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다양한 크기의 자궁근종 110예에 대한 복강경하 자궁근종절제술의 임상적 효용성에 대한 고찰
정언석 ( Un Suk Jung ),위혜정 ( He Jong Wie ),윤효진 ( Hyo Jin Yoon ),경민선 ( Min Sun Kyung ),이교원 ( Kyo Won Lee ),한종설 ( Jong Sul Han ),최중섭 ( Joong Sub Choi ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.6
목적: 복강경하 자궁근종절제술 (LM)의 유용성과 임상적 효율성에 대해 보고하고자 한다. 연구방법: 2003년 7월부터 2006년 7월까지 강북삼성병원 산부인과에서 한 명의 집도의에 의해 시행된 110예의 복강경하 자궁근종절제술에 대해 후향적인 연구를 진행하였다. 임상기록, 수술기록, 마취기록을 검토하여 환자의 연령, 출산력, 수술 기왕력, 수술적응증, 근종 크기, 수술 시간, 제거된 근종 개수, 입원 기간, 수술 전과 수술 후 1일째의 혈색소 변화, 재원기간, 동반질환, 동반수술, 수술 중, 수술 후 합병증 등을 분석하였다. 결과: 대상 환자 총 110명의 평균 연령은 35.7±5.8세이고, 평균 출산력은 0.8±0.9이었으며, 26명 (23%)에서 기왕 복강내 수술력이 있었다. 수술 적응증 대부분은 하복부 불편감을 포함한 복부 종괴 촉진, 골반통, 질출혈이 대부분이었으며, 그 외에 빈뇨, 불임이 있었다. 평균 수술 소요시간은 82.9±30.8분이었고, 주요 자궁근종의 평균 크기는 7.1±2.3 cm이었으며, 절제된 자궁근종 중 가장 무거운 것은 795 gm이었다. 수술 전, 후의 혈색소치의 평균 변화값은 2.2±1.1 g/dL이었고, 재원일수는 평균 3.5±1.4일이었다. 수술 후 수혈은 11명에서 시행하였고, 1명에서 피하기종, 2명에서 장폐쇄증이 발생하여 보존적 치료 후 회복되었으며, 개복술 전환율은 0.9% (1예)이었다. 결론: 체계적인 수술진, 숙련된 복강경 시술자 그리고 발전된 수술기법을 통해 다양한 크기의 자궁근종의 복강경하 자궁 근종절제술을 성공적이고 효율적으로 시행할 수 있으며, 개복술로의 전환을 줄일 수 있다. Objective: To assess the feasibility and clinical efficacy of laparoscopic myomectomy (LM). Methods: We analyzed retrospectively the data for 110 LM preformed at Kangbuk Samsung Hospital between July 2003 and July 2006. We reviewed their clinical charts and the operative and anesthetic records, and analyzed data on the patients` age, parity, previous operative history, preoperative indication, the diameter of the largest myoma, operating time, number of the removed myoma, hospital stay, change of the hemoglobin concentration from preoperative to postoperative day 1, concomitant procedures, histopathological reports, and complications. Results: The mean age of the patients was 35.7±5.8 years, the mean parity was 0.8±0.9, and 26 (23%) patients had a previous operative history. The most common operative indication was a palpable abdominal mass (46 patients, 41.9%), followed by chronic pelvic pain (32 patients, 29.0%), abnormal uterine bleeding (24 patients, 21.8%), urinary frequency (7 patients, 6.4%), and infertility (1 patient, 0.9%). The mean operating time was 82.9±30.8 minutes, and the mean diameter of the largest myoma was 7.1±2.3 cm. The heaviest of the removed myoma weighed 795 gm. The mean change of the hemoglobin concentration was 2.2±1.1 g/dL, and the mean hospital stay was 3.5±1.4 days. Postoperatively, transfusions were done 10% (11 cases) of patients, and 2 cases of paralytic ileus and a case of subcutaneous emphysema were noted. Conversion rate to laparotomy was 0.9% (1 case). Conclusion: LM for various sized myomas can be performed successfully and effectively by decreasing laparoconversion, if the surgical team and the laparoscopic surgeon are experienced and enhanced equipment is available.
Phantom를 이용한 Precision의 측정과 서로 다른 DEXA System의 BMD 교차보정의 유용성
이승진,최유진,이평재,권영호,정은선,서길원,황승연,Lee seung un,Choi yu jin,Lee pyeong jae,Kwon young he,Jung sun sun,Seo kil won,Whang seung yeon 대한방사선사협회 2004 대한방사선사협회지 Vol.30 No.1
To know the Difference of BMD value actually measured by the Hologic equipment and the Lunar equipment that is the latest machine due to the acknowledgement for the difference of value when the follow-up test was performed by other different equipment aft
( Hye Won Lee ),( Moon Jae Chung ),( Huap Yong Kang ),( He Un Choi ),( Youn Jeong Choi ),( Kyung Joo Lee ),( Seung Woo Lee ),( Seung Hyuk Han ),( Jin Seok Kim ),( Si Young Song ) The Editorial Office of Gut and Liver 2014 Gut and Liver Vol.8 No.1
Hemolytic uremic syndrome (HUS) is a rare thrombotic complication characterized by a triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. HUS may be caused by several different conditions, including infection, malignancy, and chemotherapeutic agents, such as mitomycin, cisplatin, and most recently, gemcitabine. The outcome of gemcitabine-induced HUS is poor, and the disease has a high mortality rate. This study reports a case of gemcitabine-induced HUS in a patient with pancreatic cancer in Korea. (Gut Liver 2014,8:109-112)
찰가자미 자어에 있어서 먹이생물의 영양강화을 위한 해양세균 ( Erythrobacter sp. Sπ-1 ) 의 이용
강석중(Seok Joong Kang),임영수(Yong Su Lim),박상언(Sang Un Park),이원재(Won Jae Lee),최병대(Byeong Dae Choi),박흠기(Huem Gi Park),박유수(You Soo Park),오혜영(He Young Oh) 한국수산과학회 1999 한국수산과학회지 Vol.32 No.6
This study was performed to compare the effect of enrichement of rotifer and Artemia fed marine bacteria (Erymrnbatoer sp. Sπ-1) with those fed the different diets (Super Selco, ω-yeast and marine Chlorella) on the slime flounder larvae, Microstomus achne. Because the ratio of docosahexaenoic acid (DHA) to fatty acids in rotifer (dry weight %) fed on Super Selco and ESP-SR including Erythrobatcer sp. Sπ-1 was higher than that in rotifer fed marine Chlorella, the growth of the slime larvae fed the former showed better than the latter. And the ratio of DHA and highly unsaturated fatty acid (n-3 HUFA) to fatty acids in Artemia (dry weight %) enriched by ESP-A including Erythrobatcer sp. Sπ-1 were also higher than those in Artemia enriched by others or Artemia without enrichment. Larvae fed on Artemia enriched by ESP-A showed better growth and survival rate than those fed on Artemia enriched by others or Artemia without enrichment. With regard to dietary value of Erythrobatcer sp. Sπ-1, its use could improve the quality of the live foods for the slime flounder larvae.