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선진규 ( Jin Gyu Sun ),문종필 ( Jong Pil Moon ),전준공 ( Jun Kong Cheon ),구진영 ( Jin Young Gu ),김병선 ( Byoung Seon Kim ),배유영 ( You Young Bae ),기광수 ( Kwang Soo Kee ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.2
Non-puerperal uterine inversion is a rare clinical problem with only 150 cases reported. It usually results from a tumor implanted on fundus of the uterus. Uterine inversion associated with pelvic organ prolapse (POP) is extremely rare with only 1 case reported. A 74-year-old multiparous menopausal women was admitted to our hospital with the following condition: purulent vaginal discharge, voiding difficulty, lower abdominal discomfort, vaginal bleeding, protruding vaginal mass and POP. She was diagnosed as a POP with uterine inversion. After a posterior hysterotomy, vaginal hysterectomy, bilateral salpingoophorectomy and colpocleisis was performed and the pathological examination revealed a pyometra. We report a rare case of uterine inversion associated with POP and pyometra with a brief review of literature.
홍선웅(Sun Woong Hong),김병선(Byung Sun Kim),김형호(Hyung Ho Kim),이장용(Jang Yong Lee),강용필(Yong Pil Kang),선진규(Jin Gyu Sun),기광수(Kwang Soo Kee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.8
Umbilical cord stricture is a very rare cord abnormality that cause intrauterine fetal death. An extreme focal deficiency of Wharton`s jelly is suggested as a cause of cord stricture, and was most commonly occurred at the fetal end of umbilical cord. Antenatal detection of umbilical cord stricture is very difficult. We experienced a case of the intrauterine fetal death due to umbilical cord stricture, and we report this case with a brief review of literatures.
김형호,김병선 ( Byoung Sun Kim ),배유영 ( Yu Yung Bae ),선진규 ( Jin Gyu Sun ),기광수 ( Kwang Soo Kee ),임헌정 ( Hun Jung Im ),이주엽 ( Ju Yub Lee ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.7
Retroperitoneal Schwannama is relatively rare and benign tumor originating from Schwann cell. Schwannomas arising in the retroperitoneum are infrequently reported. The majority of Schwannoma is found incidentally and misdiagnosed for other benign conditions both clinically and radiologically. We report a case of a benign retroperitoneal pelvic Schwannoma which was preoperatively misdiagnosed as an ovarian tumor with brief review of literatures.
산전 초음파로 조기진단된 Prune - belly syndrome 1 예
강용필(Yong Pil Kang),선진규(Jin Gyu Sun),기광수(Kwang Soo Kee),정금지(Kum Ji Jung),박애별(Ae Byul Park),최윤정(Yoon Jung Choi),천예영(Yea Young Chun) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7
Prune-belly syndrome is a rare compound fetal anomaly, characterized by absence or hypoplasia of abdominal wall musculature associated with urinary tract abnormalities and cryptorchidism. The prenatal ultrasound diagnosis was based on the findings of a lower abdominal cystic echo caused by abnormal dilatation of the bladder, upward compression of small intestines and decreased amniotic fluid volume. We experienced a case of Prune-belly syndrome diagnosed by ultrasound in a 12 weeks fetus following to IVF-ET pregnancy. Termination was performed at 12 weeks and autopsy confirmed the distended bladder, absence of abdominal muscles and urethra. So, we reported this case with a brief review of literature.
배란유도 및 자궁강내 인공수정후 발생한 병합임신 1 예
김호룡 ( Ho Ryong Kim ),정석 ( Seok Jung ),선진규 ( Jin Gyu Sun ),기광수 ( Kwang Soo Kee ),정금지 ( Kum Ji Jung ),강용필 ( Yong Pil Kang ),최윤정 ( Youn Jung Choi ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.7
Heterotopic pregnancy is defined as simultaneous intrauterine and extrauterine pregnancy. The incidence of heterotopic pregnancy was about 1 to 30,000 pregnancies, but it has been increased. This increased incidence is explained by the rise in PID, pelvic surgery, IUD and assisted reproductive technologies-in vitro fertilization/gamate intrafallopian insernination/intrauterine insemination. Thus careful pelvic examination combined with serial β-hCG determinations and transvaginal sonography to evaluate the adnexal regioa are necessary prerequisites for early diagnosis. We report a case of heterotopic pregnancy following in ovulation induction and intrauterine insemination with a brief review of literature.
천예영 ( Yea Young Chun ),구진영 ( Jin Young Ku ),송정화 ( Jung Wha Song ),김병선 ( Byoung Sun Kim ),배유영 ( You Young Bae ),선진규 ( Jin Gyu Sun ),기광수 ( Kwang Soo Kee ) 대한주산의학회 2005 Perinatology Vol.16 No.2
목적: 본원에서 시행한 최근 9년간의 임신중기 양수천자 739예를 통해 핵형을 분석하여 염색체 이상이 나타나는 빈도와 적응증의 변화 및 염색체 이상과의 상관 관계 등을 분석하고자 하였다. 방법: 1995년 1월부터 2004년 9월까지 광주기독병원 산부인과를 방문한 임산부 중 태아염색체 이상이 의심되어 산전유전상담을 받은 후 양수천자를 시행한 739예를 대상으로 산모의 연령, 임신주수, 양수천자의 적응증, 염색체 핵형 분석 결과와 염색체 이상이 발생하는 빈도의 상관관계를 분석하였다. 결과: 연구대상 산모의 연령은 20~45세 사이의 분포를 보였으며 그 중 35~39세 군이 가장 많았다. 임신중기 양수천자의 적응증으로는 산모 혈청 표지자검사 양성이 가장 많았으며(49.8%), 그 다음으로 고령산모(31.1%)의 순서였다. 핵형 분석 결과 염색체 이상이 나타나는 빈도는 4.6% (34/739)이었다. 염색체 이상이 나타나는 빈도는 적응증별로 분석하면 초음파상 염색체 이상이 의심되는 경우에서 의미있게 높았다. 결론: 산전 세포 유전학적 진단의 여러 적응증 가운데 비정상 초음파 소견과 비정상적 산모 혈청 선별검사가 가장 중요한 적응증이었다. 특히, 비정상 초음파 소견은 비정상적인 핵형을 예측하는데 가장 민감한 지표임을 보여주고 있다. Objective: To analyze the change of indications and chromosomal abnormalities according to patient`s age and indications in midtrimester genetic amniocentesis. Methods: This study was reviewed 739 genetic amniocentesis results which were performed at Kwangju Christian Hospital from 1995 to 2004, as prenatal genetic diagnosis for the possibility of chromosomal abnormality of fetus. Age distribution, gestational weeks, indications of amniocentesis and cytogenetic results were the key factors for the analysis. Results: Maternal ages were ranged from 25 to 45, mostly 25~39, Of indications of prenatal genetic amniocentesis, abnormal maternal serum marker was the most common (49.8%), and followed by advanced maternal age (31.1%). The frequency of abnormal karyotypes was 4.6% (34/739). The incidence of abnormal karyotype according to indication had statistical significance in abnormal ultrasonographic finding. Conclusion : Among the several indications for prenatal cytogenetic diagnosis, ultrasonographic abnormalities and abnormal maternal serum markers might be important indications. Especially, ultrasonographic abnormalities could be the predictive markers for abnormal fetal karyotypes.