臍帶 眞結節 1例

諸求和,金聲振,朴洪表 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.6

임신오조증 환자에서 발생한 갑상선기능항진증을 동반한 Wernicke 뇌병증

제구화,김현호,이영희,황태영,곽재환,하정서 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.9

Wernickes encephalopathy occurred during prolonged intravenous glucose treatment in patients with hyperemesis gravidarum. Delay in diagnosis caused a protracted illness and persisting neurologic deficits in the patient. Because of its association with chronic alcoholism, the possibility of Wernkckes encephalopathy may not be considered early enough, if at all, in other situations. The disease may complicate other neurologic disorders due to nutritional deficiency, but can be prevented by the timely administration of parenteral thiamine. We report a patient with hyperemesis gravidarum aggravated by hyperthyroidism that subsequently developed Wernickes encephalopathy.

무지증 (Amelia) 1 예

제구화,김현호,황태영,박진완,한명석 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.9

저자들은 하지전체의 소실과 함께 다른 동반기형이 있는 태아 분만을 경험하였기에 간단한 문헌고찰과 함께 이를 보고한다. Amelia, complete absence of a limb, is a very rare congenital anomaly. We experienced a case of amelia, both lower limbs defects with an absence of external genitalia and anus. And it also has diaphragmatic hernia. We presented the case with a brief review of related literature.

복부초음파로 측정한 태아간길이에 의한 태아체중의 예측

제구화,황태영,박찬호,김수영 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.5

목적: 복부초음파를 이용하여 측정한 태아간길이가 임신주수 및 태아복부둘레와 상관관계가 있으며, 자궁내발육지연을 보이는 태아간길이가 대조군의 간길이에 비해 의미있게 짧다고 알려져 있다. 따라서 태아간길이가 태아체중과도 상관관계가 있으리라 생각되어 본 연구를 시행하였다. 연구방법: 본 연구는 1998년 1월부터 6월까지 동아대학교병원에 분만을 위하여 입원한 산모들을 대상으로 하여 복부초음파를 시행하여 아두대횡경, 태아복부둘레, 태아대퇴골길이, 태아간길이를 측정하여 각각의 지표와 출생시 태아체중과의 상관관계를 직선회귀분석을 이용하여 규명하고 유의성 검증은 t-검정을 이용하였다. 결과: 태아간길이 [y=57.3x 154.8, r=0.76, p$lt;0.05]와 태아복부둘레 [y=16.8x-2376.2, r=0.79, p$lt;0.05]는 출생시 태아체중과 각각 높은 상관관계를 보였다. 아두대횡경 [y=41.7x-540.0, r=0.44, p$lt;0.05]과 태아대퇴골길이 [y=54.7x-618.2, r=0.49, p$lt;0.05]는 출생시 태아체중과 유의성은 있으나 태아복부둘레와 태아간길이에 비해 각각 낮은 상관관계를 보였다. 결론: 결론적으로 복부초음파로 측정한 태아간길이는 태아복부둘레와 마찬가지로 아두대횡경이나 태아대퇴골길이보다 출생시 태아체중과 높은 상관관계가 있었고, 또한 태아 복부둘레에 비해 측정이 용이하므로 태아체중예측에 유용한 지표로서 임상에 쉽게 적용할 수 있으리라 사료된다. Objective: This study attempted to investigate the relationship between fetal liver length by means of transabdominal ultrasound and birth weight. Methods: From 34 to 42 weeks gestation, 162 measurements of fetal liver length, biparietal diameter, abdominal circumference and femur length respectively were made for the purpose of this study. Linear regression analyses were performed to determine significant relationships and t-test was used to determine statistical significance. Results: There was a highly significant correlation between fetal liver length and birth weight [y=57.3x 154.8, r= 0.76, p$lt;0.05]. There was also a highly significant correlation between abdominal circumference and fetal birth weight [y=16.8x-2376.2, r=0.79, p$lt;0.05]. There was a significant but poor correlation between biparietal diameter and fetal birth weight [y=41.7x-540.0, r=0.44, p$lt;0.05]. There was also a significant but poor correlation between femur length and fetal birth weight [y=54.7x-618.2, r=0.49, p$lt;0.05]. Conclusion: It can be concluded that ultrasonic measurement of fetal liver length is more predictive of birth weight than either biparietal diameter or fetal femur length. In addition, it is easy to measure fetal liver length by means of transabdominal ultrasound. Therefore ultrasonic measurement of the fetal liver length seems to be a clinically reliable indicator to predict birth weight.

주산기 뇌손상의 원인 및 예방

제구화 대한산부인과학회 1992 연수강좌 Vol.21 No.-

완전 자궁탈과 동반된 자궁경부암 1 예

제구화,김현호,황태영,박진완 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.10

자궁탈 환자에서의 자궁경부암 발생은 매우 드문경우로 저자들은 1992 년 10 월 동아대학교 병원 산부인과에서 62 세의 자궁탈과 동반된 자궁경부암 환자 1 예를 경험하였기에 간단한 문헌고찰과 함께 이를 보고하는 바이다. Cervical carcinoma with procidentia is considered very rare. The incidence is about 0.5-1% of cases of cancer of the cervix Recently , We have experienced a case of cervical carinoma with procidentia in an elderly woman. We present this cases with a brief review of literature.

질에 발생한 평활근종

제구화,김현호,황태영,박진완,최상인 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.12

저자들은 42세 여성에서 좌측 질전벽에 발생된 평활근종 1예를 경험하였기에 간단한 문헌고찰과 함께 이를 보고하는 바이다. Leiomyoma of the vagina is a relatively rare tumor, and the majority of them were not recognized until after operation. Variable opinion exists as to the exact orgin of this lesion. We experienced a 42-year-old woman case with vaginal leiomyoma in Dong-A university hospital, and present it with brief review of the literatures.

자궁외임신에 관한 임상적 고찰

제구화 인제대학교 1991 仁濟醫學 Vol.12 No.3

수술후 병리조직학적 검사로 확진된 자궁외임신 301례를 대상으로 빈도, 위험인자, 임상증상, 진단 및 그 과정을 분석하여 자궁외임신의 조기진단 및 진단의 정확성에 도움을 얻고자 임상적 자료를 분석 검토하였다. During a 4-year period, 301 patients with an ectopic pregnancy which was diagnosed histologicalla were studied to evaluate the risk factors associated with this problem, and changing pattern of the diagnostic procedure. The ratio of ectopic pregnancies to deliveries was 1 to 16.4. the largest occurring in patients in the 30 to 34 year age bracket. Among the total patients, 61.8% had experienced induced abortion more than once. The patient had a history of operation such as tubal sterilization in 26.2% and previous ectopic pregnancy in 7.3%. They had Various kinds of contraception or sterilization in 42%. Sixty nine(87.3%) in the 79 patients with a history of tubal sterilization had a laparoscopy coagulation technique. Abdominal pain(86.1%), skipped menstruation(80.7%), and irregular vaginal bleeding(63.8%) were the main presenting symptoms, and the most frequent physical finding was abdominal tenderness. Urine pregnancy test was positive in 83.3% of the 287 patients on whom it was performed. Culdocentesis, performed on the 271 patients, yielded positive in 92.6%. Although transabdominal sonography was definitely diagnostic in the 7 patients(5.0%) but the 9 patients(6.4%) had no abnormal findings and then the rest of the 141 patients on whom it was performed had some suggestive findings of ectopic pregnancy. The most frequent suggestive finding was fluid in the pelvis with or without adnexal mass(48.2%). The next was adnexal mass without pelvic fluid(36.2%). Besides talking the history and physical examination, the procedure in the diagnosis of an ecotopic pregnancy was through the various ways. Culdocentesis with urinary pregnancy test or abdominal sonography added to this had been used more frequently among them. The trend, in the annual frequency of an each performed diagnostic method, revealed the gradual increase in ultrasonography, stationary state in urinary pregnancy test and sedum β-hCG, slight decrease in culdocentesis, and marked decrease in endometrial biopsy.

조산의 예측지표로서 Fetal Fibronectin의 유용성

제구화,김현호,이종훈,황태영,곽재환 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.1

자궁경부 및 질 분비물에서 fetal fibronectin의 검출이 조산을 예측하는데 얼마나 유용성이 있는지 알아보기 위하여 1994년 4월부터 8월까지 동아대학교병원 산부인과를 내원한 재태기간 24주에서 34주인 임부중 당뇨, 고혈압, 전치태반, 자궁 혹은 자궁경부 기형, 조기파수, 다태임신, 그리고 재태기간을 잘 모르는 경우 등을 제외한 가성진통 임부 30명을 대상으로 하여 fetal fibronectin 양성군과 음성군으로 나누어 분만시 재태기간과 신생아 상태를 비교분석하여 다음과 같은 결론을 얻었다. 1. 대상 임부의 연령이나 출산수에 있어서 양 군간의 유의한 차이는 없었다. 2. 체검시 재태기간에 있어 양 군간의 유의한 차이는 없었다. 3. 분만시 재티기간 및 진단에서 분만까지의 기간은 fetal fibronectin 음성군에서 유의하게 길었다.(p$lt;0.05). 4. 조산수는 fetal fibronectin 음성군에서 유의하게 적었다(p$lt;0.05). 5. 신생아 체중은 fetal fibronectin 양성군에서 유의하게 적었으며(p$lt;0.05), 1분 및 5분의 Apgar 점수도 fetal fibronectin 양성군에서 유의하게 낮았다(p$lt;0.05). 이상의 결과에서 재태기간 24주에서 34주의 가성 진통 임부에게서 자궁경부 및 질 분비물에서의 fetal fibronectin 검출이 조산을 예측할 수 있는 지표로 이용될 수 있음을 보여주고 있다. Recently, fetal fibronectin in cervicovaginal fluid has been suggested as a sensitive and specific correlate of early delivery. This type of fibronectin has been identified in amniotic fluid, placental tissue, and malignant cell lines. It can be detected by the monoclonal antibody FDC-6, which specifically binds fetal fibronectin. The purpose of this study was to evaluate the usefulness of fetal fibronectin assay obtained from cervicovaginal secretions in differentiating who would later have true preterm labor with subsequent early delivery in a population of women who had an episode of false labor but were otherwise not at risk for preterm birth. The 15 cases of fetal fibronectin positive group and the 15 cases of fetal fibronectin negative group were analysed. The results were as follows: 1. The maternal age and parity were comparable in both groups. 2. There was no statistical difference in the gestational age at the time of sampling in both groups. 3. The gestational age at delivery and the interval(from sampling to delivery) were longer in the fetal fibronectin negative group(p$lt;0.05). 4. The birth weight was heavier in the fetal fibronectin negative group(p$lt;0.05). 5. The numbers of preterm delivery were much more frequent in the fetal fibronectin positive group(p$lt;0.05). 6. Apgar score at 1 minute and 5 minute were lower in the fetal fibronectin positive group(p$lt;0.05). The results from this study suggested that a positive fetal fibronectin in women who have uterine contractions indicated a significant risk for preterm labor and early delivery, and a negative fetal fibronectin was a reassuring sign.

임신과 동반된 미분화기형종 1 예

제구화,김현호,황태영,곽재환,한명석 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.2

저자들은 1992년 10월 본 동아대학교병원 산부인과에서 임신과 동반된 미분화기형종 1예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Immature teratoma of the ovary is a highly lethal germ cell origin tumor which is composed of various quantities of immature tissue differentiating from any or all three germ layers. Pregnancy complicated by an immature teratoma is very rare, with a reported incidence of 0.07%. The purpose of this paper is to report our experience with an immature teratoma in pregnancy, with a brief literature review.