http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
복강경하 일측 난관절제술 후 발생한 복강 내 착상 융모조직의 치료 예
문성택 ( Seong Taek Mun ),김윤숙 ( Yun Sook Kim ),전섭 ( Seob Jeon ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.4
The incidence of ectopic pregnancy has increased considerably a decade. And treatment has changed from salpingectomy by laparotomy to conservative laparoscopic surgery or medical treatment. This procedure has many advantages, but there are also disadvantages with the conservative approach and several studies have reported a higher incidence of residual trophoblastic tissue remaining in the tube after treatment. Postoperative follow up of human chorionic gonadotropin (hCG) levels and ultrasonography are needed. This report describes a rare case of persistent trophoblastic implants to the ovary and peritoneum 40 days after laparoscopic salpingectomy. Treatment consisted of laparoscopic excision with biopsy forceps and bipolar, followed by medical treatments. So we report with a brief review of literatures.
문성택 ( Seong Taek Mun ),김윤숙 ( Yun Sook Kim ),전섭 ( Seob Jeon ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.9
Uterine prolapse is extremely rare during pregnancy. However in some cases significant complications such as urinary tract infection, voiding difficulty, abortion, and preterm labor may develop. Conservative management consisted of bed rest and use of a pessary. An elective cesarean section near term is the safest mode of delivery in cases where the cervix is edematous and elongated. We present a case of a patient developing uterine prolapse at 12 weeks of gestation, treated with bed rest and use of a pessary. A repeat cesarean section was performed at 38 weeks of gestation and report with a brief review of literatures.
단일 신장의 요로결석에 의한 급성신부전증과 중복자궁에서의 자궁질유혈증
유애리 ( Ae Li Ryu ),김윤숙 ( Yun Sook Kim ),문성택 ( Seong Taek Mun ),전섭 ( Seob Jeon ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.2
The unique clinical syndrome of the uterus didelphys, a unilateral partially or completely obstructed vagina, and ipsilateral renal agenesis is quite rare, and observed on the right side in greater frequency than on the left. The case of fifteen year old girl with uterus didelphys, unilateral partially obstructed vagina and acute renal failure associated with ureteral stone in unilateral kidney is described. Extracorporealshock wave lithotripsy (ESWL) and evacuation of the hematocolpos and excision of the vaginal septum were done. Aware of this relatively rare condition is mainstay of prompt diagnosis which will prevent permanent renal failure and unnecessary and destructive surgery.
복압성 요실금을 가진 폐경 여성의 요역동학적 검사의 특성: 폐경 전과 폐경 후 여성들에서 후향적 비교연구
현혜선 ( Hye Sun Hyun ),박보라 ( Bo Ra Park ),김윤숙 ( Yun Sook Kim ),문성택 ( Seung Taek Mun ),배동한 ( Dong Han Bae ) 대한폐경학회 2010 대한폐경학회지 Vol.16 No.3
연구목적: 요실금을 호소하여 병원에 내원하여 복압성 요실금으로 진단받은 여성에서 폐경 전과 폐경 후에 요역동학적 검사에서의 차이점을 비교하여 복압성 요실금을 가진 폐경 후 여성의 요역동학적 특성을 알아보고자 하였다. 연구재료 및 방법: 복압성 요실금으로 진단된 40명의 폐경 전 여성과 44명의 폐경 후 여성을 임의적으로 선택하였다. 자세한 병력청취와 부인과적인 검진, 소변검사와 방광내압측정, 요도내압측정, 요속측정을 포함한 요역동학 검사를 시행하여 비교하였다. 결 과: 두 군 간의 체질량지수 (body mass index)는 차이가 없었다. 폐경 후 여성의 평균나이는 62.1 ± 9.4세, 폐경전 여성은 40.9 ± 6.4세였다. 발살바 요누출압은 폐경 후 여성이 폐경 전 여성보다 낮았다 (88.2 ± 25.1 vs 106.4 ± 30.3 cmH2O, P=0.04). 최대 요도 폐쇄압은 폐경 후 여성이 폐경 전 여성보다 낮았다 (44.9 ± 21.4 vs 77.4 ± 32.2 cmH2O, P<0.001). 기능성요도길이는 폐경 후 여성이 폐경 전 여성보다 더 짧았다 (29.0 ± 9.7 vs 36.9 ± 10.9 mm, P=0.003). 최대 요속이나 잔뇨량, 최대 방광용적, Q-Tip test는 두 군 간의 차이가 없었다. 출산횟수는 폐경 후 여성이 더 많았다 (2.8 vs 2.2, P=0.026). 결론: 우리 연구의 결과는 발살바 요누출압과 최대 요도 폐쇄압은 폐경 후 여성이 더 낮고, 기능성요도길이는 폐경후 여성이 더 짧았다. 하지만 출산횟수나 질식자연분만 횟수가 폐경 후 여성이 더 많았다. 그리고 폐경과 무관한 나이에 대한 노화과정인지 아니면 폐경이 원인인지 구분이 모호하다. 그러므로 이 변수에 대해 좀 더 연구가 필요할 것으로 생각된다. Objectives: To compare the urodynamic characteristics between pre- and post-menopausal women with stress urinary incontinence. Methods: Forty premenopausal women and 44 postmenopausal women with stress urinary incontinenece were enrolled. All of the patients underwent a detailed history, gynaecologic examination, urinalysis and urodynamics including cystometry and pressure-flow analysis. Results: There was no difference in the body mass index between the two groups. The mean age of pre- and post-menopausal women was 40.9 ± 6.4 years and 62.1 ± 9.4 years, respectively. The parity in postmenopausal women was greater than premenopausal women (2.8 ± 1.2 vs 2.2 ± 0.8, P=0.026). The valsalva leak point pressure (VLPP) in postmenopausal women was lower than that in premenopausal women (106.4 ± 30.3 vs 88.2 ± 25.1 cmH2O, P=0.04). The maximal urethral closure pressure (MUCP) in postmenopausal women was lower than premenopausal women (44.9 ± 21.4 vs 77.4 ± 32.2 cmH2O, P<0.001). The functional urethral length (FUL) in postmenopausal women was shorter than it in premenopausal women (29.0 ± 9.7 vs 37.0 ± 10.9 mm, P=0.003). There were no significant statistical differences in maximal flow rate, residual urine, maximal bladder capacity and Q tip test. Conclusion: The VLPP and MUCP were lower, and the FUL was shorter in postmenopausal women with stress urinary incontinence than premenopausal women. The parity and number of vaginal deliveries were different between the two groups. Further investigation will be needed concerning these variables. (J Korean Soc Menopause 2010;16:148-152)
계류유산 후 진단된 자연 병합임신과 급성충수돌기염의 복강경 치료
류은석 ( Eun Seok Ryu ),김윤숙 ( Yun Sook Kim ),문성택 ( Seong Taek Mun ),전섭 ( Seob Jeon ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.12
Ectopic pregnancy and appendicitis in pregnancy are two most common causes of acute abdomen in young women and differenciation of these diseases is very difficult. Heterotopic pregnancy is a rare event, occuring less than 1:30,000 pregnancies in natural conception cycles. However, with assisted reproduction techniques, this incidence has increased. We experienced a case of spontaneous heterotopic pregnancy after missed abortion and acute appendicitis treated by laparoscopy. So we report this case with brief review of literature.
비전형 초음파 소견을 보이는 임신 9주에 진단된 자궁각임신
유애리 ( Ae Li Ryu ),김윤숙 ( Yun Sook Kim ),문성택 ( Seong Taek Mun ),전섭 ( Seob Jeon ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.4
자궁각임신은 난관의 간질부에 착상이 일어나는 자궁외임신의 한 종류이다. 자궁각임신은 자궁외임신의 드문 형태로 임상적 소견은 난관임신과 유사하여 조기 진단이 어려운 경우가 많다. 모든 난관임신의 2~4%의 빈도를 차지하는 드문 질환이지만, 간질부의 풍부한 혈관 분포로 인하여, 파열될 경우 대량 출혈의 위험으로 인하여 산모의 이환율 및 사망률이 높은 질환이다. 자궁각임신에 의한 자궁파열은 주로 임신 8주에서 16주 사이에 일어나는 것으로 알려져 있다. 저자들 A cornual pregnancy occurs when the conceptus implants at the cornus of the uterus which is the junction between the fallopian tube and uterine cavity. Cornual pregnancy is a rare form of ectopic pregnancy and its diagnosis is difficult. It accounts for 2