분만경과에 대한 X선골반계측의 임상적 가치에 관하여

이현섭(HS Lee),김명주(MJ Kim),김경준(KJ Kim),강병석(BS Kang),정욱(W Jeong),황상의(SU Hwang) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6

One hundred sixteen cases by X-ray pelvimetry of cephalic presentations, Colcher- Sussman method, were retrospectively analyzed. Comparison was made on results of X-ray pelvimetry and body weight of newborn infant on each groups which were composed of normal labor course with vaginal delivery group (N=35), and abnormal labor course with vaginal delivery group (N=35), cesarean section after first stage of labor group (N=32), and cesarean section without labor group (N= 24), differences of means were analyzed for ratio of inlet and midpelvis (Mengert indices) versus body weight among each groups. The analysis revealed significant difference between normal labor course with vaginal delivery group and cesarean section groups, but there was no difference among the groups except for normal labor course with vaginal delivery group. Also we noticed that the position of sacrum against pelvic bone do not predictive tool for delivery outcome, and the most important parameter of pelvic dimensions is interspinous diameter. The data from this study suggest that there is no significant role for X-ray pelvimetry in diagnosis and management of cephalopelvic disproportion in dysfunctional labor.

침윤성자궁경부암에 대한 임상적 고찰

최훈,이홍균,김복린,김명주,유태환,김용범,김종국,서정식,양창현 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.11

The carcinoma of the uterine cervix is the most prevalent life-threatening cancer among female genital tract cancers. However, it can be cured by early diagnosis and treatment. So, the purpose of this study was to improve the prognosis of this disease by early detection, diagnosis, and treatment through analyzing the clinical profiles. From September 1989 to December 1994, 159 cases of the carcinoma of the uterine cervix diagnosed and treated at department of obstetrics and gynecology, Sanggye hospital were evaluated through medical records. The results were as follows: 1) the common chief complaint were abnormal Pap smear without symptome(40.3%), vaginal spotting(40.9%), and contact bleeding(11.9%). 2) The distribution of clinical stage by FIGO classification were stage I a1(32.6%), stage I a2 (6.3%), stage I b(28.9%), stage II a(16.3%), stage II b(11.4%), stage III(3.8%), and stage IV(1.2%). 3) The most common histologic type was squamous cell carcinoma(94.3%). 4) The types of treatment were operation alone(65.5%), operation and radiotherapy(12.6%), radiotherapy(13.9%), neoadjuvant chemotherapy and operation(3.2%), radiotherapy and chemotherapy(3.7%), and conservative treatment(1.2%). 5) Median follow up time was 48.3 months and median disease free survival interval were I a(48.3 months), I b(44.4 months), II a(41.5 months), II b(33.3 months), III(21.2 months), and IV(14.1 months). With these results, we concluded that the cervical intraepithelial neoplasam and early carcinoma of uterine cervix are expected to be cured completely and even the advanced carcinoma of uterine cervix can be treated with better prognosis by early detection, diagnosis, and treatment through periodical Pap smear and systematic examination.

Treacher Collins 증후군 1 례

김복린,김명주,박경미,김종국,신원춘 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.5

본 저자 등은 Treacher Collins 증후군 1례를 경험하였기에, 간단한 문헌고찰과 함께 보고하는 바이다. Treacher Collins syndrome is rare, genetically transmitted congenital malfomation syndrome which has an incidence of 1/50,000 live births and involving primarily the facial bones. It is inherited as an autosomal dominant trait with variable expressivity. The chief features of this syndrome including the following: hypoplasia of the facial bones especially the malar bones and mandible, antimongoloid slant of the palpebral fissures, coloboma of outer third of lower eyelid, malformation of the auricles with external ear canal defects and frequent conductive deafness, cleft palate. We experienced a case of Treacher Collins syndrome in a male infant with the chief complaints of hypoplastic mandible, antimongoloid palpebral fissure and ear malformation. We report the case with a brief review of literature.

악성 상피성 난소종양의 임상병리학적 고찰

최훈,이홍균,김복린,김명주,유태환,김용범,서정식,민준식 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10

The ovarian cancer is the second most common cancer of the female reproductive system. The epithelial ovarian cancer is the most common histopathologic type of malignant ovarian cancers. Despite the advances in the treatment of ovarian cancer made in rece t years, the 5-year survival rate continues to be low because many cases are still diagnosed at advanced stages. When ovarian cancers are detected and treated at early stage, the prognosis is more favorable. A retrospective study was performed in 35 cases of epithelial ovarian cancer at the Department of Obstetrics and Gynecology of Inje University Sangge Paik Hospital from Aug.1989 to Dec. 1995. We analysed age, clinical stage, histopathologic type, surgical procedure, and chemotherapy. The mean age was 49 years. The interval from onset of symptoms to diagnosis was 6 months or less in 74% of cases. The most common symptom was abdominal pain(40%). The largest diameter of epithelial ovarian cancer was 16-20 cm in 15 cases(43%). Of the 14 patients with stages I disease, 7 had stage II, 12 had stage III and 2 had stage IV. According to the histopathological classification of World Health Organization(WHO), serous cystadenocarcinoma was found in 14 cases, mucious cystadenocarcinoma in 13 cases, endometrioid carcinoma in 5 cases, malignant Brenner tumor in 1 case, clear cell carcinoma in 1 case, and undifferentiated carcinoma in 1 case. All patients underwent surgical staging and appropriate debulking surgery. 6 patient have died of ovarian malignancy and all of them are initially diagnosed as advanced ovarian cancer. From the above results, we concluded that early diagnosis and treatment were very important in the management of epithelial ovarian cancer.

진통중인 초임부에서 응급제왕절개술의 위험요인에 관한 연구

최훈,이홍균,김복린,김명주,유태환,양창현,민준식 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10

A major component of the increasing incidence of cesarean sections is the rise in the incidence of emergency cesarean section in primiparous women. The aim of this study was to identify risk factors associated with emergency cesarean section in primiparous women. The 247 cases of memergency cesarean section in the primiparous women during labor were reviewed from the clinical files of the department of obstetrics and gynecology in Sanggye Paik Hospital, InJe University from Jan.1 1993 to Dec.30 1995, and were compared with randomly chosen 200 cases of spontaneous vaginal delivery in primiparous women during the same period. The result were as folows; the incidence rate of emergency cesarean section during peirod of 1993 through 1995 was 4.2% and 86.3% of these women were primiparous. The emergency cesarean section rate was significantly increased in age groups between 30 years old to 34 years old. The emergency cesarean section rate was significantly increased in groups with maternal height below 160 cm. In emergency cesarean section group, the neonates with weight above 3.5kg were significantly increased. We concluded that older maternal age, shorter maternal height and heavier birth weight were the risk factors associated with emergency cesarean section in primiparous women.