자궁암검진과 다른 집단검사의 실천양상 및 건강증진활동과의 상관성

박정돈,김석범 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.3

A survey with self-administered questionnaire method to examine the association of Pap Smear health screening tests and health promotion activities for 500 women who visited OPD of Obstetrics and Gynecology. The compliance of pap smear of the rich, married, house wife and self employed women was higher than others. Women who received Pap smears were significantly more likely to receive breast examiniations, mammograms, gastrofibroscopy and regular blood pressure check-up. The Pap smear was associated with health promotion activities such as own private physician, no cooling beverage intake, milk intake and heptitis B vaccination. In conclusion, health care providers may use the Pap smear as a marker of whether a woman has received screening for several other medical problems. Thus, the Pap smear can be considered a $quot;sentinel$quot; test for health screening in women.

전자간증과 총혈장 Fibronectin과의 관련성의 조사

박정돈,황순구,이기원,한만식,박순우 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.5

Of 119 full-term pregnant subjects studied from October, 1995 to March, 1996, 79 had preeclampsia(severe; 43, mild; 36) and 40 were normotensive controls. The plasma fibronectin levels of each subject were assayed by turbidometric immunoassy(Boehringer Mannheim). The objective of this study was to evaluate the relationship of plasma fibronectin with preeclampsia as a marker for vascular injury. The results were as follows: 1. There were significant differences of plasma fibronectin values among the normotensive pregnancy, mild preeclampsia and severe preeclampsia. Within each group of patients, plasm a fibronectin values were 101.7+-59.4 ㎍/ml and 249.7+-96.3 ㎍/ml and 329.2+-169.5 ㎍/ ml, respectively (p$lt;0.001). 2. Plasma fibronectin values had positive correlations with severity of preeclampsia, proteinuria, diastlic blood pressure and systolic blood pressure, but negative correlations with birth weight and platelet count(p$lt;0.001). 3. When the severity of proteinuria on preeclampsia were +1, +2, and +3 or more, plasma fibr onectin values revealed 246.0+-93.3 ㎍/ml, 342.3+-185.1 ㎍/ml and 345.0+-168.1 ㎍/ml, respectively and there were significant differences among three groups. 4. To verify the variables correlated with plasma fibronectin by using mutiple regression analysis, the only variable which was selected significantly was the severity of preeclampsia (r2: 0.529). 5. With receiver operating characteristic(ROC) curve analysis of the relationship between plasma fibronectin values and preeclampsia, if cut off value was selected at the level of 175㎍/ml or more, the sensitivity for diagnosis of preeclampsia was 87.3%, specificity 90.0%, positive predictive value 94.5%, and negative predictive value 78.3%, respectively.

농촌지역 여성의 유방암 및 자궁경부암의 검진행위에 영향을 미치는 요인

박정돈,강복수,이경수 한국모자보건학회 2004 한국모자보건학회지 Vol.8 No.1

학생들의 미래 자녀 성 선호도와 관련 요인

박정돈,황태윤,강복수,김석범,이경수,김상규,이궁자,최학춘 한국모자보건학회 1999 한국모자보건학회지 Vol.3 No.1

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자궁경관무력증에 대한 임상적 고찰

한치동,박정돈,한경환 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.1

The 68 cervical cerclage operations of incompetent internal os of the cervix(IIOC) were performed at the Taegu Catholic Medical Center from Jan. 1, 1990 to Dec. 31, 1995. The results of this study were as follows: 1. The incidence of operation for IIOC was 0.23% of total delivery. 2. Highest number of IIOC was observed in the age group of 25 to 29, and the average number of pregnancy before operation was 4.1. 3. The significant contributory factor was previous history of the induced or spontaneous abortion. 4. In all cases, cerclage method was McDonald operation. 5. The average fetal salvage rate after operation was 82.5% and from the 14th week to 16th week of gestation(43 cases), the success rate of operation was 85%. 6. The causes of operation failure were premature labor in 6 cases(55%), premature rupture of membrane in 3 cases(27%) and abortion in 2 cases(18%) in order.

Ambroxol의 신생아 호흡곤란증후군 예방효과에 대한 연구

한경환,박정돈,한치동,허창규,황순구 大韓周産醫學會 1997 大韓周産醫學會雜誌 Vol.8 No.1

경계성 수포성표피박리증 1 예

허창규,박정돈,김미숙,김상원,이기원,한만식,한재수 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.1

unctional epidermolysis bullosa(JEB) is a rare hereditary and mechanobullous disease characterized by blistering and erosions of the skin in response to even minor trauma. We report here in a case of JEB in a 1-day-old female newborn. She was delivered by cesarean section, with normal Apgar scores and body status. Bullous and erosive lesions had distributed on the extremities, hands and feet localized at the sites of pressure since birth, and, thereafter, tended to improve gradually, with no scars. The presented case seemed to be a recessive, benign type considering the absence of family history with dinstinctive histopathologic and electron microscopic findings.

복부 초음파로 산전진단된 선천성 공장폐색증 1 예

허창규,박정돈,고석봉,한경환,지청수,홍성연 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.9

저자들은 1997년 9월 1일 임신 29주 5일에 처음 내원한 이후 산전초음파상 진단된 선천성 장폐쇄증을 추적 관찰하고, 임신 37주 5일에 둔위태아로 인하여 제왕절개 분만한 이후 생후 1일에 장폐쇄로 인하여 수술을 시행하여 선천성 공장폐색증으로 진단된 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Congenital intestinal atresia is one of the common causes of intestinal obstruction in the neonatal period. It is a relatively rare lesion, occuring in one of 2,710 births and results in high mortality during the neonatal period, but the survival rate has risen rapidly with the early detection on the antenatal care, the introduction of modern surgical techniques and total parenteral nutrition. This reflects the importance of neonatal intensive care on the outcome of treating. A case of congenital jejunal atresia diagnosed by ultrasonography prenatally in Hyosung-Catholic university hospital at September 1997. We experienced a case of congenital jejunal atresia diagnosed by ultrasonography at 29 weeks gestational age.

산후 우울증에 관한 임상적 연구

김영기,허창규,박정돈,고석봉,황진영 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.7

목적: 산후 우울증은 산모와 그 가족 및 아기의 발달에도 영향을 미치는 심각한 질환이다. 산모의 10-15%에서 발생하며 조기에 치료가 시작되지 않으면 불행한 결과를 초래한다. 이에 저자들은 산과의 들이 산후우울증에 대한 관심을 기울여 산후 우울증의 예방 및 치료에 도움이 되고자 산후 우울증의 발생인자에 대한 조사를 하였다. 연구 방법: 1998년 1월 1일부터 1998년 2월 28일 까지 만 2개월간 대구 효성 가톨릭 병원 산부인과에 분만을 위해 입원한 산모 138명을 대상으로 산욕기에 실시한 설문지의 내용을 바탕으로 하여 이들의 연령, 학력, 종교, 결혼방식, 직장유무, 시부모와의 동거 여부, 분만 경험 유무, 임신하기까지의 어려움 유무, 계획된 임신인지의 여부, 분만 방식, 출산아 성별, 출산아 성별의 만족 여부, 신생아 양육 계획 등을 조사하여 이들의 출산 후 우울증의 발생빈도와 연관시켜 조사하였다. 결과: 조사한 13가지 항목 중 임신이 안되어서 어려움이 있었던 군, 제왕절개술로 분만했던 군, 계획하지 않고 우연히 임신된 군에서 산후우울증의 발생빈도가 높았으며, 통계적으로도 유의한 상관관계가 있었다 [p$lt;0.05]. 결론: 위의 결과를 토대로 산과의는 산후 우울증 발생에 의미 있는 요소를 가진 환자에게 관심을 가짐으로써 산후 우울증의 예방 및 조기치료로 산모와 그 가족의 불행을 막는데 기여할 수 있을 것이다. Objective: Postpartum depression is a kind of serious problem which influences on the parturients, her family and the growth of the newborn infant. It usually arises in 10 to 15% of the parturients. If they are not treated early enough the unhappy seriousness can be resulted. This study was undertaken to motivate and help obstetrician in preventing and treatment of postpartum depression by early detection of causative factors. Methods: Beck Depression Inventory [21 questions in the questionnaire] was used to 138 parturients who visited to Taegu Catholic medical center for delivery, from January 1, 1998 to February 28, 1998. Many factors including age, education, religion, type of marriage, work during pregnancy, living with parents of husband, experience of delivery, difficulty for success of pregnancy, planned pregnancy, delivery method, sex of newborn, satisfaction with sex of newborn, and nursing plan of newborn were evaluated, and the relations with the incidence of postpartum depression was studied. Results: Among the researched 13 factors, there were significant relationship between difficult pregnancy success group, cesarean section group, unplanned pregnancy group and increased frequency of postpartum depression[p$lt;0.05]. Conclusion: Based on the above results, paying attention to the patients who had various factors for developing postpartum depression could contribute to prevent unhappiness of patients and her family.

형질세포성 백혈병으로부터 유래된 전이성 난소암 1 예

허창규,이헌수,박정돈,한만식,한재수,박영길 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.2

About 5∼6% of ovarian malignances are metastatic from other organs. But leukemic infiltration of the ovaries is uncommon and especially one from plasma cell leukemia is extremely rare. When leukemic infiltration of the ovaries occurs, the involvement is usually bilateral. Increased immature plasma cells in peripheral blood and plasma cell infiltration of bone marrow and other organs are major characteristics of plasma cell leukemia. Ovaries can be the apparent site of involvement of the abdominal or pelvic viscera with a leukemia; if this circumstance is found, a careful surgical exploration may be necessary. We experienced one case of metastatic ovarian cancer arising in plasma cell leukemia of bone marrow on a 37-year-old multiparous women who eventually had emergent laparotomy due to twisting and hemorrhage of tumor-infiltrated ovary during chemotherapy. She was performed total abdominal hysterectomy and bilateral salpingooophorectomy.