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제왕절개술후 복벽반흔에 발생한 자궁내막증의 임상적 고찰
서영욱,박윤정,박정엽,홍성률,이태엽,공두식,조창호 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.4
배경: 외과적 수술후 반흔부위에 발생하는 자궁내막증은 비교적 드문 질환으로 주로 제왕절개술이나 자궁절개술이후에 발생하는 것으로 알려져 있다. 최근 이질환이 증가하는 경향을 보이나 그 임상적 중요성에 대해서는 잘 알려져 있지 않다. 이에 저자들은 지금까지 경험한 제왕절개술후 수술반흔부위에 발생한 자궁내막증 환자들의 임상적 결과를 분석하고 월경력 및 수술후 수술부위에 자궁내막증이 발생하기까지의 기간을 비교함으로써 수술후 반흔부위에 발생한 자궁내막증의 진단에 도움이 되고자 하였다. 방법: 1981년부터 1997년까지 포항 선린병원, 마산 삼성병원, 마산 파티마병원, 대구 파티마병원에서 제왕절개술을 시행받은 환자중 술후 복벽반흔에 자궁내막증이 발생된 11명과 국내문헌에 보고된 12명을 대상으로 하였다. 이들의 임상적 자료, 수술소견, 조직학적 소견을 분석하였으며 월경력 및 수술후 수술부위에 자궁내막증이 발생하기까지의 기간을 비교하였다. 결과 : 1] 23명 전례[100%]에서 종물감 촉지 및 국소적 동통이 있었으며 5명[21.7%]에서 월경통이 동반되었다. 2] 23명 전례[100%]에서 종물은 단단하게 만져졌으며 19명[92.3%]에서 불규칙적인 종물의 경계를 보였다. 3] 2명[8.7%]에서 피하조직, 복직근 및 복막까지의 침범소견을 보였으며 2명[8.7%]에서 각각 자궁후벽과 우측난소 침범소견을 보였다. 4] 초경과 월경주기, 수술후 수술부위에 자궁내막증이 발생하기까지의 기간은 술후 반흔부위에 발생한 자궁내막증의 빈도에 큰영향을 주지 못했으나[p$gt;0.05] 월경주기가 규칙적인 경우가 불규칙적인 경우에 비해 의미있게 많았으며 월경기간이 정상적인 경우가 긴경우에 비해 의미있게 많은 소견을 보였다[p$lt;0.05]. 결론: 제왕절개술을 시행받은후 복벽반흔에 자궁내막증으로 진단받은 환자에서 초경, 수술후 수술부위에 자궁내막증이 발생하기까지의 기간은 임상적으로 중요한 의미를 나타내지 않을것으로 생각되며 월경주기의 규칙성 및 월경기간은 임상적으로 중요한 인자가 될것으로 보이며 향후 더많은 연구가 필요할것으로 생각된다. Objective Endometriosis in the abdominal scar following cesarean section is very rare condition among the extrapelvic endometriosis. Recently, patients with endometriosis in the abdominal scar were increased but its clinical significances were not well-known. The purpose of this study is to evaluate clinical significant factor of endometriosis in the abdominal scar following cesarean section. Methods We retrospectively studied 19 patients who were histologically confirmed endometriosis in the abdominal scar following cesarean section. We reviewed physical findings, operative findings, histologic findings and analyzed menstrual history[menarche, menstrual cycle, menstrual duration] and interval between cesarean section and endometriosis. Results 1] All patients[100%] complained mass palpation, local pain at operation site and 5 patients[21.7%] complained menorrhalgia. 2] All patients[100%] had firm mass, 19 patients[92.3%] had irregular mass margin. 3] Two patients[8.7%] had peritoneal invasion, one patient[4.4%] was involved posterior wall of uterus and one patient[4.4%] was involved right ovary. 4] According to menarche, menstrual duration and interval between cesarean section and endometriosis, the incidence of endometriosis was not different[p$gt;0.05]. But patients with regular menstrual cycle were more common than patients with irregular menstrual cycle and patients with mormal menstrual duration[2-6 days] were more common than patients with longer menstrual duration[$gt;7 days][p$lt;0.05]. Conclusion We probably suggested that menarche and interval between cesarean section and endometriosis may be not significant factor but menstrual cycle and menstrual duration may be significant factor in patients with endometriosis in the abdominal scar following cesarean section.
서영욱,안중걸 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.2
계명대학교 동산병원 산부인과 불임 Clinic에 등록되어 불임검사 및 치료를 받고 임신이 확인된 257예를 대상으로 원인 규명된 불임환자에서의 치료내용의 적합성과 치료기간의 적절성을 알아보기 위해 연령분포, 불임기간, 불임원인, 치료내용, 치료기간 등을 분류, 검토하여 다음과 같은 성적을 얻었다. 1. 임신성공례중 불임환자의 연령은 25∼29세사이가 원발성과 속발성에서 공히 가장 많았으며, 전체의 63.4%를 차지하였다. 2. 불임기간이 4년이하인 군에서 78.6%가 임신되어 불임기간이 짧을수록 임신성공률이 높았다. 3. 속발성 불임의 선행 임신내용중 유산이 74.8%로 유산이 불임의 중요한 원인이었다. 4. 임신성공례의 원인적 요소는 남성인자가 5.4%, 배란장애가 39.7%, 난관 및 복막인자가 26.6%, 자궁경관인자가 8.4%이며, 원인불명이 19.9%였다. 5. 임신성공례중 17.2%가 진단적 목적으로 시행된 난관조영술이나 난관통수법을 시행한 후 임신되어, 이들 진단법의 치료적의의를 통감할 수 있었다. 6. 임신성공례중 79.0%가 6개월이내의 치료로 임신되었다. 난관성형수술과 불임 원인 규명중 특별한 치료없이 임신된 예를 제외하면 92.3%가 치료 3개월이내에 임신이 되었다. 7. 난관성형술 환자에서 3개월이내에 23.8%, 3∼6개월 23.8%, 6∼12개월에 31.0%, 12∼24개월에 21.4%등이 각각 임신되었다. The paper presented in bases on the 257 cases of pregnancy after infertility therapy at the infertility clinic of Keimyung University Hospital from Sept., 1983 to May, 1989. An analysis was made of age distribution, the duration of infertility, the etiologic factors of infertility, the contents and the duration of treatment. This study was undertaken to evaluate the effectiveness and adequate duration of treatment. 1. The age group between 25 and 29 years of age comprised 63.4% of pregnancies. 2. 1∼4 years duration of infertility were most, which comprised 78.6% of pregnancies. The shorter the duration of infertility was, the higher the success rate was. 3. Abortion in the preceeding pregnancy comprised 74.8% of the secondary infertility. Abortion was important etiologic factor of the secondary infertility. 4. The etiological factors of the pregnancies were male factor in 5.4%, ovulatory failure in 39.7%, tubal and peritoneal factor in 26.6%, uterine and cervical factor in 8.4% and no demonstrable cause in 19.9%. 5. Pregnancies occured in 17.2% following hysterosalpyngography or chromopertubation alone. This indicated that tubal patency tests, conventionally used for diagnostic purpose, are of great therapeutic significance. 6. The rate of pregnancy was 79.0% within the first 6 months of infertility therapy. If tuboplasty and spontaneous pregnancy during diagnostic procedure were excluded, the rate increased to 92.3%.
徐永旭,金源培,權得基,李重吉,宋文源 최신의학사 1967 最新醫學 Vol.10 No.2
This clinical study disclosed 89 cesarean sections in 2,014 deliveries, during January 1, 1960 and October 1, 1965 at the Dept. of Ob. & Gyn., Taegu Presbyterian Hospital, Taegu, Korea. Results obtained were as follows: 1) 89 cesarean sections in total 2,014 deliveries, an operative incidence of 4.4 per cent, in 5 year and 9 month periods indicates an increase in incidence. 2) The commonest indication of the cesarean section was cephalopelvic disproportion (33.7%), and was followed by placenta previa (20.2%), eclampsia (14.6%), vaginal stricture (7.8%), ruptured uterus (6.8%), repeat section (4.5%), malpresentation (4.5%), abruptio placentae (3.4%), and so forth. 3) The predominant anesthetic method used in this study was local infiltration by I% procaine with 2.5 % pentothal sodium induction and with ether inhalation general anesthesia (73%). There was no anesthetic death. 4) The low cervical type of cesarean sectieon (73%) was the predominant operation used, while the classical cesarean section (20.2%) has not been completely abandoned yet. Cesarean hysterectomy was performed on 8 cases (9.6%). 5) Postoperative maternal morbidity was 19.1 %. 6) Maternal mortality was 2.2%, and death of these 2 cases were due to severe eclampsia per se, and not due to operation. 7) Perinatal mortality was 23.5%. 8) A comparative study of statistics and a review of literature of cesarean section were made.
박승국,이인규,윤덕구,박성배,이태성,서영욱 啓明大學校 醫科大學 1987 계명의대학술지 Vol.6 No.1
Congenital adrenal hyperplasia(CAH) is an autosomal recessive disorder caused by a deficiency of one or more enzymes necessary for the synthesis of cortisol. The most common and best known form of CAH is 21-hydroxylase deficiency. In CAH, the major clinical manifestations are due to an increased ACTH output and an excessive secretion of androgen. A case of female pseudohermaphroditism due to congenital adrenal hyperplasia is presented with a brief review of literatures.
이두룡,서영욱 Yoon, Nung Ki 1984 계명의대학술지 Vol.3 No.2
The following results have been obtained through the study of 17 confirmed cases of congenital anomaly among 1993 new born babies in the Department of Obstetrics and Cynecology, Dongsan Medical Center, Keimyung University during the period of November 1980 to February 1982. The most frequent drug intake during the period of pregnancy was vitamin, followed by cough medicine and herb medicines. By duration of drug intake, more than 5 days of intake was the most frequent and it was also taken most frequently in the first trimester. By incidence of congenital anomaly, it occrued more frequently as the number of delivery increased and by age group, it occurred most frequently between the ages of 35 to 39. Congenital anomaly was more in low birth weight than normal body weight babies. The result of this study indicates the fact that, there is no definite relation between each drug intake during the period of pregnancy and congenital anomaly but it is recommended that a doctor's unnecessary prescription and drug intake by an expectant mother through ignorance should be avoided as much as possible.
Evaluation of Nonthermal Plasma Treatment by Measurement of Stored Citrus Properties
서영욱,박종률,박회만 한국농업기계학회 2018 바이오시스템공학 Vol.43 No.4
Decay of fruit is one of the greatest issues in fruit storage. Purpose: In this study, citrus sterilization was performed to evaluate a dry sterilization method using an atmospheric-pressure nonthermal plasma treatment based on a dielectric-barrier discharge technique. Methods: Citrus samples were stored under four different environmental conditions as follows: group A had cold storage with plasma treatment with a temperature of 6.2 ± 1.0℃ and relative humidity (RH) of 93.4 ± 8.2%, group B had ambient-temperature storage with 22.9 ± 2.3℃ and 82.1 ± 4.5% RH, group C ambient-temperature storage with plasma treatment with 25.3 ± 2.2℃ and 90.0 ± 2.8% RH, and group D had cold storage with 5.7 ± 1.0℃ and 93.4 ± 6.5% RH. Results: As a result of citrus surface sterilization by plasma treatment, treatment groups A and C together showed an average of 16.1 CFU/mL of mold colonies, while control groups B and D showed an average of 2.2ⅹ102 CFU/mL or approximately 13 times greater than the treatment groups. Regarding the mean concentration of aerobic bacteria colonies, the treatment groups (A and C) and control groups (B and D) showed an average of 7.1 CFU/mL and 1.9ⅹ103 CFU/mL, respectively. This is approximately a 270-fold difference in the concentration of pathogen colonies between treatment and control groups. Conclusions: The results showed the potential of nonthermal plasma treatment for citrus storage in enhancing storage duration and quality preservation.