부인과학 영역에서의 Dexon 봉합사의 임상시용 관찰

안관순(GS Ahn),강정대(JD Kang),임태웅(TW Lim),유광사(KS Yoo) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.10

1. 분만 및 수술후 창상봉합부위의 동통 및 국소반응이 다른 어떤 봉합사를 사용했을때 보다도 현저히 감소되었다. 2. 분만 및 수술후 봉합사에 기인한 합병증이 아주적다. 3. 같은 크기의 다른 봉합사에 비하여 훨씬 질기기 때문에 smaller suture & needle에 사용할 수 있고 handling이 용이하고 knot의 아전도가 높다. 4. 전자궁척출술후 vaginal vault 및 parametriumsite의 치유가 우수하다. 5. 결찰시 dexon은 미끄러지지 않기 때문에 first tying이 중요하며 이점이 사용상의 주 의점이다. catgut은 first tying이 약간 Loosening되는 경우라도 2 tying시 미끄러지면 서 Tight tying이 되는 경향이 있다. 6. Dexon은 모든 점에서 catgut등 다른 어떤 봉합사보다 우수하며 marshall- marchetti operation 및 다른 (other suspensory operationdmf 제외한 어떤 종류의 산 부인과적인 수술에도 사용할 수 있는 만족할만한 봉합사이다. 210 cases ard presented in which synthetic polyglycolic acid (Dexon) strtre materials were used in Korea General Hospital from Feb. 1976 to July. In 80 cases, the dexom were fsed for episiotomy repair. In Obstetrical & gynecological abdminal surgery group which consisted 112 cases Dexon were used for closure of abdominal wall in 69 cases, silk, catgut and Dexon were combined in 43 cases for closure of abdominal wall. In 18 cases, Dexon were used in a variety of vaginal surgery. the results obtained were as follows. 1. the most noteworthy finding was the significant redution in the degree of pain and tissue local reaction. 2. There were no complications attributable to the use of Cexon suture materials. 3. Dexon suture materials is extremely strong, easy to handle, and has excellent non-slip prorerties, thus the Cexon not only can be used to relatively smaller sutures and needles but knot security superpass those of any other suture materials. 4. Vaginal vault healing after TAH was excellent without granulation tissue growth and bleeding in 17 Cexon series. 5. Dexon does not run like ctgur and it is important to tighten the knot well from the very beginning. 6. We believe that this suture materials in superior to any other sutures in many respects, and it was found satisfactory results for all types of Obstetrical and Gynecological procedures except Marshall-Machetti operation and other suspensory operation.

Detection of Proteins in Sodium Dodecyl Sulfate -Polyacrylamide Gel Electrophoresis Using a Counter Ion Dye Staining Technique with Coomassie Brilliant Blue R / Neutral Red

Choi Jk,Yoo GS,Lee JK 대한약학회 2000 大韓藥學會 總會 및 學術大會 Vol.49 No.-

진통시 태아심박동 변이지수의 임상 적용

유정옥(JO Yoo),정건숙(GS Jung),오혜숙(HS Oh),김종일(JI Kim),강신명(SM Kang) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.7

1980년 12월부터 1981년 2월까지 이화대학병원 산부 인과에 입원한 임산부중 위험도가 높은 임신성고혈압 또는 42 주이상의 연차임신등 52명을 대상으로하여 진통중 대아심박형과 이상지수별로 태아예후를 관찰측정하였다. 1. 진통중에 나타난 태아심박형의 상태 및 빈도는 변이하강(variable deceleration)이 제일 많았고, 그다 음이 심박상승(acceleration), 무주기변화(no periodic change), 만기하강(late deceleration) 순으로 나타내었다. 2. 하강(deceleration) 즉 만기(late), 변이 (variable) 및 연장하강(prolonged deceleration)형으로 나타날 때 에 변이지수(variability index)가 4이하로 낮은 군에 서는 태아장애의 빈도가 대단히 높았고(8o0%), 그와 반대로 변이지수가 5이상으로 증가된 경우에는 30~40%로 낮았으며, 혈액 pH 정도도 경하였다. 3. 륵히 만기하강(1ate deceleration) 심박형으로 나타났을때 만일 볏이상지수가 4이하로 감소하게 되면 모두 태아장애를 나타내었다. 그러나 연장하강(prolonged deceleration)으로 나타났을 때는 변이지수가 5이상으로 높았음에도 불구하고 모두 태아장애가 초래되었다. 4. 심박상승(acceleration)이나 무주기변화(no periodic change)형으로 나타났을 때는 변이지수의 증감에 관계없이 거의 다 양호한 태아상태를 나타내었다. 요컨데 태아심박형외에 변이지수를 보조적으로 참고 하면 태아장애의 조기발견에 도움은 문론 번거로운 태아 두지피 PH검사리 빈도를 줄일 수 있을 것이다. Accurate assessment of fetal condition during labor constitutes one of the major problems of modern obstetrics. The clinical usage of intrapartum fetal monitoring has increased dramatically in the past few years. This study was performed in an attempt to evaluate the significance of fetal heart rate pattern with variability index in intrapartum fetal surveillance. So our purpose is to decrease the frequency of fetal blood sampling for checking pH. The fetal heart rate monitoring during labor was evaluated by the fetal blood pH determination obtained from 52 patient in high risk pregnancy at the Obstetric and Gynecologic department of Ewha Womans University from December, 1980 to February, 1981. The results were as follow; l. In the incidence of fetal heart rate pattern during labor, the most frequent one was variable deceleration and the next was acceleration, no periodic change, late deceleration and prolonged deceleration. 2. When deceleration (late, variable and prolonged deceleration) pattern was appeared in association with low variability index (below 4), the incidence of Apgarscores below 6 in one minute was high (80%). In contrast, if variability index was above 5, the incidence of low Apgar scores below 6 in one minute was low (30~40%) and it was compatible with fetal blood pH findings 3. Especially, when late deceleration pattern was appeared and if variability index was below 4, a1l of the babies were in distress. But when prolonged deceleration was appeared even associated with 5 or more variability index, all of the fetus were also in distress. 4. When acceleration or lacking periodic change were appeared, almost all babies were in good condition regardless of variability index chages.

자궁육종 16 례에 대한 임상적 고찰

박은동,김홍열,유건상,석원일,서남원 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.11

Sarcoma of the uterus is very rare malignant tumor arising from the muscle or connective tissue, and there are only a few cases reported in Korea. We have experienced 16 cases of uterine sarcomas for 10 years from 1986 to 1995. The results are as follows: 1. The incidence of uterine sarcomas in uterine leiomyomas was estimated to 0.69%. 2. The pathologic types were 5 cases(31.3%) of leiomyosarcoma, 3 cases(18.8%) of endometrial stromal sarcoma, 6 cases(37.5%) of malignant mixed Mllerian tumor 2 cases(12.5%) of rhabdomyosarcoma in order. 3. The mean age was 46.4 years. 4. Seven(58.7%) were stage Ⅰ, 2(16.7%) were stage Ⅲ, and 3(25.6%) were stage Ⅳ. 4. The chief complaints on admission were abdominal mass(50%), abnormal bleeding(25%), and pelvic or abdominal pain(25%). 5. The estimated median survival was 43 months, and there was no correlation between survival and number of mitotic figure per 10 high power fields, stages, or radiation therapy.

일측난관 및 동측난소결여 1 례

박은동,김동휘,유건상,석원일 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.5

Absence of one tube and a corresponding ovary is very rare anomaly. We reported a case of absence of one tube and a corresponding ovary and review the literature briefly.

자궁외 전위를 일으킨 Lippes Loop의 3예

이상근(SK Lee),류지선(GS Yoo),강영기(YK Kang),임헌정(HJ lm) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.5

Three cases of extrauterine displacement of Lippes loop are presented with brief discussion about its incidence, possible mechanism and prevention through the references, which would be, we believe, helpful to minimize such a rare but complication of Intrauterine Contraceptive Devices further.

불임환자에 대한 자궁난관조영술과 복강경술 및 개복수술 소견의 비교 관찰

김종덕,두재균,이희섭,유철희,강경석 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.7

1984년 1월부터 1989년 8월까지 만 4년 8개월간 전북대학교병원 산부인과에서 불임크리닉에 내원하여 자궁난관조영술과 진단목적의 복강경술을 시행받은 94명과 이들중 기계적 인자에 의한 불임이 확인되고 개인적 여건이 허락되고 수술적 불임치료술을 받기위하여 개복한 48명의 환자를 대상으로 각 진단방법에 따른 개복수술소견을 비교관찰한 결과 다음과 같은 결론을 얻었다. 1. 원발성불임 환자는 51예(54.3%), 속발성불임 환자는 43예(45.7%)이었고 평균연령은 각각 28.9±2.5세, 30.3±3.5세 이었다. 2. 불임에서 자궁난관조영술까지의 평균기간은 원발성이 29.1개월, 속발성이 56.8개월로 속발성이 더 늦게 검사를 시작하는 경향을 보였다. 3. 난관인자를 제외한 불임인자 진단에 있어서 자궁난관조영술은 자궁내질환 진단에 도움이 되는 반면, 복강경검사는 유착, 자궁내막증 등과 같은 골반내 질환의 진단에 보다 유용하였다. 4. 자궁난관조영술에 의한 난관소견은 정상 41예(43.6%), 난관폐쇄 47예(50.0%), 난관주변유착 6예(6.4%)이었다. 5. 복강경술에 의한 난관소견은 정상 32예(34.0%), 난관폐쇄 39예(41.5%), 난관주변유착 23예(24.5%)이었다. 6. 자궁난관조영술과 복강경검사에 의한 난관소견의 일치율은 63예(67.0%)이었다. 7. 복강경검사와 개복수술에 의한 일치율은 자궁소견이 40예(83.3%), 난관소견이 44예(91.7%)이었다. Evaluation of uterine and tubal factor is an important step in the unvestigation of infertility. A comparative study of hysterosalpingography, laparoscopy and laparotomy was done for the evaluation and surgical treatment of infertility. By comparing the findings approved by each diagnostic methods for those 94 patients who underwent hysterosalpingography and diagnostic laparoscopy at infertility clinic of Department of Obstetrics and Gynecology, Chonbuk National University Hospital, from Jan. 1984 to Aug, 1989(for 4years and 8 months), and for 48 patients among them who underwent laparotomy for surgical treatment of infertility, we came to the conclusions as follows: 1. The number of the patients were 51 cases(54.3%)in primary infertility, 43 cases(45.7%)in secondary infertility. The mean age of the patients were 28.9±2.5 years in primary infertility, 30.3±3.5 years in secondary infertility. 2. The interval between infertility and hysterosalpingography was 29.1 months in primary infertility, 56.8 months in secondary infertility. 3. Hysterosalpingogram gave a diagnostic aid for intrauterine diseases as well as for tubal factors. On the other hand, laparoscopy was more available in the diagnosis of pelvic lesions such as adhesion or endometriosis. 4. Thbal findings approved by hysterosalpingography were normal in 41 cases(43.6%), tubal occlusion in 47 cases(50.0%), and peritubal adhesion in 6 cases(6.4%). 5. Tubal findings approved by laparoscopy were normal in 32 cases(34.0%), tubal occlusion in 39 cases(41.5%),and peritubal adhesion in 23cases(24.5%). 6. The accordance of hysterosalpingography and laparoscopy for tubal findings was in 63 cases(67.0%). 7. The accordance of laparoscopy and laparotomy was in 40 cases(83.3%)for uterine findings, in 44 cases(91.7%)for tubal findings.

다열 공간변조 모서리 종단 기술을 이용한 2.3kV급 4H-SiC 다이오드 특성

김상기(SG Kim),원종일(JI Won),박건식(GS Park),구진근(JG Koo),유성욱(SW Yoo),노태문(TM Rho),박종문(JM Park) 대한전자공학회 2016 대한전자공학회 학술대회 Vol.2016 No.6