Meigs Syndrome 1 례

노흥태,윤지열,심재균,손영선 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.5

저자들은 본 병원 산부인과에서 흉수와 복수를 동반한 난소섬유종을 제거함으로써 수술후 제9일째의 흉부X-선상 흉수가 완전소실된 Meigs syndrome 1례를 경험하였기에 보고하는 바이다. A case of Meigs syndrome is reported with the brief review of literature. This case, 67-year old multipara, was referred to our hospital due to distended abdomen and palpable mass in lower abdomen. The right hydrothorax was viewed by her chest film. After removal of the tumor, ascites and hydrothorax had been completely disappeared within 9 days postoperatively. Pathologically a fibroma was confirmed.

가속도 기반 분산 멀티미디어 동기화

노흥태,배종식,배인한 대구효성가톨릭대학교 응용과학연구소 1995 응용과학연구논문집 Vol.4 No.-

Multimedia synchronization techniques are an important field in the implementation of multimedia applications. We study multimedia synchronization schemes and suggest an ac-celeration-based multimedia synchronization scheme. In this scheme, if the slave device of the receiver detects asynchrony between master and slave media, the slave device ac-celerates or decelerates slave media presentation speed.

임신초기 유산시 Papanicolaou Smear에 의한 세포학적 진단법

노흥태,강대영 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2

A cytologic method is described for the identification of trophoblastic epithelium in products of first-trimester abortion. In materials from 89 first trimester abortions, trophoblasts and/or fetal red blood cells were identified by Papanicolaou smear in all. So we recommend to use Papanicolaou smear for identification of fetal tissue in products of first trimester abortions. But cytologic study should not supplant meticulous macroscopic examination of abortion products by the clinician.

자궁 경부암 Ib기 환자에서 Peritoneal Cytology의 유용성

노흥태,유병대 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

To determine the incidence of positive peritoneal cytology and to evaluate its usefulness in the management of patients with early-stage cervical cancer, peritoneal cytology was studied in 61 women undergoing primary surgical exploration for International Federation of Gynecology and Obstetrics stage Ib cancer of the cervix between January, 1987 and December, 1992. Charts were reviewed retrospectively for clinicopathologic data concerning patient's age, pathologic type, invasion depth, lymphovascular and lymph node involvement. The results were following : 1. There was no positive peritoneal cytology in the carcinoma of cervix, stage Ib. 2. The peritoneal cytology was riot related with patient's age, pathologic type, invasion depth, lymphovascular and lymph node involvement. 3. The routine collection of cytologic specimens at laparotomy should he abandoned in this setting.

자궁경부암 선별검사로서의 자궁경부확대촬영술의 유용성

노흥태,송근일 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.4

Cervicography is an adjunct method of cervical cancer screenign intended to complement papanicolaou smear. Cervicography involves obtaing and evalutionag a photographic image of the cervix. The purpose of this investigation was to evalute the efficacy of cervicography in cervicla cancer screening. Papanicolaou smear and cervigram data were obtainde for 169 patients who visited Department of Obstetrics and Gynecology, Chungnam Nationa University Hospital form September 1995 to march 1996. Those women in whom abnormalities were detected by either test subsequently obtained histologic specimen. The results were as follows: 1. the sensitivity and the specificity of cervicography was 78.8% and 86.3% respcetively. 2. the positive predictive value, negative predictive value, false negative rate, and false positive rate of cervicography were 71.9%, 90.15%, 13.7%, 21,2% respectively. 3. The sensitivity and the specifictiy of Papanicolaou smear was 84.6% and 92.3% respectivesly. 4. the positivie predictive value, negative predictive value, false negative rate, and false positive rate of Papanicoloau smear were 83.0%, 93.1%, 7.7%, 15.4% respecitively. 5. There was no significant difference between the sensitiviey and the specificity of cervicography and Papanicolaou smear (p=0.449, p=0.139) 6. When cervicography and Papanicolaou smear were used donjointly, the sensitivity was higher than for cervicography or Papanicolaou smear used alone (96.1% vs 78.8% p= 0.008, 96.1% vs 86.3%. p=0.047) However the specificity of the combined tests was lower than Papanicicolaou smear(80.3% vs 92.3% p=0.008). Cervicography is a useful method to detect cevical cancer. Howerver when cervigrams are used in conjuction with Papanicolaou smear, the detection rate of cervical cancer will be increased.

자궁경부암 진단에 있어서 질확대경 및 자궁경부확대촬영술의 역할

노흥태 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.3

초음파를 이용한 태아체중 예측

노흥태 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2

Sonographic measurements of biparietal diameter(BPD), head circumference(HC), abdominal circumference(AC), femur length(FL), were made in 56 cases of pregnant women who deliveried within 72 hours of measurement, using real-time systems with 3.5㎒ transducers. Estimation of fetal weight was calculated by application of equation proposed by Shepard et al and Hadlock et al. Actual birth weights were compared with predicted value The results were as followings 1. Correlation between estimated and actual fetal wight was very significant.(P<0.0001) 2. The mean of absolute difference for estimated and actual weight was smallest for equation 2 (BPD, AC, FL) with 170gm and largest for equation 4 (AC, HC, FL) with 208gm. 3. Using each equation, the calculated estimated fetal weight fallen within ten percentile range compared to actual birth weight was highest at equation 3(BPD, AC, HC, FL) for 92.9%. 4. Analysing mean residual between estimated and actual fetal weight by according to weight distribution, 3500-3999gm group showed underestimation. 5. In near term pregnant women, when BPD measurement is inaccruate and sometimes cannot be obtained easily. In this cases, with use of AC and FL to calculated estimated fetal weight which are acceptable and reliable.

폐경기 여성의 정신건강에 관한 연구

노흥태 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2

A study on psychiatric status on menopausal women was measured by General Health Questionnaire by Goldberge and Hiller on 90 women(control : 40, menopausal women : 50). Questionnaires filled up by patient herself after medical personal interview during the period of February, 1986 to September, 1986. This study was tried to know whether emotional status of menopausal women is somatic symptom. or anxiety & insomnia or social dysfunction or severe depression and General Health Questionnaire is valuable tool for Ob & Gyn patients. The results obtained were as follows : 1. The scores in menopausal women obtained significantly higher in somatic, anxiety and insomnia and severe depressive scales than control group. 2. The scores between spontaneous & sugical menopausal women were noted significant differences. But, in subgroup, the score of somatic symptom and anxiety & insomnia appears to be higher than that of social dysfunction and severe depression 3. The scores between duration of menopause were higher in short period than longer poriod.

자궁경부암 Ia기의 임상적 고찰

노흥태,고지환 충남대학교 의학연구소 2001 충남의대잡지 Vol.28 No.2

In 1995, The Cancer Committee of the International Federation of Gynecology and Obstetrics(FIGO) subdivided stage Ia cervical cancer into stage Ia1, tumor which invades the cervical stroma to a depth of 3.0 mm or less, and stage Ia2, tumor which invades the cervical stroma to a depth of 3.0 - 5.0 mm and a horizontal spread of 7 mm or less. We conducted this retrospective study in order to evaluate the result of therapeutic approach in patient with stage Ia cervical cancer. To investigate the clinical and pathological aspect of cervical cancer Ia1, a retrospective study was made on 62 cases, histological reconfirmed surgical specimen, which had been treated during the period from January, 1995 to October, 1999 at department of Obstetrics and Gynecology, Chungnam National University, Daejeon, Korea. The age ranged from 25 to 64 years and median age 41.8 years. In 62 cases, mean parity was 2.34. In 42 cases (67.8%) incidentally found through the routine Pap smear, in symptomatic group most frequently initiating symptom was vaginal bleeding (19.4%). Pap smear was done in all cases, the results reveals CIN Ⅲ in 51.5% and carcinoma in 32.3%. The corresponding rate of Pap smear was done 39.8%. The type Ⅰ hysterectomy was performed in 34 cases, and the type Ⅱ hysterectomy wan done in 24 cases of stage Ia1 disease and the type Ⅲ hysterectomy was done in 4 cases of stage Ia2 disease. Postoperative complication was in 6 cases, in which was bladder dysfunction in 2 cases, wound hematoma in 2 cases, wound infection in 2 cases. In conclusion, preoperative correct diagnosis of stage Ia cervical cancer was not easy. Based upon meticulous analysis of Pap smear, colposcopy and biopsy finding, more liberal use of diagnostic conization should be done for correct diagnosis.

골반 종괴의 악성도 선별검사를 위한 난소형태지수의 유용성

노흥태 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

A morphology index based on morphologic characteristics of ovarian tumors was developed. Specific categories included tumor volume, wall structure, and septal structure. A point scale (0-4) was developed within each category with the total points per evaluation varing from 0-12. Transvaginal sonograms on 50 patients undergoing exploratory laparotomy for ovarian masses were evaluated using this index. The results obtained were summarized as followings : 1. The mean morphology index of malignant ovarian tumors was 9.01 ± 1.63 which was statistically higher than 3.07 ± 1.78 of benign ovarian lesions. 2. When the cutoff point of mean morphology index score was decided as above 5, sensitivity, speciticity, positive and negative predictive value for malignant ovarian tumor were 1.000, 0.829, 0.563, 1.000, respectively. 3. The most reliable morphological characteristic in distinguishing ovarian cancers from benign lesions was wall structure. In conclusion, it is suggested that the routine application of a morphology index by transvaginal sonogram in ovarian tumor may be helpful to clinician for distinguishing benign ovarian lesion from malignant ovarian tumor.