http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
( Hee Suk Chae ),( Chul Hee Rheu ) 대한산부인과학회 2019 대한산부인과학회 학술대회 Vol.105 No.-
Objective: To investigate the influence of ovarian cyst size on serum anti-Mullerian hormone levels after laparoscopic ovarian cystectomy in women with endometrioma and ovarian mature teratoma. Methods: From March 2017 to December 2018, we retrospectively included 41women with endometriomas as the endometrioma group, 40 women with mature cystic teratomas as the teratoma group. All of the patients underwent laparoscopic unilateral ovarian cystectomy. Serum AMH levels were determined preoperatively and at 1 month after surgery. Results: There was no significant difference in preoperative serum AMH levels between the two groups (p = 0.561). However, the rate of decrease in serum AMH levels was significantly higher in the endometrioma group than in the teratoma group (0.35 ± 0.04% vs. 0.19 ± 0.04%, p = 0.013). Patients with mature cystic teratoma showed a statistically significant correlation between the rate of decrease in serum AMH levels and cyst size (r = 0.391, p = 0.013); the rate of decrease in serum AMH levels after laparoscopic cystectomy in the subgroup of >5.13 cm was significantly higher than in the subgroup of ≤ 5.13 cm (P = 0.006). But, in the endometrioma group, there was no significant statistical correlation between cyst diameter and the rate of decrease in serum AMH levels (r = -0.134, p = 0.405). Conclusion: Laparoscopic cystectomy for endometriomas may cause a significant more damage to the ovarian reserve compared with ovarian mature cystic teratomas. There is no correlation between cyst diameter and reduced ovarian reserve after surgery in patients with endometriomas. In contrast, patients with ovarian mature teratomas showed a significant correlation, and this decrease was more evident in patients with mature teratoma > 5.13 cm.
Gestational Epilepsy : A case report
( Hee Suk Chae ),( Chul Hee Rheu ),( Sung Nam Cho ),( Young Ju Jeong ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-
Epilepsy is the most common neurological disorder in pregnancy, with estimated prevalence among pregnant women ranging from 0.2% to 0.7%. Rarely, some women with epilepsy may experience seizure only during pregnancy which is termed gestational epilepsy, such women would be seizure free between pregnancies. We report a very rare case of a 27-year-old woman who presented with a first-time seizure at 39+3 weeks of gestation. There was no evidence of hypertension or preeclampsia. Extensive diagnostic evaluation revealed a normal neurological examination, normal laboratory results, and no signs of structural brain disease. She underwent emergent cesarean section in order to avoid relapse of seizure because antiepileptic drug phamacokinetics may be significantly altered in pregnancy. We experienced a case who presented with new onset seizure during pregnancy and was free of seizure after delivery.
( Hee Suk Chae ),( Jong Hyun Kim ),( Chul Hee Rheu ),( Sung Nam Cho ),( Byung Chan Oh ),( Young Ju Jeong ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-
Pheochromocytoma is an extremely rare tumor in pregnant women. If the diagnosis of a pheochromocytoma is delayed or missed, it is catastrophic for mother and fetus. So, early detection and treatment is critical but difficult. Pheochromocytoma during pregnancy is not typically suspected due to their extreme rarity and it is easily misdiagnosed as the more prevalent forms of pregnancy-related hypertension due to similarities between both diseases. We report the case of a 28-year-old woman who was early diagnosed on the basis of differential clues from severe preeclampsia and had undergone laparoscopic adrenalectomy at 25+6 weeks` gestation which was advanced compared with those of previous reported cases.
MMP-9 protein and PTEN in endometriosis and its significance in the expression
( Hee Suk Chae ),( Jong Hyun Kim ),( Chul Hee Rheu ),( Sung Nam Cho ),( Byung Chan Oh ),( Young Ju Jeong ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-
To study the expression of MMP-9 and PTEN in endometrial tissue of the patients with endometriosis and its significance in the expression. The expression of MMP-9 and PTEN in endometrial tissues of 9 cases with endometriosis and of 9 normal as the control detected by western blotting. The expression of MMP-9 was higher in endometrial tissues than those in the normal control, but PTEN was much lower in endometrial tissues than those in the normal control; there existed reciprocal relationship between the expression of MMP-9 and that of PTEN in endometrium. The up-regulation of MMP-9 by depletion of PTEN in endometrium of the patients with endometriosis may be related to the invasion of endometrium.
생쥐 난자의 체외 성숙과 수정에 있어서 난구 세포의 역할에 관한 연구
이희섭,류철희,이기숙,오병찬,조성남,진소자,두재균,김관식,김종덕 의과학연구소 1996 全北醫大論文集 Vol.20 No.2
The time course and conditions encessary for oocyte maturation and the role of cumulus cells on fertilization in vitro were studied in the mouse. nuclear maturation of cultured oocytes was evaluated by analyzing chromosomal configurations. Isolated oocytes from cumulus-oocyte complex were matured spontaneously in vitro, nad 81% of oocytes developed to the metaphase Ⅱafter 24 horus inculbation. Cumulus-oocyte complex matured in vitro, and 865 of those developed to the metaphase Ⅱ agter 24 hours. The fertilization frequency of isolated oocytes in hyaluronidase was similar in both +HCG and -HCG culture meticum(29.2% and 21.7%, respecitvely). However the fretilization frequency of cumulus-oocyte complex was greater than that of isolated oocytes, and the fertilization frequency of cumulus-oocyte complex cultrued in +HCG culture meticum was lower than that cultrued in -HCG culture meticum(36.4% and 58%, respectively). It is concluded that frequency of spontaneous maturation of isolated oocyte was similar to that of cumulus-oocyte complex, and that the presence of cumulus cells during fertilization may affect the oocyte's ferilization.