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RISS 인기검색어
- 검색키워드
- 저자 : 신재진(JJ Shin) (검색결과 3 건)
- 무료
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신재진(JJ Shin),이영순(YS Lee),김철성(CS Kim) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.10
A Case of uterus Didelphys Associated with unilateral imperforate vagina is reported with a review of the literature. In this case ipsilateral renal agenesis was found on the affected side. A synopsis of the embryologic defect responsible for the development of this anomaly and the recommended management of the disorder are outlined.
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최종열(CY Choi),신재진(JJ Shin),이명우(MW Lee),오원섭(WS O) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.6
저자들은 1975년 1월부터 1980년 8월까지 5년 8개월 동안 본 한강성심병원 산부인과에서 치험한 자궁파열 33예에 대하여 임상적으로 분석을 하여 다음과 같은 결과를 얻었다. 1. 총분만수 10509예중 자궁파열이 33예로서 발생빈도는 1:318이었다. 2. 연령분포는 30-34세군에서 42.4%로 분만회수는 1-2회에서 82%로 가장 많았다. 3. 자궁파열의 종류별 빈도는 기왕제왕절개반흔파열이 21예로 64% 자연자궁파열이 7예로 21% 가해자궁파열이 5예로 15%이었다. 4. 파열장소는 원의가 31에로 94% 원내가 2예로 6%였다. 5. 임신주수별 자궁파열은 대부분이 만삭임신이었다. 6. 가해자궁파열의 원인적 요소는 자궁수축제의 남용이 가장 많았다. 7. 자궁파열의 부위는 자궁체부가 49% 자궁하절부가 21% 자궁측벽이 30%였으며 자궁체부파열은 대부분이 반흔파열이었고 자연자궁파열과 가해자궁파열은 대부분이 측벽파열이었다. 8. 치료는 원칙적으로 전자궁적출술(67%)을 했으며 그의 환자의 상태 파열부위 및 정도에 따라 단순봉합 자궁경상부적출술을 하였다. 수혈량은 평균 6.2pints이었다. 9. 모체사망율은 9% 태아사망율은 52%이었다. This report concerns 33 cases of uterine rupture diagnosed among 10509 obstetric deliveries at Han Gang Heart Hospital in Seoul from Jan. 1975 through Aug. 1980. The results are summerized as follows. 1. There were 33 cases of uterine rupture among 10509 deliveries, an incidence of 1 in 318 deliveries. 2. The age distribution was from 29 to 39 years of age and about 82% of cases were in 25 to 34 years of age. According to parity, 82% of cases were in para 1 and 2.3. The incidence depending on the classification of rupture, 21 cases (64%) were ruptured previous Cesarean section scars, 7 cases (21%) were spotaneous rupture, 5 cases(15%) were traumatic rupture. 4. The place of rupture were 31 cases of extramural (94%) and 2 cases of intramural (6%). 5. According to gestational age, about 27 cases (82%) were over 38 weeks. 6. The major etiologic factor associated with traumatic rupture of the uterus noted to be the abuse of oxytocic drug. 7. The sites of rupure were composed of 7 cases (21%) in loxer uterine segment, 10(30%) in the lateral wall of uterus, and 16(49%) in the other sites of corpus. Corpus ruptures were largely due to ruptured scars, but lateral wall ruptures were almostly spotaneous and traumatic rupture. 8. About surgical management of uterine rupure, we have performed totoal hysterectomy(67%), simple repaire of defect(27%), subtotal hysterectomy(6%), according to suptured site, extensiion, patient`s general condition. During clinical management, the average blood transfusion was 6.2 pints. 9. Maternal mortality was 9% and the fetal mortality 52%.
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오원섭(WS O),이근영(KY Lee),신재진(JJ Shin),이우영(WY Lee) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.11
A case of ruptured rudimentary horn pregnancy in a 30 years old, multiparous woman is presented. The pregnant rudimentary horn was ruptured spontaneously without any complications, the pregnancy was carried to last trimester, and the fetus was alive as a abdominal pregnancy. The pregnancy was terminated by laparotomy in delivery of a living male infant, weighting 2.25kg with maternal survival. Some of the factors associated with a rudimentary horn pregnancy are reviewed.
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