5% to 73.9%), sperm parameters (from 64.4% to 73.0%), MRO (from 64.6% to 73.9%)and AGP (from 67.8% to 74.4%), respectively. The ongoing pregnancy rates were significantly different in relation to NRO (from 10.0% to 26.6%), NIO (from 10.4% to 27.9%), FRI (from 18.5% to 30.6%) and AGP (from 6.7% to 25.4%), respectively. From these results, it can be concluded that ICSI using ejaculated sperm can provide high normal fertilization rates (above 64%) in all groups analyzed and NRO, NIO, FRI and AGP are important factors determining a successful ongoing pregnancy.

      • KCI등재

        자궁파열 16예

        황규위(KW Hwang),전현권(HK Jun),박주현(JH Park),림헌정(HJ Im) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.8

        The clinical data presented is based on 16 uterine rupture during labor among 9,926 deliveries at the Kwangju Christian Hospital over 6 year period. 1. The incidence of uterine rupture was 0.16% or 1 : 620 deliveries, tending to increase year by year for the 6 year period. Uterine rupture occurred in 4 women after admission. In 12 women, rupture occurred prior to admission. 2. The age distribution was from 24 to 40 years and the highest age group were 25-30 and 35-40. 3. Incidence was most common among para 5 or more but there was one case in a primigravida. 4. Classifying the type of rupture, 9 cases were spontaneous, 5 cases were traumatic and 4 cases were rupture of a previous cesarean section scar. 6. On admission, mean Hgb. was 10.5gm%, and there were 5 cases in which systolic blood pressure was below 90mmHg. 7. The site of uterine rupture: lower segment 11 cases, corpus and fundus 2 cases, and both sites 3 cases. 8. Route of delivery: Transabdominal delivery 15 cases and vaginal delivery 1 case. 9. In the management of uterine rupture, total hysterectomy was performed in 12 patients, simple closure in 3 patients and subtotal hysterectomy in 1 patient. 10. Complications occurred in 6 patients. There were 2 cases of retroperitoneal hematoma, 1 case of bladder rupture, 1 case of pyelonephritis, 1 case of bladder wall hematoma and 1 case of pseudomonas sepsis. 11. Maternal motality rate was 12.5%(2 cases) and fetal motality rate was 81.3%(13 cases).

      • KCI등재

        다발성 선천성 기형1예

        고행조(HJ Ko),정행용(HY Chung),전현권(HK Jun) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.6

        A very rare case of multiple congenital anomalies consisting of anencephaly, meningocele, anophthalmia, cleft lip, cleft palate, facial cleft, gastroschisis, club hand deformity, Syndactylism, and lordosis is presented with brief review of the literatures.

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