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자궁경부무력증에서 Beriplast (TM) 를 이용한 Modified McDonald cerclage 15 예의 경험
황정혜,문형,박문일,이문휘,공미숙,정성로 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.8
Objectives : As a main treatment modality of Incompetent Internal Os of Cervix(IIOC), Transvaginal cerclage(TVC) has been performed. But Transabdominal cervico-isthmic cerclage(TCIC) has been selected in cases of at least one history of failed TVC and severe damaged uterine cervix, very short or congenital anomalous cervix, or removed state of uterine cervix due to another disease. However, this TCIC has not been popularized, due to dangerous operation procedure, and two laparotomies. There are also difficult operative situation performing TVC & TCIC, such as bulging amniotic membrane and in patients who have medical contraindication of laparotomies. In this reason, we designed Modified Mcdonald cerclage using Beriplast (TM) as an alternative of TCIC. Methods : We involved 15 patients who visited recurrent abortion clinic of Hanyang University Hospital, diagnosed as IIOC, who were appropriate for the above mentioned TCIC indications or had bulging amniotic membrane through cervical canal. Briefly explaining the procedure, at proximal portion of internal os of cervix, first cerclage was performed and about 1-2cm distal from first cerclage, second cerclage was done. For doing this, it is important that first cerclage band is as proximal as possible. And then, 1-3cc of Beriplast(TM) was injected in cervical canal between two McDonald cerclages. Results : The mean gestational age at operation was 16.9±4.3weeks. The live births were 13 cases among 15 cases(success rate was 86.7%). In 13 cases of success, the mean interval time between operation and delivery was 21.0±4.1weeks, and mean body weight of neonates was 3094±535gm. The failed 2 cases were as followings; one case failed after 2 weeks postoperatively and the other case was twin pregnancy. Conclusions : The burden of patients as well as of operator is considered as obstacles in performing TCIC in IIOC patients. In this circumstances, we designed the Modified McDonal cerclage. This method would be useful in cases of above mentioned operation indications. We named this procedure as $quot; Candy operation$quot;.
황정혜 천진사범대학교 한국문화연구중심 2022 중한언어문화연구 Vol.23 No.-
本文以具备韩语高级水平的中国人韩语学习者、中国人和韩国人为调查对象, 研究基于指令言语行为的结构和社会关系的指令言语行为策略。通过分析收集到的语料发现, 中国人韩国语学习者的起始行为语、中心行为语、辅助行为语策略上均出现母语迁移现象。中国人韩语学习者的指令言语行为策略受到社会距离和请求难易程度的影响。希望通过本文研究結果, 学习者在进行跨文化交际环境中理解韩国社会文化, 实施符合情景的合适的语言交际。