제 65 차 춘계학술대회 : 초록보고 ; 여성생식기의 선천성기형에 대한 임상적 고찰

성낙구,이치중,김홍룡,박영선 대한산부인과학회 1990 춘계학술대회 Vol.- No.-

여성생식기의 선천성기형에 대한 임상적 고찰

성낙구,이치중,김흥룡,박영선 대한산부인과학회 1990 대한산부인과학회 학술대회 Vol.65 No.-

지반조건에 대한 면진교량의 지진응답

신재철,성낙구,최인길 忠南大學校 産業技術硏究所 2001 산업기술연구논문집 Vol.16 No.2

In this study seismic response of a base-isolated bridge for soil types is compared. Bilinear model is used for lead rubber bearing(LRB). Accelerograms Whose response spectrum matches the design spectrum for soil types are used as earthquake ground excitation. Nonlinear time history analyses using the SAP2000 program are performed. The results show that the seismic response of a base-isolated bridge is increased as the soil types.

점액성 낭선종에 동반된 복막가점액종

이회중,유철모,성낙구,홍서유 대한산부인과학회 1989 대한산부인과학회 학술대회 Vol.63 No.-

선천성 생식기기형에 관한 임상적 고찰

박영선,이치중,성낙구,김흥용 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.4

1976년 1월부터 1989년 4월까지 14년 4개월간 서울을지병원 산부인과에 입원한 환자 25,601명중 자궁기형 24예, 질기형 7예를 발견하여 다음과 같은 결론을 얻었다. 1. 자궁기형은 입원환자 1,070명당 1예(0.09%)가 발견되었으며 쌍각자궁이 79%, 중격자궁이 21%였다. 2. 질기형은 입원환자 3,657명당 1예(0.03%)가 발견되었으며 질 형성부전이 29%, 질 중격이 71%였다. 3. 자궁기형의 진단은 개복술, 자궁난관조영술, 제왕절개술 등이 21~29% 비율로 이용되었으며 질기형은 모두 단순사진과 골반내진으로 진단되었다. 4. 선천성기형 환자가 병원을 찾게되는 주된 이유로는 산전진찰이 33%로 가장 높았으며, 이상 질 출혈 13%, 골반통, 1차성 불임증이 각각 10%, 무월경, 2차성 불임증이 각각 6%이었다. 5. 인공유산을 제외한 총 53회의 임신중 유산이 27회(51%), 조산이 2회(3.8%)였으며 태아손실율은 쌍각자궁이 51%, 중격자궁이 85.7% 질 중격이 40%이었다. 6. 만삭임부 10예중 4예(40%)가 둔위, 1예(10%)가 횡위였으며 신생아의 선천성 기형이나 태반조직의 잔류는 없었다. 7. 자궁성형술은 9예에서 실시했는데 1예에서 건강한 남아를 출산했으며 2예는 현재 임신중이고 3예는 계속 관찰중이다. 8. 질 형성부전 2예는 Mc-Indoe씨 수술을 시행하여 만족스런 결과를 얻었고 질 중격 2예는 중격을 제거하였다. The genital tract anomalies are rare but it can cause primary amenorrhea, infertility, recurrent abortion and other obstetrical complication. So the authers reviewed the 31 patients` medical records who were diagnosed as genital tract anomaly from January 1976 to April 1989 in Seoul Eul-Ji General Hospital Obstetrics and Gynecology department. And thereform, we summarized the results as follows: 1. Incidence of uterine anomaly was 0.09%(24 cases/25601 admission patients) and bicornuate uterus was 19 patients(79.2%), septate uterus was 5 patients(20.8%). 2. Incidence of vaginal anomaly was 0.03%(7 cases/25601 admission patients) and vaginal agenesis was 2 patients(28.6%), longitudinal vaginal septum was 3 patients(42.8%), transverse vaginal septum was 2 patients(28.6%). 3. The main diagnostic methods of uterine anomaly were laparotomy, hysterosalpingogram, cesarean section(21~29% of each other), and vaginal anomaly was diagnosed by simple inspection and pelvic examination. 4. The most common symptom was asymptomatic(33%) and vaginal spotting, pelvic pain, primary infertility were common problem(10~13% of each other). 5. Incidence of spontaneous abortion was 51%(27 cases/53 total pregnancies), preterm delivery was 3.8%(2 cases/53 total pregnancies) in uterine anomaly. The fetal wastage was 51% in bicornuate, 85.7% in septate, 40% in vaginal septum. 6. 4 breech presentations and 1 transverse lie were noted in 10 observed full term pregnancies. 7. The metroplasty was performed in 9 patients and thereafter one patient had one healthy baby, two patients are now in pregnancy without any complication. 8. The two patients of vaginal agenesis has been in good sexual life after Mc-Indoe operation and two cases of vaginal septum were resected.

실린더 형 점성 감쇄 장치의 거동 특성 분석과 교량 적용성 평가에 관한 연구

조해진(Cho Hae Jin),성낙구(Sung Nak Gu),황정혁(Hwang Jung Hyuk),박진완(Park Jin Wan) 대한토목학회 2004 대한토목학회 학술대회 Vol.2004 No.10

자궁외임신에 관한 임상적 고찰

홍서유,정연실,박준영,성낙구 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.2

1984년 1월부터 1988년 12월까지 5년간 서울을지병원 산부인과에서 입원치료한 자궁외임신 환자 222예를 임상적 고찰하여 그 결과를 보고하면 다음과 같다. 1. 총 분만수에 대한 자궁외임신의 빈도는 1:43.2(222예/9586분만)이었다. 2. 호발연령은 26~30세로 43.2%이었다. 3. 분만과의 관계에서 미산부의 자궁외임신이 41%를 차지하였고, 한번도 임신한 경험이 없는 미임부가 16.2%를 차지하였다. 4. 인공유산과의 관계에서 인공유산의 경험이 있는 경우가 68.9%로써 자궁외임신 유발과의 유의성이 있음을 보여주었다. 5. 기왕력은 기왕개복술의 경험이 있는 경우가 21.6%, 복강경 난관불임시술을 받은 경우가 5.9%, 인공임신중절이 60.9%, 골반내염증이 8.8%, 그외 자궁내 피임장치가 0.8%였다. 6. 최종월경 제 1일로부터 증상 발현되어 내원하기까지의 기간은 6주이내가 29.7%, 6~8주가 37.8%로 대다수를 차지하였다. 7. 임상증상에서 하복부 동통이 73.9%, 무월경이 69%, 질출혈이 64.5%, 자궁경부압통이 48.6%, 골반부위 중압감이 43.6%등 주 증상으로 나타났다. 8. 자궁외임신의 진단에서 urine hCG(+)가 93.4% culdocentesis가 88.6%, 초음파검사가 79.8%, 복강경진단이 83.3%이었으며 자궁내막검사상 Arias-stella reaction이 20.3%, secretory endometrium이 45.6%, proliferative endometrium이 22.8%, decidua가 11.3%였다. 9. 자궁외임신의 위치는 나팔관이 93.3%, 자궁각이 2.7%, 난소가 1.4%, 자궁경관이 1.8%, 복강내가 0.4%, rudimentaly horn이 0.4%이었다. 10. 수술방법은 환측 난관절제술이 59.5%, 환측 난소난관절제술이 27%로 대다수를 차지하였다. 11. 입원당시 혈색소치는 10 gm%미만이 24.3%, 10 gm%이상이 75.7%이었고, 수술시 복강내 출혈량은 500 ml이하가 51.8%, 500~2000 ml가 45.9%이었다. 12. 수술합병증은 복강내 농양 형성이 0.4% 있었으며 수혈에 대한 합병증 및 사망한 예는 없었다. The ectopic pregnancy is the one of the gynecologic emergency. And now second leading cause of maternal death in the United States. The reasons or causes for increasing ectopic pregnancy include the following. 1. Tubal infection due to increased prevalence of sexual transmitted disease. 2. Use for contraception that prevents intrauterine pregnancy but not extrauterine pregnancy by intrauterine device or low-dose progestational agents. 3. Unsuccessful tubal sterilization. 4. Induced abortion followed by infection. 5. Fertility induced by ovulatory agents. 6. Previous pelvic surgery. 7. Exposure to stilbestrol in utero. 8. Better and earlier diagnostic procedures. The incidence of ectopic pregnancies has been expressed in various ways. Population-based data are presented that based on the 222 ectopic pregnancies reported in Seoul Eul-Ji General Hospital from Jan. 1st, 1984 to Dec. 31, 1988. A review of determinant factors of ectopic pregnancy is presented as follows; 1. The incidence of ectopic pregnancies was 1 per 43.2 deliveries(222/9586). 2. The most common incidence of age group was found in 26~30 years old and the rate was 42.3%(94/222). 3. The obstetrical histories of ectopic pregnant patients were nulligravida in 16.2%, abortion in 52.3%, delivery in 22% and previous ectopic gestation in 9.5%. 4. The past histories were previous operation in 21.6%, laparoscopic tubal sterilization in 5.9%, artificial abortion in 60.9%, pelvic inflammatory diseases in 8.8% and intrauterine device in 0.8%. 5. The duration from LMP to the time of onset of the symptoms was below 6 weeks in 29.7% and 6~8 weeks in 37.8%. 6. According to symptomatological analysis, these symptoms occurred as follows, lower abdominal pain in 73.9%, amenorrhea in 69%, vaginal spotting or bleeding in 64.5%, cervical moving pain in 48.6%, bearing down sensation in 43.6% and then one more symptoms were complicated. 7. The diagnostic procedures for early detection of 122 ectopic pregnant women were urine hCG, culdocentesis,ultrasonogram, endometrial biopsy, and diagnostic laparoscopy from Jan.lst,1986 to Dec.31th, 1988. The result with positive urine hCG was in 93.4%, with culdocentesis in 88.6%, with positive urine hCG was in 93.4%, with culdocentesis in 88.6%, with ultrasonogram in 79.8%, and with diagnostic laparoscopy in 83.3%. The findings of endometrial biopsy were decidua,only in 11.3%. 8. Ectopic pregnancies were implanted on fallopian tube in 93.3%, uterine conus in 2.7%, ovary in 1.4%, cervix in 1.8%, abdomen in 0.4% and rudimentary horn in 0.4%. 9. The operative procedures were ipsilateral salpingectomy in 59.5%, ipsilateral salpingo-oophorectomy in 27%, cornual resection in 2.7%, total abdominal hysterectomy in 2.3%and others in 8.5%. 10. The value of Hb was below 10gm% in 24.3% and above 10 gm% in 75.7%. The amount of intraabdominal hemorrhage was below 500ml in 51.8%, 500~2000ml in 45.9%.The rate of patients with transfusion was 44.1%. 7. The diagnostic procedures for early detection of 122 ectopic pregnant women were urine hCG, culdocentesis, ultrasonogram, endometrial