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노경병(KB No),이승호(SH Lee),안승봉(SB Ahn) 대한산부인과학회 1961 Obstetrics & Gynecology Science Vol.4 No.2
1. 한국인 자궁경암의 임상적 특징과 특히 방사선요법에 의한 치료성적을 확립키 위한 연구의 일부로서 자궁경암 50예에 Metastatic Series(Pretherapeutic baseline studies)를 마친 후 Intracavitary radium application과 External irradiation을 시행하였다. 2. 50예중 stage Ⅰ이 12예(24%), stage Ⅱ가 26예(52%), stage Ⅲ가 10예(20%) 그리고 stage Ⅳ가 2예(4%)였다. 3. Carcinoma 의 histological grade 는 intermediate group이 80%였다. 4. 환자의 연령은 44~55세가 가장 많았으며 최저 26세로부터 최고 68세까지 있었다. 5. 고등교육을 받은 환자들도 자궁암에 관한 지식이 박약하였다. 6. 경암진단지연의 책임중 16%는 의사에게 있다. 7. 방사선요법을 받은 후 방광질루가 8.3% 발생하였다. 8. 완전한 방사선요법을 받은 군에서 stage Ⅰ과 stage Ⅱ 의 Primary healing rate 은 각각 100%와 93%였다. In Korea as in other countries, carcinoma of the cervix is one of the most frequent gynecological problems. Until a few years ago it was treated mostly by surgical measures and partly by radiation therapy which was not too satisfactory due to lack of facilities. There are few reports on the clinical characteristics and the cure rate of carcinoma of the cervix in Korean medical literature. In our institution, since 1958 facilities for satisfactory radiation therapy have been available. Consequently we have directed our interest toward radiation therapy in addition to surgical measures in an effort to treat the disease successfully. The purpose of this preliminary report is to present 50 cases of carcinima of the cervix in Korean women treated with radiation therapy in an attempt to establish our own survival rate and clinical characteristics of this tumor. Among the various findings through this study the following are thought to be significant. 1) Fifty cases of carcinoma of the cervix treated by radiation therapy are classified as follows according to the international clinical classification. Stage Ⅰ24%, stage Ⅱ52%, stage Ⅲ20% and stage Ⅳ4%. 2) About 54% of cases are seen at the age between 45 and 55. The youngest case was 26 years and the oldest was 68 years. 3) Doctors are considered to be responsible for about 16% of diagnostic delay in this condition. 4) The indicence of vesicovaginal and rectovaginal fistulas up to the present are 5.5% and 8.3% respectively. 5) Primary healing was obtained in 100% in stage Ⅰ carcinoma of the cervix and in 93% in stage Ⅱ. The period at which primary healing was considered to have occurred was arbitrarily set at 3 to 6 months after the completion of therapy.
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한국인 임부의 정상 정규 검사 결과에 대한 연구 ( 예보1 )
이승호(SH Lee),노경병(KB No) 대한산부인과학회 1961 Obstetrics & Gynecology Science Vol.4 No.1
1. 한국인임부 320예에 산전규검사(Antenatal routine laboratory test)를 시행하고 각종검사결과를 고찰하였다. 2. 한국인임부의 혈색소 평균치는 11.02gm% Hematocrit 평균치는 34.59%이었다. 3. 한국인임부의 창내기생충검사에서 Ascaris Lumbricoides 77.7%, Anchylostoma duodenale 24.7%, Trichocephalus trichiurus 85.7%, Trichostrongylus Orientalis 29.1% 그리고 Clonorchis Sinensis 2.8%가 양성이었다. 4. 임부에 있어서의 뇨단백검사는 임신중독증 경중의 척도가 되며 그의 조기진단 및 치료방침 결정에 큰 도움이 되었다. 5. 임부 뇨당의 양성율은 약 8%였다. 6. 임부매독혈청반응양성율은 약 1.4%였다. 7. 임부의 활동성 폐결핵은 약 2.75%에서 양성이었다. 8. 임신중 소정의 진찰 및 검사를 받은 임부군은 안받은 임부군보다 산과적합병증의 발생 빈도가 현저히 낮았으며 특히 자궁내태아사망율은 전군에서는 1예도 없었음에 비하여 후군에는 12예나 되어 좋은 대조가 되었다..
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황태식(TS Hwang),노경병(KB No),김두호(DH Kim) 대한산부인과학회 1962 Obstetrics & Gynecology Science Vol.5 No.2
This article is a preliminary report of the Yonsei University College of Medicine, from June 1, 1959 to July 30. 1961. A total of 20 cases were seen with the following distribution; Hydatiform mole 12, chorioadenoma destruent 1, choriocarcinoma 7. The following features were noted among the patients with hydatiform mole. One case was under age 25 and one case over 40 with all rest between the ages of 25-30. In the majority of patients tehre was a lapse of three months from the L>M>P> till the mole was passed but the shortest was 25 days and the longest was 155 days. 75% of the patients had a fever and at least 50% had a chilly sensation. Half the cases when first seen had uterine enlargement greater than expected by dates while 33% were consistent with their dates and the rest weresmaller than their dates. Toxemia was seen in 33% of the patients. One third of the patients who were less than 4 months pregnant or whose uterus was below the umbilicus had toxemia. Of the tow cases who were more than 4 months pregnant or whose uterus was enlarged above the umbilicus, one of them developed texemia. 25% of the patients devloped theca leutein cysts. The patients were managed by either pitocin induction or stimulation followed by a D&C. In one patient over 40 a hysterectomy was carried out after passage of the mole. the remaining paticnts were followed according to the chart seen in fig. 9 of the main article. The patients with choriocarcinoma ranged in age from 23 to 52 with three patients over 48 years old. The vast majority were multiparas. Four of the patients had a previous history of passing a mole and in the others there had been a normal delivery. None of the patients had had an abortion. Among the patients who passed a mole the diagnosis of carcinoma was made in one patient within 25 days and in the remainder before 10 months. Among the three patients who had had a normal pregnancy there was a time interval of 3 years in one case and 9 years in two cases. Theca lutein cysts were found in 3 cases. The Friedman test was positive in 100%. Metastatic lesions were found in the inngs in 57%, the vagina in 57% and in the broad ligament in 14%. A total abdominal hysterectomy and bilateral salpingoophorectomy was done in 4 patients. A combination of external rediotherapy and chemotherapy was tried in one case and no therapy was given in 2 cases. At present 2 patients have died, 3 are alive and well, and 2 have been lost to follow up.
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문영기(YK Moon),노경병(KB No),황태식(TS Hwang) 대한산부인과학회 1962 Obstetrics & Gynecology Science Vol.5 No.1
Because of the rarity of reports on the subject of the "Internal os of the cervix" in Korea and the controversy about it`s management, six patients with incompetent internal os have been reported. These were seen at Yonsei University Hospital between February, 1956 and September, 1961. A modified Shirodkar operation was performed on 2 cases during the second trimester of pregnancy and resulted in a viable term fetus for both. A Lash operation was carried out on 1 case during the non pregnant siate. In the remaining cases, the patients delivered before it was possible to perform surgical correction. After reviewing the literrature on this subject, and in accord with the cases reported, the tentative policy for the management of this condition in our department has been presented. This plan is basically that those cases which are found during the non pregnancy are to be corrected by a Shirodkar operation and those who are diagnosed during the non pregnant state are to be corrected by either a Lash operation or a Shirodkar operation during next pregnancy depending upon desirability of children, age, and possibility of cooperation of the patients. A significant history of previous criminal adortion was found in those patients and probably represents on etiological factor.
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