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      • 峨山財團附屬保寧病院 來院患者의 女性生殖器系統에 對한 臨床 및 病理學的 硏究

        崔漢鐘,鄭首成,李泰淑 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.1

        For studies on the clinical and pathological aspects of the female genital tract disease, 469 cases of exfoliative cytology, biopsy and laparatomy were collected from February 1st, 1979 to October 30th, 1980, at the Department of Obstetrics and Gynecology, Boryung Hospital, Asan Foundation, and examined cytologically and histopathologically at the Department of pathology, Chungnam National University School of Medicine. The results were as follows: 1. In the total 190 cases of exfoliative cytology the positive for malignancy were only 1 case (0.5%). The highest age incidence of the patient was at 30th age group, and was 89 cases (46.8%). The most frequent clinical diagnosis was cervicitis, and was 105 cases (55.3%). The highiest incidence of residence of the patients was Boryung Gun, and was 81 cases (42.6%). 2. In the total 77 cases of non-hospitalized biopsy or uterine curettage the highest age incidence was at 40th age group, and showed 31 cases (40.2%). The most frequent chief cmplaint was the genital bleeding and menstrual abnormalities, and revealed 33 cases(42.8%). The most frequent operative procedure was the punch biopsy, and was 49 cases (63.6%). The highest incidence of the clinical diagnosis was cervicitis, and was 29 cases (37.6%). The most frequent histopathological finding was cervicitis, and were 31 cases (40.2%). The highiest incidence of the residence of the patients was Boryung Gun, and was 38 cases (49.4%). 3. In the total 202 cases of hospitalized patients the highiest age incidence was at 40th age group, and was 78 cases (38.6%). The highiest incidence of hospitalized duration was 11-15 days, and showed 128 cases (63.4%). The most frequent chief complaint was the lower abdominal pain and discomfort, and revealed 103 cases(51.0%). The most frequent clinical diagnosis was pelvic inflammatory disease(P.I.D.), and was 49 cases (24.3%). The most frequent operative procedure was the adnexectomy only, and was 70 cases (34.6%). The most frequent pathological findings of the cervix, uterine body and adnexae were cervicitis, and was 85 cases (82.5%), adenomyosis, 45 cases (37.2%), and ectopic pregnancy, 24 cases (34.3%), respectively. The highiest incidence of the residence of the patients was Boryung Gun, and was 118 cases (58.4%).

      • 忠南地方에 있어서 女性生殖器系統의 癌腫發生에 對한 硏究(Ⅰ)

        崔漢鐘,李泰淑 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.2

        For studies on cancer incidence of the female genital tract in the Chungnam area, the operation and biopsy specimens collected at the Department of Pathology, Chungnam National University School of Medicine from January, 1973, to December, 1976, were analyzed and the results were as follows: 1. Total malignant tumors collected for 4 years were 175 cases. The highest incidence of cancer was in the uterine cervix, and was 121 cases (69.1%), the next, the uterus and endometrium, 27 cases(15.4%), and the ovaries, 20 cases (11.4%), and the vagina, 5 cases (2.9%), respectively. 2. The incidence of each year showed 36 cases in 1973, 37 cases in 1974, 49 cases in 1975, and 53 cases in 1976. The increasing rate showed 2.8%, 36.1%, and 47.2% in progressing year, and increasing rate compared to previous year showed 2.8%, 32.1%, and 8.2%, respectively. 3. The highest age incidence of ovarian malignancies was at 30th age group, that of the uterus and the endometrium was from 40th to 60th age groups, and that of the uterine cervix was at 40th age group.

      • 低體溫犬의 循環血液量에 關한 硏究

        崔漢鐘 慶北大學校 醫科大學 1967 慶北醫大誌 Vol.8 No.2

        Sixty-five dogs were cooled to 24-26℃ of esophageal temperature by body surface cooling technics with ice water and rewarmed with hot water (46-48℃). Dogs were divided into three groups: Group 1 (30 dogs), in which simple cooling and rewarming were carried out, group 2 (20 dogs), in which total circulatory occlusion was added and group 3 (15 dogs), in which splenectomy was performed prior to cooling. Hematocrit, red cell volume, plasma volume and circulating blood volume were measured. Plasma volume was measured by using RISA. Also arterial blood pressure, venous pressure, and cardiac output by Fick principle were determined. Results were as follows: 1. Hematocrit was not altered during cooling but increased during rewarming in group 1. It was increased in the period of cooling and rewarming in group 2, however in group 3, it was decreased after splenectomy, cooling and rewarming. 2. Red cell volume was not changed significantly in group 1, while it was decreased during rewarming in group 2. In group 3, it decreased after splenectomy, cooling and rewarming. 3. Plasma volume was decreased mean value of 13.3% at 25℃ of body temperature and 10.4% during rewarming in group 1. It was markedly decreased after circulatory release and during rewarming (33.6%) in group 2. In group 3, decrease of plasma volume was less pronounced than group 2. 4. Circulating blood volume was decreased mean value of 9.8% in group 1, but decrease of 11.6% and 30.4% were noted during cooling and rewarming respectively in group 2. In group 3, it decreased up to 32.4% in the cooling period. 5. In all groups, decrease of arterial blood pressure and cardiac output was greater than that of circulating blood volume. No significant changes in venous pressure were found.

      • 난소 임신 -1례 보고 및 문헌 고찰-

        김의한,최한종 순천향대학교 1983 논문집 Vol.6 No.1

        Primary ovarian pregnancy is rare in occurrence and the cause is not still completely dissolved. It occurs at relatively young aged women and more frequently at the nulipregnant than at the multipregnant. Of late, we had a case of primary ovarian pregnancy, so we herein reported and the literatures are reviewed attending to the pathological diagnostic criteria, causes, occurrence and the clinical symptoms.

      • 忠南地方에 있어서 子宮切除例의 臨床的 및 病理組織學的 硏究(Ⅱ)

        崔漢鐘,李泰淑 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.1

        For studies on the clinical and pathological aspects of hysterectomized specimens in the Chungnam area, total 286 hysterectomized cases, performed at the general hospital, were collected at the Department of Pathology, Chungnam National University School of Medicine, from 1973 to 1980 The results were as follows: 1. The highest age incidence was at 40th age group, and was 47.9%(137 cases), and next was at 30th, 28.3% (81 cases), and at 50th, 16.1% (46 cases), respectively. 2. In the type and procedure of the operation of total 286 cases the highest incidence was total hysterectomy with adnexectomy, and was 57.7% (165cases), and the next was total hysterectomy with adnexectomy and appendectomy, and was 26.6% (76 cases). 3. The most frequent chief complaint was genital bleeding and abnormal menstruation, and was 40.2%(115 cases), und the next was abdominal mass, 24.8% (71 cases), and tumor, 10.8% (31 cases) and pain or discomfort, 0.5% (30 cases), respectively. 4. The most frequent clinical diagnosis was tumor, and was 64.8% (185 cases), and the next was inflammatory diseases, 14.7% (42 cases), and complications of conception, 10.8% (31 cases), respectively. 5. The most frequent pathological lesion in the uterine cervix was simple inflammation, and was 72.1% (199 cases), and the neoplasm was invasive squamous cell carcinoma, 9.4% (26 cases). The most frequent lesion in the uterus was adenomyosis, and was 34.3%(98 cases), and the neoplasm was leiomyoma, 22.7% (65 cases). The most frequent lesion in the salpinx and ovary was simple salpingitis, and was 48.5% (117 cases), and the most frequent tumor was cystadenoma, 5.0% (12 cases).

      • 忠南地方에 있어서 子宮切除例의 臨床的 및 病理組織學的 硏究(Ⅰ)

        崔漢鍾,李泰淑 충남대학교 의과대학 지역사회의학연구소 1979 충남의대잡지 Vol.6 No.2

        For studies on clinical and histopathologic aspects of hysterectomized patients in the Chungnam area, 228 hysterectomized specimen, performed at private clinics, were collected at the Department of Pathology, Chungnam National University School of Medicine, from 1973 to 1979. The results were as follows: 1. In the type and procedure of operation of total 228 cases the highest incidence was total hysterectomy with salpingectomy and oopoorectomy, and was 71.9%(164 cases), and next was total hysterectomy, and was 19.3% (44 cases). 2. The highest age incidence was at 40th age groups, and was 52.6%/(120 cases) and next was at 30th, 25.4%(58 cases) and at 50th, 16.2%(37 cases), respectively. 3. The most frequent clinical chief complaint was genital bleeding, and was 40.4% (92 cases), and next was abdominal mass, 22.4% (51 cases), and pain or discomfort, 19.3% (44 cases), and leukorrhea, 11.4% (26 cases), respectively. 4. The most frequent pathologic lesion in the uterine cervix was nonspecific cervicitis, and was 73.0% (157 cases), and the next, nahothian cyst, 32.6% (70 cases), and squamous metaplasia, 30.7% (66 cases), respectively. The most frequent tumor in the cervix was squamous cell carcinoma, and was 14 cases (6.5%), and the next, benign tumor, 7 cases (3.3%), carcinoma in situ, 5 cases(2.3%), respectively. The most frequent lesion in the uterus was uterine adenomyosis, and was accounted 55.6% (104 cases), and the next, leiomyoma, 26.3% (60 cases), and endometrial hyperplasia, 23.2% (53 cases), respectively. The most frequent lesion in the salpinx and ovary was corpus luteum cyst, and was 35.1%(60 cases), and the next, follicular cyst, 21.1% (36 cases) and salpingitis isthmica nodosa, 20.5% (35 cases), respectively. The frequent tumor in the ovary was cystadenoma and fibroma, and was 6 cases (3.5%) in each, and the next, metastatic carcinoma, 3 cases (1.8%), and teratoma, 2 cases (1.2%), respectively.

      • KCI등재

        만성골반통에 대한 척추강내 Phenol 주입요법

        최한종(SY Lee),한백래(BN Hahn),김인현(IH Kim),서철성(CS Suh),한병두(BD Han) 대한산부인과학회 1964 Obstetrics & Gynecology Science Vol.7 No.2

        골반통과 하지통을 호소하는 자궁암환자 9예와 정형외과 환자 1예에 대하여서 척추강내 phenol-pantopaque 주입법을(마취) 실시하여 다음과 같은 결론을 얻었다. 1. 치료결과 우수 3예(30%), 양호 4예(40%), 불량 3예(30%)였다. 2. 조영제 pantopaque를 이용함으로서 X-선 투시하에 목적부위에 정확하게 phenol을 작용시킬 수 있었다. 3. 사용하는 phenol의 양을 가감함으로서 효과의 정도범위를 조절할 수 있다. 4. 본법은 만성통, 소생희망이 희박한 환자의 동통의 대증요법으로서 이용가치가 있는 방법이다. To relieve the chronic severe pelvic pain 225-450 mg, of phenol in iophendylate (Pantopaque... 3 cc) was injected intrathecally to 10 patients (9 cases of carcinoma of cervix and one case of pelvi-fracture). Of the 10 cases, 3 cases had complete relief of pain, 4 cases had a fair result after injection. It was concluded that this procedure was quite simple and worthwhile to try on patient suffering from severe pelvic pain.

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