姙娠中 梅毒에 關한 臨床統計學的 硏究

禹福姬 梨花女子大學校 韓國生活科學硏究院 1978 韓國生活科學硏究院 論叢 Vol.21 No.-

姙娠中 梅毒의 子宮內 感染으로 인하여 發生되는 先天性 梅毒의 初期症候로는 發疹, 鼻炎(Rhinitis), 貧血, 肝脾臟腫大, 黃疸, 骨軟骨炎에 의한 僞似痲痺(Pseudiparalysis)를 招來하게 된다. 그리고 T.pallidum에 의해 胎兒에게 感染이 일어난 후에는 VDRL 陽性反應을 일으키며, 特殊 FTA-ABS 檢査 梁性反應을 일으키는데 成人에 있어서 1차 感染에서는 VDRL抗體가 檢出되기 전에 FTA-ABS 抗體가 나타날 수 있다. 著者의 경우 (1) FTA-ABS 檢査에서 總患者 6718例中 25例 즉 0.37%에서 陽性反應을 나타내었다. (2) 産前看護에서 發見된 姙娠婦梅毒은 總姙娠婦 梅毒患者 25例中 6例(24%)에 不過했다. (3) 姙娠婦 梅毒患者에서 全體 胎兒 死亡은 48%나 있었다. (4) 2例의 先天性 梅毒兒를 經驗하였다. 그러므로 梅毒의 感染으로 인하여 姙娠婦에게 招來되는 모든 合倂症을 豫防하기 위하여서는 姙娠婦 梅毒을 早期 診斷하기 위하여 VDRL 또는 FTA-ABS檢査를 適用하여 早期診斷 및 早期治療에 이바지하여야 할 것이다. The fluorescent treponemal antibody absorption (FTA-ABS) test has gained wide ac-ceptance as the standard by which the diagnosis of syphilis is confirmed, and a probable false-positive reaction to the FTA-ABS test was observed in a patient during pregnancy. Up to 80 percent of infants born to untreated syphilitic mothers in an early stage of the disease will be infected prior to delivery. Of these, approximately 25 percent will die in the uterus, and a high percentage of those infants born alive will be delivered prior to term. Therefore a serologic test for syphilis before delivery must be checked early and late in the course of pregnancy. From January 1974 to December 1977, 6718 Gravida women were screened using the initial V D R L test, and the next step was confirmed by the FTA-ABS test at Ewha Womans University Hospital. Among them positive V D R L test was 0.53 percent, and positive FTA-ABS test was 0.37 percent. Flase positive V D R L test was 0.07 percent. Only 24 percent of those syphilitic pati-ents were found in the course of prenatal care. In this study, 12 percent of the infants died after birth, stillbirth was 32 percent, and 12 percent of 25 syphilitic patients delivered prior to term.

臀位 및 周産期 死亡率

禹福姬 梨花女子大學校 韓國生活科學硏究院 1978 韓國生活科學硏究院 論叢 Vol.21 No.-

1975年 1月부터 1977年 12月까지 總 分娩患者 5290例 중 滿朔臀位 發生頻度는 3.36%였다. 그리고 滿朔臀位 膣式分滿時 矯正 死亡率은 1.5%였다. 즉 滿朔臀位膣式分娩時 發生된 周産期 死亡率은 帝王切開術에 의해 分娩되었다면 存在하지 않는다고 본다. 그러므로 세밀하게 分析 觀察한 결과, 滿朔臀位 分娩患者의 分娩方法의 判定은 (1) 帝王切開術에 의한 分娩方法을 항상 생각하되 관례적으로 適用하여서는 안된다. (2) 分娩臀位膣式分娩은 반드시 正常 X-線骨盤計測과 胎兒體重이 正常體重(3.0kg)을 넘지 않았을 때 시도해 볼 수 있다고 본다. (3) 臀位 膣式分娩時에는 반드시 숙련된 産婦人科 醫師의 指導와 助手가 실제로 必要하다고 본다. 이와 같이 함으로써 臀位 膣式分娩시 發生되는 人爲的 損傷으로 인한 胎兒의 死亡 및 罹患率을 減少시킬 수 있다고 본다. Breech presentation is associated with perinatal mortality and morbidity rates three times higher than those encountered with vertex presentation. The risk of traumatic in jury to infants delivered with breech presentation is twice that of the cephalic variety. The most common form of fetal traumatic injury incurred during breech extraction is intracranial hemorrhage. A 3 year (from January 1975 to December 1977) retrospective study of 222 breech deliveries was analyzed at Ewha Womens University Hospital. Breech presentation at delivery was encountered in an incidence of 3.36 percent in 5290 patients. Primigravida of term breech presentation showed a corrected perinatal mortality of 1.5 percent. Apgar score (6 or below) markedly decreased with increasing fetal weight (3.0 kg). Total cesarean section rate was 54 percent. Among 71 primary cesarean section patients, primigravida showed a cesarean section rate by contracted pelvis of 27 per-cent, and elective cesarean section rate of 44.6 percent. In x-ray pelvimetry, if anteroposterior dimaeter of the inlet was below 10 cm, or if interspinous dimaeter of the midpelvis was below 9.5 cm, cesarean section was performed in most cases.

과배란 유도시 난자흡인전 질식 초음파 소견과 혈청 Estradiol치의 상승간의 상관관계에 관한 연구

손영수,우복희 梨花女子大學校 醫科大學 醫科學硏究所 1992 EMJ (Ewha medical journal) Vol.15 No.3

This study was carried out to investigate the correlation of ovarian follicular characteristics in vaginal ultrasonography with serum estradiol level in human in vitro fertilization and embryo transfer(IVF & ET) program hyperstimulated by using of pure follicular stimulating hormone (FSH) and human menopausal gonadotropin(hMG). The results were as follows: 1) Total amount of FSH and hMG administered in the process of hyperstimulation were 300IU and 772±157.5IU respectively. And the number of follicles which were more than 12mm in diameter in vaginal ultrasonography on the day before the aspiration were 6.0±3.7. 2) The greatest number of follicles which were more than 10mm in diameter were 7.4±3.8 on the day after administration of hCG. The serum estradiol level was increased according to the increase in number of follicles of more than 10mm diameter(r=0.9632) 3) The largest diameter of dominant follicles were 19.9±2.3mm which happened on the day after administration of hCG. The serum estradiol level was increased according to the increase in diameter of dominant follicle(r= 0.9791). 4) The total number of oocytes aspirated was 180 from 35 hyperstimulated cycle, which was equivalent to 5.1±3.9per cycle. Of these, the number of mature oocytes was 4.1±3.8per cycle. The ferilization rate of mature oocytes and cleavage rate of Proombryos were 75.6% and 53.7% respectively. In conclusion, ovarian follicular characteristics in vaginal ultrasonography had strong postive correlation with serum estradiol level in controlled ovarian hyperstimulation process. So. therefore, vaginal ultrasonography would be an important parameter to be able to replace serum estradiol test in vitro fertilization and embryo transfer program.

Fetal Weight Estimation by Ultrasonic Measurement

( Bock Hi Woo ) 대한산부인과학회 1983 대한산부인과학회 학술대회 Vol.51 No.-

연장임신의 처치

우복희 ( Bock Hi Woo ) 대한산부인과학회 1984 대한산부인과학회 학술대회 Vol.54 No.-

子宮內避妊藏置에 關한 臨床的考察

禹福姬 中央醫學社 1974 中央醫學 Vol.27 No.3

A clinical study of I.U.D. was conducted at the Dept. of Ob. & Gyn., College of Medicine, Ewha Woman's University a 2 year period, from July 1, 1972 to June 30, 1974. Hundred twenty cases inserted I.U.D. during a non-pregnant state and 100 cases inserted I.U.D. immediately after induced abortion or incomplete abortion were analyzed clinically. The results were as follows: 1) The incidence of bleeding among immediate postabortal I.U.D. insertion was 9 percent. Bleeding was ended in 7 days, and it was similar to that of non-pregnant state insertion. 2) The pain after immediate postabortal insertion generally diappeared in 4 days(11%) and it's incidence was lower than in non-pregnant state insertion. 3) The incidence of pelvic infection was 3 percent among immediate postabortal insertion. 4) The removal rates of I.U.D. for medical reason were 5% and 6. 6% in postabortal and non-pregnant I.U.D. acceptors respectively. 5) Postabortal I.U.D. acceptors who had one son were mostly for child spacing purposes (30%), and who had 2 sons were for permanent purposes(20%). 6) The age distribution of postabortal I.U.D. acceptors showed that were 37 percent of them belonged to 25 to 29 years of age. 7) In number of previous pregnancy of postabortal I.U.D. acceptors, more than half of them had a history 4 or more pregnancies.

정상분만후 발생한 융모암의 1례

우복희,이용주 梨花女子大學校 醫科大學 醫科學硏究所 1980 EMJ (Ewha medical journal) Vol.3 No.4

Choriocarcinoma arises sometimes after hydatidiform mole, occasionally after abortion, and rarely after normal term pregnancy and ectopic pregnancy. Recently we had the opportunity to observe 26-year-old female patient who had choriocarcinoma following term pregnancy. In this paper, we report a case of choriscarcinoma following term pregnancy with a brief review of related literature.

産婦人科 領域에 있어서 超音波診斷의 價値

禹福姬 梨花女子大學校 醫科大學 醫科學硏究所 1981 EMJ (Ewha medical journal) Vol.4 No.1

The principle of sonography depends on the transmission of a pulsed sound beam through a particular area of the body and on the interpretation of echo pattern produced from interfaces of tissues with different acoustic impedances or densities. Then it is limited to frequencies in the range from 1 to 20 million cycles/sec. in clinical practice. Real time examination provides many sonographic informations. Namely, determination of gestational age without an accurate last menstrual period is difficult, but the correlation between fetal biparietal diameter by ultrasound and gestational age is compromised by normal biologic variation in fetal growth rates. It is possible to estimate fetal weight with reasonable accuracy by meansuring biparietal diameter and abdominal circumference. Ultrasound scanning is also helpful in differential diagnosis of pelvic masses. So, ultrasound as a non-invasivd iagnostic tool has a wide variety of practical applcations which are extremely useful in obstetrical and gynecological practice.

임신부에 있어서의 무증후성 세균뇨에 관한 연구

禹福姬 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.1

超音波 단층법에 의한 妊娠年齡의 評價

禹福姬 梨花女子大學校 韓國生活科學硏究院 1982 韓國生活科學硏究院 論叢 Vol.29 No.-

확실한 월경력 없이 분만 예정일을 예측할수 있는 정확한 방법은 없고 자궁 크기의 임상적 진찰, 양수검사, 아두대횡경 계측등이 시행되고 있다. 저자는 최종 월경일이 확실하며 고위험 임신군이 아닌 총 276예를 대상으로 임신 5주부터 28주까지 초음파 검사를 시행하여 다음과 같은 결론을 얻었다. ① 태아 신장과 임신 연령과는 순상관 관계를 보여 주었으며 유의성을 나타 내었다(P<0.01) ② 임신 20주부터 28주까지의 아두 대횡경 계측으로 임신 연령을 예측할 수 있었다. 즉 임신 연령의 정확한 평가와 분만 예정 일을 산출할 수 있었다. 따라서 산전에 초음파 검사에 의한 아두 대횡경 계측으로 태아 체중을 에측할 수 있으며 자궁내 태아 성장을 평가하는데 이용될 수 있고, 태아 성숙도를 정확히 평가 함으로서 조산으로 인한 불필요한 주산기 사망율을 감소시키는데 가장 가치 있는 진단 방법이라 할 수 있다. Sonar measurements were performed in order to obtain normal mean values of gestational age from 6 to 28 weeks in 276 antenatal patients with reliable and regular menstruation histories. Crown rump length measurements showed positive correlation to the duration of gstation. We could predict gestational age from biparietal diameter observed between 20 and 28 weeks, and it was statistically significant. (p<0.01) Mean growth per week as calculated from this period was 2.6mm.