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최소 절개술과 방사선 투시 장치(Fluoroscopy)를 이용한 지속성 외래 복막투석도관 삽입술
김기한(Ki-Han Kim),박시영(Si-Young Park),오상민(Sang-Min Oh),이미리(Mi-Ri Lee),김성흔(Sung-Heun Kim),박기재(Ki-Jae Park),김민찬(Min-Chan Kim),김영훈(Young-Hoon Kim),정갑중(Ghap-Joong Jung),박창민(Chang-Min Park),안원석(Won-Suk An),김성 대한외과학회 2006 Annals of Surgical Treatment and Research(ASRT) Vol.70 No.3
질식 자궁경관봉축술을 적용하기 어려운 자궁경관무력증 환자에서 복식 자궁경협부 원주봉합술의 임상적 유용성
박성호(Sung Ho Park),허진숙(Jin Sook Heo),이상헌(Sang Hun Lee),박기한(Ki Han Park),정태범(Tae Bum Choung),전현아(Hyun Ah Jun),김홍배(Hong Bae Kim),이근영(Keun Young Lee),강성원(Song Won Kang) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.10
N/A Objective : Our purpose was to review the clinical use of transabdominal cervicoishmic cerclage to determine whether it is a valid alternative to transvaginal cerclage. Study design : A retrospective review was carried out of transabdominal cerclage patients at our hospital from Jan. 1999 to May. 2001. Analysis of the clinical use of transabdominal rather than the vaginal approach in some IIOC patients was performed and fetal outcomes was evaluated. Results : Fifteen patients underwent transabdominal cerclages. The primary indication for transabdominal cervicoisthmic cerclage was failed transvaginal cerclage in 9 patients and anatomic unsuitability for transvaginal cerclage in 6 patients. Follow-up was conducted for all except one patient. All patients were successfully delivered of live babies by Cesarean section. Complications including blood loss requiring transfusion did not occur. However one baby died at postpartal 1 day because of congenital Tetralogy of Fallot. Conclusion : All patients had histories compatible with incompetent cervix requiring cerclage, and none were suitable candidates for vaginal cerclage. Our results and review of the literature confirm that Transabdominal cervicoisthmic cerclage has an important role to play for carefully selected patients.
일측 Arnold - Chiari Malformation 을 동반한 쌍태 임신에서 임신 중반기 선택적 유산 1 예
이상헌(Sang Hun Lee),박성호(Sung Ho Park),박기한(Ki Han Park),조현진(Hyun Jin Cho),정태범(Tea Bum Chung),전현아(Hyun Ah Jun),이근영(Keun Young Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
A 38-year-old woman with twin pregnancy was referred after detection of hydrocephalus in one fetus at 23+1 weeks` gestation. Sonography showed hydrocephalus, a scalloping of the frontal bone giving a lemon-like configuration, and meningocele. The affected twin was terminated by ultrasonographically guided intracardiac injection of 4 ml (8 mEq/L) potassium chloride solution at 24+5 weeks` gestation. Chromosomal analysis of the other fetus showed normal findings (46, XX). Serial ultrasound scans and coagulopathy tests were unremarkable. Preterm premature rupture of the membrane was developed at 33+3 weeks` gestation, and emergency Cesarian section was done. A healthy 1360 g female was born, with Apgar scores of 7 and 8 at one and five minutes, respectively.
유방암 환자에서 Tc-99m Tetrofosmin Scintimammography의 진단적 유용성
이광만,원종진,최시성,박기한,김창근,이종덕,윤권하 대한핵의학회 1999 핵의학 분자영상 Vol.33 No.5
Purpose: The purpose of this study was to evaluate the diagnostic usefulness of scintimammography performed with Tc-99m tetrofosmin in the detection of primary breast cancer. Materials and Methods: Sixty-one patients underwent Tc-99m tetrofosmin scintimammography, plain-filrn mammography and ultrasonography. After intravenous injection of Tc-99m tetrofosmin (740 MBq), prone lateral and anterior scintimammograms were obtained. Scintimammogram was visually interpreted as positive, probably positive, probably negative and negative for malignancy. The tumor to background count ratio (T/B) was measured at 5 minutes and 1 hour. Plain-film mammogram was interprcted as one of 5 categories. Final diagnosis was achieved by surgical histology (58/61) or fine needle aspiration (3/61). Of 61 patients, 44 had cancer and 17 had benign lesion. Tumor size of malignant and benign lesions on ultrasonogram were 2.51 ±1.30 cm (range 1-8 cm), 2.50 ±1.35 cm (range 0.96-6 cm), respectively. Results: The sensitivity of plain-film mammography was 88.6%, specificity 58.8%, positive predictive value 84.7%, and negative predictive value 66.7%. The sensitivity of Tc-99m tetrofosmin scintimammography was 90.9%; specificity, 88.2%; positive predictive value, 94.9%; negative predictive value, 78.9%. Of 25 patients with indeterminate degree of suspicion for malignancy on plain-film mammogram, 23 were correctly diagnosed by scintimamography. The T/B at 5 minutes and 1 hour were 3.78 ±2.21, 3.25 ±1.80 respectively. The T/B was decreased significantly at 1 hour (p$lt;0.001). Conclusion: Tc-99rn tetrofosrnin scintimammography was useful diagnostic procedure in the detection of primary breast cancer, especially in patients with indeterminate degree of suspicion for malignancy on plain-film mammogram. (Korean J Nucl Med 1999;3.3:452-460)