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      • KCI등재

        자궁경부에서 발생한 1 예

        배광범(KB Bai),서광태(KT Suh),한영란(YR Han),정동건(DG Chung),신명우(MW Shin) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.5

        19세의 ㅈ은 여성의 자궁경부에서 기원한 1례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. Embryonal rhabdomyosarcoma, more commonly called sarcoma botryoides, is the most common malignant tumor arsing from the infant vagina. Eighty-five percent of these tumors arise in girls under 5 years of age. a fewer appear after menarche ; however, a greater percentage of tumors developing in this age group arise in the uterine cervix than arise in the vagina. We present a case of botryoid embryonal rhabdomyosacoma arising from uterine cervix with a review of a literatures.

      • KCI등재

        부신무형성증을 동반한 단안구증 1 례

        박태동(TD Park),김현우(HW Kim),배광범(KB Bai),문신용(SY Moon),조경자(KJ Cho),서연림(YR Seo),지제근(JG Chi) 대한산부인과학회 1989 Obstetrics & Gynecology Science Vol.32 No.5

        The term `cyclopia` is a fetal ocular anomaly of a bilateral symmetrical malformation of the head in which there is absent or poorly developed median structures. It would be more inclusively defined that anomaly in which the eyes are closely adjacent as to lie within a single orbit. The cyclopic monster presented here was still-born from 27 year old woman. The baby was delivery in 27 weeks of gestation and the mother had no history of durg ingestion during pregnancy. The baby presented the malformation of the head consisting of single orbital cavity in the midline containing one eyeball with a cornea, a pupil, no nose. The skull showed a single fathened anterior cranical fossa absence of crista galli and narrow sella turcica. The brain presented drastically malformed cerebral hemisphere showing pan-cake appearance . Both cerebral hemispheres are fused together in the midline to form a globular mass. The ventral surface shows no olfactory bulbs or tracts, a small globular pons and unusual shaped medulla with prominent inferior olivary complex. The dorsal survace shows a small opening of middle ventricle, abnormally prominent midbrain and obvious aqueduct. Additionally there was bilateral agenesis of adrenal gland.

      • KCI등재

        질에 발생한 투명세포선암 ( Clear Cell Adenocarcinoma ) 의 1 례

        이의돈(ED Rhee),이제호(JH Lee),이경희(KH Lee),박기복(KB Park),장자준(JJ Jang),배광범(KB Bai) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.2

        질에 발생한 투명세포선암 Clear cell adenocarcinoma of the vagina is one of the rarest of the malignant process in the human body. We have experienced a case of clear cell adenocarcinoma of the vagina, and report with literatures.

      • KCI등재

        S-결장 염전증이 수반된 조기분만 산모

        이경희,배광범,진호준,권오중 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.2

        환자의 사망률은 괴사된 정도에 대개 따르므로 산모나 노인이라도 일단 의심하여 진단하고 우선 감압시키고 즉시 수술을 시행하였고(Fig.4), 2개월후 대장루 형성 복원 수술을 하여 현재 회복되어 정상적 활동을 하고 있다. 임신중 조기 진통 분만직후 나타난 S-결장 염전증의 1레를 문헌고찰과 함께 보고하는 바이다. Although the volvulus is infrequent complication of pregnancy, the resulting intestinal obstruction is a grave complication of pregnancy. The mortality rate with volvulus can be very high, principally because of error in diagnosis, delayed diagnosis, reluctancy to operate during pregnancy. There are difficulties in making diagnosis because of similar symptoms with the pregnancy and early volvulus. So we report this case with brief review of the literatures.

      • KCI등재

        임신중 인슐린 치료가 필요한 임부의 혈당조절 상태에 따른 주산기 결과

        신희철,윤보현,배광범,최진,전종관,최석태,권재희 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.2

        Objective: To compare the pregnancy outcomes according to the status of maternal blood glucose control during pregnancy in women with diabetes requiring insulin therapy. Study design: Between 1986 and 1996, 83 pregnant women with diabetes who requires insulin therapy during pregnancy were identified; 29 cases with pregestational diabetes and 54 with gestational diabetes. The status of maternal blood glucose control was determined according to the mean HbA1c concentration(below or above 6.0% of HbA1c) during the third trimester of pregnancy. Pregnancy outcomes were compared between two groups of patients. Results: 1) Patients with poor blood glucose control (HbA1c > 6.0%) had a significant higher rate of adverse outcome including cesarean delivery due to either fetal distress or cephalo-pelvic disproportion (20.0% vs. 2.9%, p<0.05), macrosomia of the newborn (> 90th percentile for gestation; 44.0% vs. 5.7%, p<0.0001), higher mean birth weight (3.61±1.12 kg vs 3.08±0.48 kg, p<0.005), and neonatal hypoglycemia at birth (42.2% vs. 12.1%, p<0.005); 2) The rate of preterm delivery (< 37 weeks of gestation) and pregnancy-induced hypertension was higher in patients with poor control(HbA1c > 6.0%) than those with good control (HbA1c< 6.0%) (16.0 % vs. 5.7% for each) without reaching statistical significance; 3) There was no statistical differences in the mean gestational age at birth and the rate of perinatal death between the two groups of patients. Conclusions: Poor maternal glucose control is a risk factor for the development of adverse perinatal outcome including higher rate of fetal macrosomia, cesarean section, and neonatal hypoglycemia at birth.

      • KCI등재

        절박유산과 정상임부 및 시험관아기시술 환자에서 초기임신인자의 임상적 유용성

        이진용,문신용,김정구,배광범 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.6

        Early pregnancy factor(EPF) is believed to be a pregnancy-associated immunosuppressive polypeptide which might inhibit the function of maternal lymphocyte during pregnancy. The physiological role of EPF in human pregnancy has remained controversal. The purposes of this study are to investigate whether EPF determinations have prognostic value in women with threatened abortion, and to evaluate usefulness in diagnosing early pregnancy and in predicting the outcome of embryo transferred in vitro fertilization-embryo transfer(IVF-ET) program. EPF activity was measured by a recently developed, micro rosette inhibition test in sera from 76 normal pregnant women, 25 normal healthy women with tubal ligation, 58 women with therapeutic surgical abortion(n=18) or threatened abortion(n=40) and 29 IVF-ET patients. Rosette inhibition titer≥3 was defined as an index for the presence of EPF activity. EPF activity was undetectable in sera of normal healthy women with tubal ligation and in sera taken before ET. In normal pregnancy EPF was detected in 88~92% of sera during the first and second trimester and almost disappeared in the third trimester. Surgical therapeutic abortion in the first trimester lead to disappearance of EPF activity in 92.3% of cases second day after procedure. The sensitivity of the EPF assay in predicting the outcome in pregnant women with threatened abortion was 88.0% and the specificity was found to be 86.7%. In patients who became pregnant after IVF-ET procedure EPF activity was detected in 85.7% of sera on the 5th day and in all sera on the 12th day. In 80.0%(9/13) sera of patients who failed to become pregnant after ET, EPT activity was detected on the 5th day but 17(94.4%) of 18 sera was proved to be negative for EPF activity on the 12th day. These data suggest that EPF assay by micro rosette inhibition test may be useful in monitoring the embryo after ET, in dignosing early pregnancy and in predicting the outcome in women with threatened abortion.

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