Meigs` syndorme 1 예

김동진(DJ Kim),김관옥(KO Kim),김규관(KG Kim),박복림(BR Park) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.7

저자들은 본병원 산부인과에서 양수와 양수를 동반한 Meigs` syndorme 1예를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. A relatively uncommon syndrome which mimics the terminal phase of a metastasizing malignant tumor, far advanced cirrhosis, or cardiac failure, but is curable by surgical treatment was first described by Meigs. The syndroms is a triad of ovarian fibroma, ascites and pleural effusion But the mechanism of this syndrome is not clear. Authors present a case of Meigs` syndrome associated with ovarian firbroma with the brief review of literatures.

Female Precocious Pseudopuberty를 동반한 난소과립막세포종의 1 례

김관옥(KO Kim),박봉림(BL Park),김규관(KG Kim),박건남(KN Park),김동진(DJ Kim) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.6

Female Precocious Pseudopuberty를 동반한 난소과립막세포종 Functional ovarian tumors is the rare disease among ovarian tumors and is considered from granulosa cell origin. It was usually diagnosed after menopause, but was diagnosed infrequently before puberty. We had experiencd one case of functional ovarian tumors in 3 and 11/12 year-old female child, surgicla removal was performed and proved the juvenile granulosa cell tumor. Now, we present it with the brief review of literatures.

자궁내막간질육종의 1례

박영세(YS Park),김동진(DJ Kim),신순철(SC Shin),장윤석(YS Chang) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.1

A case of endometrial stromal sarcoma was described with its clinical and pathological findings. A brief review on the literatures was made in comment.

동일난관 쌍태임신의 1예

이건용(KY Lee),문신용(SY Moon),김동진(DJ Kim),강순범(SB Kang) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.9

The first report of a unilateral twin pregnancy occured in 1891 by De Ott, D. Since then there have been a total of 84 authenticated cases until 1962. We present another one case of unilateral tubal twin pregnancy which considered probably first report in Korea, with a brief review of the literatures.

자궁내막간질선근종증 1 례

박봉림(BL Park),김관옥(KO Kim),김규관(KG Kim),박건남(KN Park),장준홍(JH Jang),김동진(DJ Kim) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.9

저자들은 본병원 산부인과에서 30세의 경산부에서 자궁간질선근종증 1례를 체험하였기에 문헌고찰과 함께 보고하는 바이다. Endolymphatic stromal myosis of the uterus is a unusual mensenchymal tumor, originating in the endometrium. There has been considerable controversy as to nomenclature because of the uncertainty of the cell of origin and the behavior of the tumor. Here a case of a 30-year old woman with a endolymphatic stromal myosis is presented with a review of literatures.

벽질내임신과 난소임신이 동반된 1례

정광채(KC Chung),이기영(KY Lee),김동진(DJ Kim),남주현(CH Nam),고경용(KY Koh) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.13

필자등은 38세된 경산부에서 벽질내임신과 난소임신이 병존하고, 자궁경부 상피내암이 동반된 1예를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. Intramural and ovarian pregnancies are rare types of ectopic pregnancy. We experienced a case of concurrent intramural and left ovarian pregnancy in 38 year-old-multiparous woman who had carcinoma in situ of cervix, and this case was presented with a brief review of literatures.

요로계를 침범한 난소피양낭종 2 례

신용덕(YD Shin),서재식(JS Suh),윤루비(RB Yoon),남주현(CH Nam),김동진(DJ Kim),고경룡(KY Koh) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.5

요로계 , 난소피양낭종 Dermoid cyst of the ovary extended into the urinary system is a rare condition. We have experienced two cases of Dermoid cyst extended into urinary system. One case of that invaded into urinary bladder wall and grew intravesically by the formation of cysto-vesical fistula. The other case of that adhered and penetreated into ureter, and so subsequent impairment of renal function was resulted by cysto-ureteral fistula formation. Both patients were suffered from bladder irritation symptoms concomittantly. Here these two cases of Dermoid cyst extended into the urinary system have been presented with some literatures.

자궁외임신의 진단에 있어서 요임신반응검사의 기여도와 혈청내 B-hCG의 진단적 가치

박건남(KN Park),진정자(JJ Jin),장은주(EJ Jang),김동진(DJ Kim) 대한산부인과학회 1989 Obstetrics & Gynecology Science Vol.32 No.6

1987년 3월1일부터 1987년 12월 31일까지 10개월간에 걸쳐 본 지방공사 강남병원 산부인과 에 입원치료하엿던 자궁외임신환자 40예에 대하여 혈중 B-hCG 검사하였던 바 다음과 같은 결론은 얻었다. 1. 자궁외임신 환자의 B-hCG 치는 36.2mIU/ml에서 41000mIU/ml까지였으며 이는 임신과 무 관한 대조군의 범위인 5mIU/ml이하와는 전혀 중첩되는 일이 없었으나 계류 및 불완전 절박 유산 환자와는 모두 중첩되었다. 2. 정상임신시 보이는 B-hCG 치와의 중첩은 4예이었고, 2예에서는 그보다 높게 나타났으며 34예에서는 정상임신보다 낮게 나타났다. 3. 난관 파열의 유무에 따른 B-hCG 치는 파열된 예가 파열안된 예에 비해 다소 낮게 나타 났으며 큰 차이는 없었다. 4. 요임신반응검사가 자궁외임신에 도움을 준 예는 60.5%에 해당되고 요임신반응검사가 양 성인 에가 음성인 예에 비해 혈중 B-hCG 치가 현저히 높게 나타났다. 이상의 연구결과로 보아서 첫째, 요임신반응검사의 자궁외임신 진단에 대한 기여도는 약 60%정도의 도움을 얻 을수 있었으며, 둘째로, 방사면역측정방법에 의한 B-hCG 의 측정은 임상적으로 자궁외임신 의 오진율을 훨씬 감소시킬수 있으며, 자궁외임신의 조기진단도 가능하리라 사료되나, 조기 유산 환자와의 감별은 B-hCG 측정외에 기타 진찰소견이 수반되어야 할 것으로 사료된다. From March 1, 1987. to December 31 1987. Fourty patients with ectopic pregnancy, which were diagnosed by biopsy of surgical specimen, were studied for serum B-hCG levels to evaluated the B-hCG values for aid of early diagnosis of ectoic pregnancy. Thr result were as follows; 1. the range of B-hCG levels of ectopic pregnancy was 36.2mIU/ml to 41000mIU/ml. This range was not overlapped with non-pregnant control group (below 5mIU/ml) but overlapped with all patients with missed incomplete and threatended abortion. 2. This range was below the low normal range of normal pregnancy except 6 cases, 4 cases among the 6 cases were overlapped with B-hCG range of normal pregnancy, and another 2 cases were higher than that range. 3. Mean and standard deviation of B-hCG values in 25 ruptured cases were 6384.8 mIU/ml and 9088.74 mIU/ml but those in 12 unruptured cases were 7154.06 mIU/ml and 12075.35 mIU/ml the ruptured cases showed slighly lowered B-hCG level than that of unruptured cases. 4 the efficacy of the urinary pregnancy test for diagnosis of ectopic pregnancy was 60.5% and the serum B-hCG levels of positive urinjary pregnancy test group were distinctively higher than that of negateive urinary pregnancy test group . In the above study, the serum B-hCG determination using RIA was useful method for early diagnosis of ectopic pregnancy, but other more diagnostic procedure except serum B-hCG titers were required for differential with early abortive patients

제왕절개술에 대한 임상적 고찰

윤루비(RB Yoon),서재식(JS Suh),신용덕(YD Shin),남재현(JH Nam),김동진(DJ Kim),고경용(KY Koh) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.12

In recent years the use of cesarean section has increased remarkably because of the emphasis that is directed toward recognition of impairment of fetal wellbeing We studied on 1, 045 patients who had cesarean section among 3973 delicaries at kang Nam Hospital during four years period from Jan 1st 1980 to Dec 31st 1983 The result analsyed were as follow: 1) Overall incidence of cesarean section was 26.3% of the total delicaries 3973 patients 2) Of all these 1045 sections the primary section accounted for 53,8% of the sections and the repeat sections were 46.2% 3) By age 44.5% of cause were between 25-29 years of age 4) The most frequent indication of the cesarean section was prvious cesaarean section(46.2%) Next indications were C.P.D. (21.4%) and breech presentation (9.4%) 5) The most frequent indication of primary section in multipara was malpresentation (33.3%) The others were antepartum hemorrhage such as placenta previa and placenta abruptio (28.4%) and C.P.D. (16.04%) 6) In the distriution of body weight of infants the group of 3,000-3,499gm was the most common(40.6%) 7) In performing the cesarean section lower segmental transverse incision was most commen (96.9%) classical section was only 8 cases (0.8%) and casarean hysterectomy was perfomed in 4 cases 8) Incidental operation: Tubal ligation for sterilization was most common(95.95%) The others were appendectomy (34.9%) and adnexal operation(3.4%) 9)Of the postoperative complication the wound infection was the most common (31.5%) The others were urinary tract infection (26.7%) endometritis(17.1%) ect 10) The perinatal mortality was 2.4%

산전진찰시 내진이 조기파막에 미치는 영향

서재식(JS Suh),윤루비(RB Yoon),신용덕(YD Shin),고경용(KY Koh),김동진(DJ Kim),남재현(JH Nam) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.11

Premature rupture of the membrances (PROM) is one of the most complicatons of pregnancy and a cause of perinatal mortality and morbidity as well as a cauese of maternal morbidity A total of 339 deliceries at the Department of Obstetrics and Gynecology in Kang Nam General Hosptial from Aug 1983 to Jan 1984 were studied They wee deviede into two groups; One was a group 1 who received pelvic examination weekly from 37 weeks` gestation to delivery the other was a group 2 who didn`t receive pelvic examination The result of clinical analysis of two group are as follows: 1) The incidence of PROM in total dilivery was 15% 2) The highest incidence of PROM was in the nulliparous women and the age group of third decade 3) The incidence of PROM in Group 1 who were examined weekly was 19.6% which was asignificant increase compared to the incidence of Group 2, 7.7% 4) The Primary Cesarean section rate of Group 1 was 17.1% and that of Group 2 was 10.0% 5) The overall cesarean section rate of the PROM group(15.6%) was found to be more than twice that of remaining intact membrane group(6.9%) 6) This study suggests that pelvic examinations before term may be a significant contributing factor to the occerrence of PROM Therefore it would seem prudent to recommend that no pelvic examinations be done routinely in the in the third trimester unless a vaild medical indication exists to examine the cervix,