나는 부자다

문희봉 문예운동사 2023 수필시대 Vol.21 No.겨울

Leg Weakness Caused by Bilateral Piriformis Syndrome: A Case Report

문희봉,남기연,권범선,박진우,류기형,이호준,김창재 대한재활의학회 2015 Annals of Rehabilitation Medicine Vol.39 No.6

Piriformis syndrome (PS) is an uncommon neuromuscular disorder caused by the piriformis muscle (PM) compressing the sciatic nerve (SN). The main symptom of PS is sciatica, which worsens with certain triggering conditions. Because the pathophysiology is poorly understood, there are no definite diagnostic and therapeutic choices for PS. This case report presents a young woman who mainly complained of bilateral leg weakness. Electromyography revealed bilateral sciatic neuropathy and magnetic resonance imaging confirmed structural lesions causing entrapment of the bilateral SNs. After a laborious diagnosis of bilateral PS, she underwent PM releasing surgery. Few PS cases present with bilateral symptoms and leg weakness. Therefore, in such cases, a high level of suspicion is necessary for accurate and prompt diagnosis and treatment.

멋진 삶을 사는 친구

文熙鳳(문희봉) 문예운동사 2015 수필시대 Vol.10 No.-

행복을 느끼며 사는 삶

문희봉(文熙鳳) 문예운동사 2015 수필시대 Vol.10 No.-

인생은 음미하면서 즐기는 여행이다

문희봉(文熙鳳) 문예운동사 2016 수필시대 Vol.11 No.7·8

오뚝이 아버지

문희봉 문예운동사 2019 수필시대 Vol.16 No.겨울

일반연제 발표 : 산과학 1 ; 성별에 따른 태아 심장 박동 분석

정대영,신종철,문희봉,백은정,이종승,이영,김창이,김수평 대한산부인과학회 1999 대한산부인과학회 학술대회 Vol.84 No.-

복강경하 질식 자궁 적출술과 질식 자궁 적출술의 비교

이정기,유영옥,이은주,문희봉,김창이,박철훈,고영미,박기영,김흥기 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.1

목적 : 복강경 수술과 기존의 질식 자궁 적출술이 어떤 차이점이 있으며 두 수술의 적응증을 정하는데 구별이 가능한가에 주안점을 두고 두 수술법을 비교하게 되었다. 방법 : 1997년 5월부터 2000년 3월까지 가톨릭 대학교 의과 대학 성바오로 병원에서 자궁탈이 없는 자궁 질환을 가진 100명의 질식 자궁 적출술을 시행받은 환자와 100명의 복강경하 질식 자궁 적출술을 시행받은 환자를 비교하여 다음과 같은 결과를 얻었다. 결과 : 환자의 평균나이는 복강경하 질식 자궁 적출술을 받은 군이 46.2세로서 질식 자궁 적출술을 받은 군인 50.2세보다 적었다. 이전의 개복 수술의 기왕력은 복강경하 질식 자궁 적출술을 받은 군이 39%로서 질식 자궁 적출술을 받은 군의 16%보다 높았다. 수술의 적응증은 두군 모두 자궁 근종이 58 %, 51 %로 많이 차지하고 있었다. 총 수술 시간은 복강경하 질식 자궁 적출술을 받은 군이 142.96분으로 질식 자궁 적출술을 받은 군의 77.06분보다 오래 걸렸다. 수술중 평균 헤모글로빈의 변화는 복강경하 질식 자궁 적출술을 받은 군이 2.15로 질식 자궁 적출술을 받은 군의 2.17과 차이가 없었다. 적출된 자궁 평균 무게는 복강경하 질식 자궁 적출술을 받은 군이 221.6g으로 질식 자궁 적출술을 받은 군의 182.3g보다 컸다. 수술중 발생된 비뇨기계 손상은 복강경하 질식 자궁 적출술을 받은 군이 3 %로 질식 자궁 적출술을 받은 군의 2 %보다 높았다. 결론 : 질식 자궁 적출술을 시행할 수 있을 경우 질식 자궁 적출술이 복강경하 질식 자궁 적출술보다 비용면, 미용면, 합병증의 감소에 좋으며 수술 경험의 부족, 개복 수술의 기왕력으로 유착이 의심되는 경우나 질식 자궁 적출술의 비 적응증에는 복강경하 질식 자궁 적출술이 기존의 개복 수술을 대신할 수 있을 것으로 사료된다. Objective : To compare the outcomes of a method of assigning patients to a vaginal or laparoscopically assisted vaginal approach to hysterectomy. Method : Hysterectomy is the most common gynecologic operation. A clinical evaluation was attempted to analyze 100 cases of LAVH which was performed at St. Paul hospital from May 1997 to March 2000, and to compare them with 100 cases of vaginal hysterectomy at the same hospital. we used simple electrosurgical technique without using the disposable staples and other instruments. Results : The mean age of the patients for LAVH was 46.18 years and that of VTH was 50.23 years. The most common indication for LAVH and VTH was Myoma uteri. The mean Hb change in LAVH was 2.15 and the Hb change of VTH was 2.17. The mean operative time of LAVH was 142.96 minutes and that of VTH was 77.06 minutes. The mean weight of uterus for LAVH was 221g and the mean weight of VTH was 182 g. The total percentage of urinary tract injury for LAVH was 3 % and that for VTH was 2 %. Conclusion : VTH, if possible, must be considered as a primary choice since it is were efficient than LAVH in cost, cosmetic aspects and complications. Further LAVH may be replaced with a laparotomy for hysterectomy in case of an insufficient operational experience, a previous abdominal operation hystory and the incapability of being indicated for VTH.

진행된 간경변을 가진 여성에서의 성공적인 분만 3 예

김진휘(Jin Hwi Kim),문희봉(Hee Bong Moon),안현영(Hyun Young Ahn),이지현(Jee Hyun Lee),김사진(Sa Jin Kim),신종철(Jong Chul Shin),김수평(Soo Pyung Kim),이현정(Hyun Jeong Lee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.8

There is high prevalence of HBV infection in Asian countries including South Korea. In fact, 8% of Koreans are HBV carriers, and 20-25% of them progress to liver cirrhosis. Liver cirrhosis, known to be the last stage of chronic liver diseases, is the most prominent cause of death in Korean males in their forties. However, women participation to social activities increased and also increased psychological stress that changed life style now days, and due to increased alcohol consumption liver disease has become a serious problem in korean women population. But as liver cirrhosis usually occurs after the menopause, and decreased fertility in cirrhotic patients, pregnancy in women with liver cirrhosis is rare. However, improved general care increased pregnancy rates and reports of pregnancy in women with liver disease worldwide. Studies on the effect of liver cirrhosis on pregnancy and the effect of pregnancy on the clinical progression of liver cirrhosis have not been well established, and the continuation of pregnancy in a patient with liver cirrhosis has been controversial. Recently, it has become favorable for the argument that pregnancy can be kept as long as liver function is maintained at certain level and portal hypertension is mild. The most common and fatal maternal complication is gastrointestinal hemorrhage. It increases maternal mortality and intrauterine developmental defect resulting in neonatal morbidity. Although South Korea is an area of high prevalence of HBV infection, there are few reports of pregnancies in women with liver cirrhosis. Recently, we have experienced the 3 cases of pregnancies in women with progressive liver cirrhosis who became pregnant. Although thrombocytopenia and increased coagulopathy complicated the pregnancy course, all women delivered healthy babies and were discharged in good condition.

일측 무뇌증을 동반한 쌍태 임신 1예

정미영,이지현,박인양,권인,문희봉,이종승,신종철,나종구,김수평 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.4

일반적으로 출산 신생아의 2-3%에서 선천성 기형을 동반하나 그 원인은 매우 다양하여 원인 규명이 어려우며 단태아보다 쌍태아 임신에서 높은 빈도로 발생하므로 임신 유지에 여러 가지를 고려하여야 한다. 쌍태임신의 일측 태아에서 기형이 발생하는 경우 임신의 지속을 위한 명확한 치료 지침은 아직 확립되지 않았지만 먼저 동반된 염색체 이상을 조기에 발견하기 위한 선별 검사가 필요하고 염색체 이상의 위험성이 높으면 융모막 생검이나 양수천자 혹은 제대천자 등의 검사를 하여야 한다. 본원 산부인과에서는 무뇌아를 동반한 쌍태 임신에서 염색체 검사 결과 모두 정상이었으며 유전상담을 통해 정상아의 폐성숙이 완성될 때까지 임신을 유지하기로 하였으나, 지속적인 양수과다증으로 인하여 조기진통이 유발되어 간헐적인 양수감압술을 지속하며 임신을 유지하다가 임신 29주에 조기양막 파수가 발생하여 제왕절개 분만을 시행한 1예를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다. Congenital anomalies occur in 2-3% of neonates but this incidence increases in multiple pregnancies, especially when fetuses are monozygotic. when pregnancies are affected with one anomalous fetus combined to a normal one, the proper management and counseling is difficult. We experienced a twin pregnancy in which one anencephalic fetus was combined to a normal one. Karyotype analysis was normal in both fetus. After close counseling we decided to continue the pregnancy. Intermittent amnioreduction was done for persistent polyhydramnios. At 29 weeks of gestation membrane was ruptured prematurely and we delivered by cesarean section due to breech-cephalic presentation. The birth weight of the normal and anencephalic fetuses were 1070 gm and 1050 gm, respectively. The anencephalic fetus died immediately after birth but the healthy one showed good crying and movement and its Apgar score was 6 in 1 minute and 8 in 5 minute. Although the infant needed intensive care for 90 days in the nursery room finally discharged in good condition. We report a case of twin pregnancy in which anencephaly was associated with a normal fetus, so after close counseling we opted to continue the pregnancy resulting in the delivery of a viable fetus.