저류층 자료통합 퍼지모델을 이용한 유체투과율 예측

전종영(Jong-Young Jun),감동재(Dong-Jae Kam),정철균(Cheol-Kyun Jeong),강주명(Joo-Myung Kang),장일식(Il-Sik Jang),김지영(Ji-Yeong Kim) 한국에너지학회 2007 한국에너지공학회 학술발표회 Vol.2007 No.-

Anti - M isoimmunization 환자에서 정맥내 면역글로불린 치료 후 성공적 임신 1 예

전종영(Jong Young Jun),노건웅(Keun Woong Noh),조동희(Dong Hee Cho),김은성(Eun Sung Kim),류현미(Hyun Mee Ryu),김문영(Moon Young Kim) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.11

Although severe hemolytic diseases of the newborn triggered by anti-M are very rare, anti-M alloantibodies have been known to be associated with a cause of multipie intrauterine death. Serological and hematological investigations have been reported on a woman who experienced four multiple intrauterine deaths due to anti-M. The mothers blood type was of group A,NN and the husbands cells were of group B,MN. In the serological examination at 9th week's gestation of the fifth pregnancy, anti-M antibodies were identified in her serum. The antibodies comprised IgM saline agglutinin at a titer of 16 at 4 degrees C and IgG agglutinin reacted in an indirect antiglobulin technique at a titer of 4 at 37 degrees C. She underwent high-dose immunoglobulin infusion therapy on a monthly program from 3rd month gestation and a total of 6 times of intravenous immunoglobulin was given. The anti-M titer did not rise during the pregnancy. She delivered a live girl by cesarean section at the 37th week because of a failure of induction. The childs blood type was of group O,MN. The child was discharged and developed normally.

냉동.해빙한 생쥐배아의 발생에 미치는 해빙속도와 퇴화할구의 영향

김문규,이호준,이승재,전종영,Kim, Moon-Kyoo,Lee, Ho-Joon,Lee, Seung-Jae,Jun, Jong-Young 대한생식의학회 1987 Clinical and Experimental Reproductive Medicine Vol.14 No.1

The present experiments have been bone to verify the effects of the warming rate and the degenerated blastomere(s) on further development of the frozen and thawed 4- and 8-cell mouse embryos. The embryos obtained from the mouse superovulated and mated were frozen in the solution of 15M DMSO in PBS containing 10% FCS at a slowly cooling rate($0.3^{\circ}C/min$). Two methods of warming slowly($8^{\circ}C/min$) and quickly ($450^{\circ}C/min$) were applied for thawing embryos. The thawed embryos were grouped according to the number of healthy blastomere(s) in the embryos. Some of the embryos were eliminated their degenerated blastomere(s) by means of a micromanipulation technique. The embryos were examined their developmental phases after 48 or 72 hrs incubation. The rates of blastocyst development from the frozen and thawed 4- and 8-cell embryos were 72.7% and 73.5%, respectively in case of thawing slowly, and were 78.9% and 80.0%, respectively in case of thawing quickly. The rate in case of thawing quickly was significantly higher than that in case of thawing slowly. The rates of blastocyst development from the frozen and thawed 4- and 8-cell embryos eliminated their degenerated blastomere(s) increased 5.9% and 24.4%, respectively compared with those of control groups not eliminated. The more number of degenerated blastomere(s) were eliminated from the embryos, the higher rate of blastocyst development was shown. It may be concluded from the results that the quickly thawing method is better for increasing survival rate than the slowly thawing one, and that the degenerated blastomere(s) in the frozen and thawed embryos affects as an interfering factor for further development of the embryos.

비정상 산과력을 가진 부부에서의 균형전좌형 염색체 보인자의 빈도 및 그 보인자들에서의 산전 세포유전학적 진단

박소연,강인수,류현미,전종영,이문희,김진미,최수경,Part, So-Yeon,Kang, Inn-Soo,Ryu, Hyun-Mee,Jun, Jong-Young,Lee, Moon-Hee,Kim, Jin-Mi,Choi, Soo-Kyung 대한생식의학회 1997 Clinical and Experimental Reproductive Medicine Vol.24 No.3

Cytogenetic analysis was performed in 1321 couples and 141 women with history of abnormal reproductive outcome during 1988-1996. The use of high resolution banding technique and fluorescence in situ hybridization (FISH) in the chromosome analysis has made the precise evaluation of chromosome aberrations. The prevalence of balanced chromosomal translocation carriers were 3.74% (104/2783 patients). 70 cases (2.52%) were reciprocal translocation carriers and 34 (1.22%) had Robertsonian translocations. Chromosome aberrations were more frequent in women (73 cases) than in men (31 cases). No phenotypical abnormalities were found in all carriers, but they experienced abnormal reproductive outcomes such as recurrent spontaneous abortions, anomalous offsprings or infertility problem. Prenatal diagnosis was carried out on 36 subsequent pregnancies in balanced translocation carriers. The fetal karyotypes showed that 12 cases (33%) were normal, 22 (61%) were balanced translocations, and two (6%) were unbalanced translocations. It is concluded that the prevalence of balanced chromosomal translocations in patients with abnormal reproductive outcome is higher than that of the normal population. Most of the fetal samples showed normal karyotypes or balanced translocations. Although the incidence of chromosomal imbalance in the fetuses was relatively low in prenatal diagnosis, individuals with balanced translocations are predisposed to abnormal offspring with partial trisomy or monosomy. Therefore we recommend that genetic counselling and cytogenetic prenatal diagnosis for translocation carriers have to be offered to prevent recurrent chromosomal abnormal babies.

난관 불임환자에서 난관 개통술시 진단복강경의 효용성

박찬우,김혜옥,허걸,양광문,김진영,송인옥,유근재,전종영,이경상,강인수,궁미경,Park, Chan-Woo,Kim, Hye-Ok,Hur, Kuol,Yang, Kwang-Moon,Kim, Jin-Young,Song, In-Ok,Yoo, Keun-Jae,Jun, Jong-Young,Lee, Kyung-Sang,Kang, Inn-Soo,Koong, Mi-Kyoung 대한생식의학회 2003 Clinical and Experimental Reproductive Medicine Vol.30 No.2

Objective: To evaluate whether diagnostic laparoscopy before transcervical fallopian tube catheterization (TFTC) would improve tubal recanalization rate and pregnancy rate in patients with bilateral proximal tubal blockage in hysterosalpingogram (HSG). Methods: The retrospective study was performed in those underwent TFTC from January 1998 to December 2001. A total of 50 patients with bilateral proximal tubal blockage in HSG were subjected to TFTC sequentially using repeated HSG (rHSG), selective salpingography (SS) followed by tubal catheterization (TFTC). Each procedure was terminated once patency had been achieved without proceding to the next technique. In Group A patients (n=35, 64 tubes), diagnostic laparoscopy was performed before TFTC was taken to exclude the tube combined with peritubal adhesion or distal tubal pathology. In Group B, patients (n=15, 26 tubes) were performed TFTC without diagnostic laparoscopy. Results: There were significant difference in clinical pregnancy rate (45.7% vs 15.4%, p=0.034) but no differences were found in recanalization rate (75.0% vs 73.1%) and complication rate (8.6% vs 13.3%). Although there is no signficant difference, more tubes were canalized by SS, which means tubal obstruction rather than occlusion, in Group A (25.0% vs 5.3%, p=0.069). Conclusion: Diagnostic laparoscopy would be effective in the selection of tube for the relatively inexpensive and less invasive TFTC or patients in need of assisted reproductive technologies. With the tubes without combined peritubal adhesion or distal tubal pathology, pregnancy rate was significantly increased.

고환조직 정자채취술 (TESE)의 정자 상태에 따른 세포질내 정자주입술의 (ICSI)수정률과 임신율

전진현,김정욱,박용석,이호준,서주태,이유식,손일표,전종영,Jun, Jin-Hyun,Kim, Jeong-Wook,Park, Yong-Seog,Lee, Ho-Joon,Seo, Ju-Tae,Lee, Yu-Sik,Son, Il-Pyo,Jun, Jong-Young 대한생식의학회 1995 Clinical and Experimental Reproductive Medicine Vol.22 No.2

In IVF-ET program, intracytoplasmic sperm injection(ICSI) has been performed with testicular sperm extraction(TESE) in case of no normal spermatozoon could be retrieved from the epididymis. We wished to see whether the quality of testicular sperm affect the fertilization and pregnancy rate in TESE-ICSI cycles(n=40). These cycles were classified into three groups by the total number of normal motile spermatozoa(TNMS) in the TESE sample: i) good sperm(GS) group(n=12), TNMS > 10,000; ii) moderate sperm(MS) group(n=19), 1,000 < TNMS < 10,000; iii) poor sperm(PS) group(n=9), TNMS < 1,000. Among 423 injected oocytes, 307(72.6%) oocytes were normally fertilized and 43 zygotes were cryopreserved. The fertilization rates of GS group(79.3%) and MS group(75.9%) were significantly(p<0.005) higher than PS group(60.2%). After the embryo transfer(n=40), clinical pregnancy was obtained in 14 cycles(35.0%) and on-going pregnacy in 13 cycles(32.5%). The clinical and on-going pregnancy rates were similar in each group. From these results it can be concluded that testicular spermatozoa are successfully used with ICSI in IVF-ET program in spite of very poor quality of TESE sample.

과배란 유도에서의 혈중 에스트라디올 농도에 따른 신선주기와 동결-융해 배아이식 주기에서의 임신율과 착상율

김묘경,최수진,최혜원,방경희,김혜옥,양광문,궁미경,전종영,전진현,Kim, Myo-Kyung,Choi, Su-Jin,Choi, Hye-Won,Bang, Kyoung-Hee,Kim, Hye-Ok,Yang, Kwang-Moon,Koong, Mi-Kyoung,Jun, Jong-Young,Jun, Jin-Hyun 대한생식의학회 2007 Clinical and Experimental Reproductive Medicine Vol.34 No.3

목 적: 본 연구에서는 과배란 유도과정에서 나타나는 고농도의 에스트라디올이 임상 결과에 미치는 영향을 알아 보기 위해, 신선주기 배아이식과 동결-응해 배아이식의 임신율, 착상률과 분만율을 살펴보았다. 연구방법: 2003년부터 2005년까지 제일병원 아이소망센터를 내원한 불임 환자에서 신선주기 배아이식 1,565주기와 동결-융해 배아이식 670주기를 대상으로 조사하였다. 과배란 유도 시 hCG투여 당일 에스트라디올 농도에 따라 일차적으로 네 그룹으로 (A: 1,000$\sim$2,000 pg/ml, B: 2,000$\sim$3,000 pg/ml, C: 3,000$\sim$4,000 pg/ml, D: 4,000 pg/ml 이상) 구분하였으며, 이차적으로 환자의 나이에 따라 35세 미만인 군과 이상인 군에서 각각의 임신율, 착상률과 분만율을 통계적으로 분석하였다. 결 과: 전체적으로 신선주기 배아이식과 동결-융해 배아이식에서의 임신율, 착상률 및 분만율에는 유의한 차이가 없었다. 그리고 35세 미만인 환자들에서도 에스트라디올 농도에 따른 각 군에서의 신선주기와 동결-응해 배아이식의 임상결과에는 차이가 없었다. 그러나 35세 이상의 환자들에서는 에스트라디올 농도가 높은 Group-D에서 동결-융해 배아이식의 임신율이 신선주기 배아이식에서보다 유의하게 높게 나타났다 (51.3% vs 25.0%, p<0.05). 결 론: 결론적으로 나이가 많은 환자에서 과배란 유도에 의해 과도하게 높아진 고농도의 에스트라디올은 자궁내막의 착상 환경과 임상 결과에 좋지 않은 영향을 줄 수 있으므로, 이러한 경우 당 주기에 이식하는 신선주기 배아이식보다는 동결-융해 배아이식을 시도하는 것이 높은 임신율을 기대할 수 있는 방법으로 사료된다. Objective: This study evaluated the pregnancy and implantation rates in fresh IVF-ET cycles or frozen-thawed ET (F-ET) cycles based on serum estradiol concentrations of controlled ovarian hyperstimulation (COH). Methods: Clinical outcomes of 1,565 cycles of fresh IVF-ET with COH and 670 cycles of F-ET were retrospectively analyzed. Serum estradiol levels on the day of human chorionic gonadotropin (hCG) administration were categorized into Group-A (1,000$\sim$2,000 pg/ml), Group-B (2,000$\sim$3,000 pg/ml), Group-C (3,000$\sim$4,000 pg/ml) and Group-D (> 4,000 pg/ml). Clinical pregnancy (CPR), implantation (IR) and delivery rates (DR) were compared among four groups subdivided into younger (< 35 years) and older ($\geq$ 35 years) women. Statistical analysis was performed by Student's t-test and chi-square test. Results: Overall clinical outcomes with fresh IVF-ET and F-ET cycles were similar: 41.2% vs 44.8% of CPR, 18.8% vs 19.6% of JR, and 33.2% vs 34.5% of DR, respectively. There were no significant differences in the clinical outcomes of all four groups between fresh IVF-ET and F-ET cycles of younger women according to the estradiol levels. However, the clinical outcomes of F-ET cycles of older women in Group-D were significantly higher than those of fresh IVF-ET cycles (51.3% vs 25.0% of CPR*, 18.6% vs 9.9% of IR and 33.3% vs 19.4% of DR;* p<0.05). Conclusion: Our results demonstrated that supraphysiological levels of estradiol during COH in fresh IVF-ET cycles of older women ($\geq$ 35 years) may be detrimental to implantation environments of endometrium and clinical outcomes, which could be improved by F-ET cycles.

근이양증 가계에서의 PEP-PCR을 이용한 착상전 유전자진단

최수경,이은호,이호준,전진현,강인수,백은찬,류현미,전종영,Choi, Soo-Kyung,Lee, En-Ho,Lee, Ho-Joon,Jun, Jin-Hyun,Kang, Inn-Soo,Paik, Eun-Chan,Ryu, Hyun-Mee,Jun, Jong-Young 대한생식의학회 1996 Clinical and Experimental Reproductive Medicine Vol.23 No.1

General PCR technique alone has a limitation for preimplantation genetic diagnosis(PGD) using single blastomere. Recntly developed primer extension preamplification(PEP) technology amplifies the whole genome and thus, simultaneous multiple locus analysis became possible. In this study, we report the efficacy of PEP-PCR for PGD in three muscular dystrophy carriers undergoing IVF-ET. A total of 37 blastomeres were obtained from 40 embryos at six to eight cell stage in three IVF cycles in two DMD and one BMD carriers. Whole genome from single blastomeres were amplified using I5-base oligonucleotide random primers. PCR amplified products of exon 45 in the dystrophin gene and alphoid X/Y loci for gender determination were analysed by 2% metaphor gel electrophoresis. A total of 37 PEP-PCR replicates from 37 single blastomeres from 40 embryos and 37 blanks were performed. We obtained the reliable results for exon 45 and alphoid X/Y. Transfer of female embryos and unaffected male embryo was attempted in three couples. Unfortunately, pregnancy was not achieved in these cases. PEP-PCR is a reliable and efficient PGD method in multiple locus analysis using single blastomere.

체외수정 및 배아이식술에서 세포질내 정자주입술(ICSI)의 수정률과 임신율

전진현,이호준,김정욱,박용석,이유식,홍재엽,손일표,전종영,Jun, Jin-Hyun,Lee, Ho-Joon,Kim, Jeong-Wook,Park, Yong-Seog,Lee, Yu-Sik,Hong, Jae-Yup,Son, Il-Pyo,Jun, Jong-Young 대한생식의학회 1994 Clinical and Experimental Reproductive Medicine Vol.21 No.3

Intracytoplasmic sperm injection(ICSI) was known as effective method in treatments of couples who unable to be helped by conventional in vitro fertilization. In 78 treatment cycles of 78 infertile couples using ICSI performed at our infertility clinic between May and August 1994 were analyzed. These patients were classified two groups, andrological factor(AF) and non-andrological factor(non-AF) group. The AF group, which had abnormal sperm physiology, included oligozoospermia, asthenozoospermia, oligoasthenoteratozoospermia(OATS) and microsurgical epididymal sperm aspiration(MESA) patients. The non-AF group, which had abnormal oocyte physiology, included abnormal zona pellucida, poor quality of oocyte and immune factor infertile patients. A single spermatozoon was injected into the ooplasm of 776 metaphase II oocytes. The fertilization rate was 44.6%(346/776) and 319 embryos were transferred. After 73 embryo transfers(93.6% of treatment cycles) 23 pregnancies were estabilshed, i. e. pregnancy rate of 29.4% per started cycle and 31.5% per embryo transfer. Fertilization rate of AF and non-AF group was 46.2% and 35.8%, pregnancy rate was 34.5%(20/58) and 20.0%(3/15), respectively. In order to increase the pregnancy rate, assisted hatching(AHA) has done after lCSl in 47 treatment cycles. Pregnancy rate of ICSI with AHA and without AHA group was 34. 0% (16/47) and 26.9%(7/26), respectively. ICSI was more effective in andrological factor infertility and the pregnancy rate was increased by ICSI with AHA procedure.

동결수정란 이식주기에서 수정란 융해 후 생존율과 임신율에 영향을 미치는 요인

김정욱,변혜경,염혜원,전진현,박용석,송인옥,송지홍,최범채,궁미경,전종영,강인수,Kim, Jeong-Wook,Byun, Hye-Kyung,Youm, Hye-Won,Jun, Jin-Hyun,Park, Yong-Seog,Song, In-Ok,Song, Ji-Hong,Choi, Bum-Chae,Koong, Mi-Kyoung,Jun, Jong-Young,Kang, 대한생식의학회 2000 Clinical and Experimental Reproductive Medicine Vol.27 No.1

Objective: The purpose of this study was to determine the important factors affecting survival and pregnancy rate in frozen-thawed embryo transfer cycles. Methods: we performed retrospective analysis in 738 cycles of frozen-thawed embryo transfers, in relation to the insemination methods, the freezing stage of embryo, patient's age, infertility factors and the origin of injected sperm in ICSI cycles. After conventional IVF or ICSI, the supernumerary PN stage zygotes or multicellular embryos were cryopreserved by slow freezing protocol with 1,2-propanediol (PROH) as a cryoprotectant. Results: The survival rates of thawed embryos were 69.3% (1585/2287) in conventional IVF group and 71.7% (1645/2295) in ICSI group. After frozen-thawed embryo transfers, 27.0% (92/341) and 32.0% (109/341) of pregnancy rates were achieved in conventional IVF and ICSI group, respectively. There were no significant difference in the survival and pregnancy rates according to the insemination methods, the freezing stage and patient's age. However, the pregnancy rate (36.2%) of male factor infertility was significantly higher than the tubal (27.2%) and other female factor infertility (22.9%). In ICSI group, the origin of injected sperm did not affect the outcome of frozen-thawed embryo transfer cycles. Conclusion: The present study demonstrates that acceptable clinical outcomes can be achieved after the transfer of frozen-thawed embryos regardless of the stage of embryos for freezing, the patient's age and the origin of injected sperm.