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RISS 인기검색어
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- 저자 : 갈철우(Cheol Woo Gal) (검색결과 2 건)
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김상용(Sang Yong Kim),박경원(Kyung Weon Park),갈철우(Cheol Woo Gal),최숙희(Sook Hee Choi),김현주(Hyun Ju Kim),백영철(Young Chul Beak),오대식(Dae Sik Oh),성훈(Hoon Seong) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.9
N/A Objective:We report six patients with tuboovarian abscess(TOA) drained through sonographically guided transrectal route, in whom percutaneous or transvaginal approach was not accessible due to the risk of pelvic organ. Method : This procedure was performed under the guidance of transrectal ultrasound. Six patients with aged 25-42years (mean31.6years), who had appendectomy(1), C/S(2), hyterectomy(1) and no operaion Hx(2). Size of abscess cavity was variable from three to eight centimeter. Catheter was removed when drainage amount was reduced less than 10cc and the patient becomes afebrile. Result : Drainage was successfully done in all patients without any complication to the procedure. Fecal contamination was not occurred after transrectal drainage due to abdominal pressure and gravity ought to empty the abscess cavity. There was no problem in defecation due to the catheter and in its expulsion by defecation. Catheter was removed after 3-8days (mean 6days) without recurrent abscess . Conclusion : Transrectal drainage of abscess performed with ultrasound guidance is a safe, feasible procedure, which is well tolerated by patient and relatively easy procedure
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경질 초음파유도하의 경질 배액술을 이용한 난관 난소 농양의 치료
유인영(In Young Yoo),김상용(Sang Yong Kim),박성근(Seong Kun Park),갈철우(Cheol Woo Gal),박경원(Kyung Weon Park),이정형(Jeong Hyung Lee),김문종(Moon Jong Kim),성훈(Hoon Seong) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
난소 난관 농양은 항생제만으로도 치료가 효과적일 수 있지만, 배농한 후에 항생제 병용치료할 때 더욱 치료 성적이 좋다. 배농의 방법은 여러 가지가 있으며, 여기에서는 본원에서 시행된 초음파 유도하에 이루어진 경질 배액술 5 예를 보고하고 임상적 의의를 살펴 보고자 한다. 1998년 1월부터 1999년 9월까지 난관 난소농양으로 진단 받고 초음파 유도하에 경질 배액술을 시행받은 환자의 입원기간, 합병증 발생유무, 시술후 합병증 등을 분석하였다. 시술한 환자들의 평균 연령은 32.4 세 였으며, 농양의 크기는 5-10 cm으로 다양하였고, 평균배농기간은 6.4 일 이었으며 시술중 합병증은 없었고, 시술후 3 개월간 초음파 추적결과 재발 및 수술이 필요한 경우는 없었다. 경질배액술을 이용한 난관 난소농양의 치료는 효과적이고도 안전하며, 농양이 질과 인접한 경우에는 더욱 손쉽게 시행할 수 있다. Often, women with Tuboovarian abscess (TOA) will reponse to antimicrobial therapy alone, additionally after drainage of abscess, antimicrobial therapy is more effective. Method of drainage is several, author present 5 cases that Tuboovarian abscess by transvaginal sonographically guided drainage in our hospital. From January 1998 to september 1999, transvaginal sonographic guidance proceduers for Tuboovarian abscess were successfully performed on 5 cases in a fluoroscopy room Equipments for the technique included a 18 gauge Chiba needle, plastic introducer tube, guide-wire and 18F multipurpose locking catheter. No major complication or recurrence were experienced. After initial catheter placement, patients became afebrile within 6 days ( average 3.4 days ). Catheters were removed within 10 days ( average 6 days ) after insertion. Five patients recovered without surgery and required no further treatment. Treatment of Tuboovarian abscess used by transvaginal sonographically guided drainage is effective and safe, in cases of close to vagina.
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