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        조기자궁경암의 생검부위결정에 관한 연구

        박형규(HK Park),이태호(TH Lee) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.4

        조기자궁경암의 생검부위결정에 관한 연구를 통하여 조기자궁경부암 55예의 주용 육안적 소견은 임상에서 흔히보는 단순미란이었다. Clinical studies were made of 55 cases of incipient cervical cancer, who were visited to cancer screening center in Kyung-pook N. University Hospital from Oct. 26, 1969 to Aug. 6 1971, for confirmatory cervix biopsy because of suspicious and positive cytology, and the following results were obtained; 1. There were 147 specimens(66.8%) in positive biopsy and 73 specimens(33.2%) in negative biopsy of total 220 biopsy specimens. There was no significant difference between the highest biopsy positive area, C and the lowest, A. 2. The cervical cancer stage Ia was more extensive than intraepithelial cancer in the degree of surface involvement. 3. The diagnostic accuracy of Schiller`s iodine test was 71.3%, and the cancer positive specimens were 66.7% in Schiller negative area. 4. Among the distribution of schiller positive area, coexistence with upper &lower cervical lip was 29 cases(64.4%) and was the most frequent. 5. The fractional smears of portio for determination of biopsy target showed a high diagnostic accuracy, therefore it is recommended for clinical use. 6. Among the distribution of cancer positive area, the most frequent area was coexistence with portio and endocervical canal, diagnosed by fractional smear. 7. The important gross finding in 55 cases of incipient cervical cancer was simple erosion which is frequently seen in clinical examination.

      • KCI등재

        처녀막폐쇄증으로 인한 질 및 자궁혈종을 동반한 1례

        박형규(HK Park),장병희(BH Chang),최종태(JT Choi),이성진(SJ Lee),이태호(TH Lee) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.4

        처녀막폐쇄증으로 인한 질 및 자궁혈종을 동반한 1례를 보고하는 바이다. The imperforate hymen is a relatively rare anomaly. A case of imperforate hymen regarded to congenital origin, and formed hematocolpometra, observed in 17 years old girl, is presented and the literature is reviewed. The patient was treated satisfactorily by simple crucial incision with excision of the quadrant of the hymen, which was iinterlinking the apices of the crucial incision.

      • KCI등재

        폐경기 부인의 질상피 성숙지수

        박형규(HK Park),이태호(TH Lee) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.7

        선정된 자연폐경군 197예, Radium폐경군 38예, 수술거세폐경군 52예의 질상피성숙지수를 검토한바 아래와 같이 요약할 수 있었다. 자연폐경군, radium폐경군,수술거세폐경 3군 모두 중간세포의 출현율이 가장 높았고 각각 62.86%, 52.31%, 61.92%이었다. 방기저세포의 출현율은 폐경후 경과 연수의 증가에 따라 점차적인 증가경향을 3군 모 두에서 관찰할 수 있었고, 경도위축상이 가장 많았다. 표층세포는 radium폐경군을 제외하고는 감소경향을 보였다. 난포홀몬이 작용하고 있음을 의미하는 표층세포의 출현은 폐경후 상당기간 존속되는 것 같고 그 출현율은 자연폐경군, radium폐경군, 수술거세폐경군에서 각각 평균 79.7%, 89.5%, 92.3%이었다. The hormonal status of 197 women with the natural menopause, 38 women with the radium and X-ray induced menopause and 52 women with the bilateral oophorectomy induced menopause was evaluated by the application of the maturation index of the vaginal smears. The results summarized are as follows; the predominance of the intermediate cells in the matural, radium and X-ray and bilateral oophorectomy induced menopause was 62.8%, 52.31% and 61.92% respectively. A gradual increase of the parabasal cells was obsered along with the increment of postmenopausal ages, and the mild atrophy was the predominant type. On the other hand, the superficial cells decr eased gradually except in the group of radium induced menopause. The results suggest that the appearance of the superficial cells as the indicator of estrogenic activity persisted relatively long years after the menopause. The appearance of the superficial cells in the group of matural radium and X-ray, and bilateral oophorectomy induced menopause was 79.7%, 89.5% and 92.3% in average, respectively.

      • KCI등재

        임신중독증의 임상적 고찰

        허동은(DE Hur),우성구(SG Woo),이승호(SH Lee),박형규(HK Park) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.3

        The purpose of this study was to evaluate the preeclampsia-eclampsia admitted to the Kyungpook National University Hospital during 8 years period of 1965-1972. By evaluating 201 cases of preeclampsia-eclampsia of among 1639 deliveries in the same period, the following results were obtained; 1) The incidence of preeclampsia-eclampsia was 12.3%, which consisted of preeclampsia, 5.2% and eclampsia, 7.1%, respectively. 2) In age distribution, the majority was in 21-30 years age group (74.7%), and the incidence of preeclampsia-eclampsia in total primipara (6.3%) was not significantly higher than that of multipara (6.0%). 3) The number of preeclampsia-eclampsia was the largest in summer time (27.9%), and the smallest in autum (20.4%), but there was no significant difference. 4) The average fetal weight born in preeclampsia-eclampsia was 2,775 gm, and 373 gm. less than those born in normal mother(3,148 gm). 5) Slightly more than half of cases (57%) was delivered spontaneousely, and forceps delivery and cesarean section was performed in 4.0% and 7.5%, respectively, and 8.5% of cases was discharged without delivery. 6) The perinatal mortality rate was 17.1% and the majority was caused by prematurity. 7) The maternal death in preeclampsia-eclampsia was 3 cases(1.5%); all were eclampsia. The cause of death was that 1 case was died of pulmonary edema, 2 cases of suspected cerebral hemorrhage. Overall deaths during this 8 years (1965-1972) was still high as leading cause of maternal death(27.3%).

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