Cobalt조사가 보존혈에 미치는 영향

안종호(JH Ahn),권병일(BI Kwon) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.3

Since radioactive substances are widely used in various field. There are increased chances of exposure to accidental irradiation. Various physical changes in human being after accidental exposure to irradiation are extensively studied, but there are few available informations upon stored blood exposed to irradiation. It is an interesting matter to know what changes are manifested in irradiated stored blood. Author studided erythrocyte, leucocyte, platelet count and hematocrit determaination in irradiated stored blood exposed to 500r, 1000r, 2500r, and 5000r with Cobalt. The analyses of the bloods are made in 1st(24 hours), 7th, 14th and 21st day after irradiation and results obtained are as follows: 1. By duration of storage, erythrocyte count of none radiated stored blood(control blood) showed a slight decrease, whereas irradiated bloods showed slightly lower count than that of control blood. The decreasing ratio of control to irradiated bloods in 1st, 7th, 14th, and 21st day manifest roughly same ratio. There are no significant differences of erythocyte count according to dosage of radiation. 2. Leucocyte count of the control blood showed gradually and moderately decreasing number with duration of storage. There are no significant differences of count in irradiated blood and control blood and also no significant difference of count by dosage or irradiation. 3. Platelet count of the control blood showed marked decrease by duration of storage and in irradiated blood, but there are no noticeable differences of count by dosage of irradiation. 4. There are no noticeable differences of hematocrit in control groups and also alteration of hematocrit in irradiated blood group.

이상질세포진의 정진률향상을 위한 가검물 채취법의 비교

안종호(JH Ahn) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.1

1979sus 1월 4일부터 1979년 10월 31일까지 본병원 산부인과 부인암센타를 수진한 총 2635명중 2동의 smear로 atypical suspicious, positive smear로 판정된 141명을 대상으로 정진율향상을 위한 강세포진가험물채취법을 비교검토한 바, 그 성적을 아래와 같이 요약한다. 검사총원 2635명중 세포진음성이 2494명으로 94.6%이었고 two smear중 atypical, suspicious, positive가 하나 혹은 그 이상 의 경우가 각각 51명(1.9%), 47명(1.8%), 43명(1.6%)으로 abnormal cytology의 총수는 141명(5.4%)이었다. A 및 B smear 등 동시에 2회의 강세포진을 행하였을 시는 A smear 단독으로 행하였을 시보다 0.8∼1.1%의 정진율의 증가를 관 찰할 수 있었다. 이차 세포진을 함으로 의상성 및 양성세포진의 검진율을 13.0%(12 of 92), 그리고 전이상세포진에 대하여는 19.1%(27 of 141) 의 검진율향상을 보았다. Two xonsecutive smears were obtained in 2635 patients during a single visit from Jsn. 4 1977 through Oct. 31 1979 at Gyn. oncology center. Kyungpook Na- tional University Hospital to ascertain the advantage, if any, of second cervical smear. Among them 141 patients were diagnosed as gaving abnormal cytology namely atypical. syspicious and positive smears. Results summarized were as follows. Negative cytology was revealed 94.6% of 2494 patients and in the two smeats one or more smears having atypical suspicious and postive cytology were 1.9% or 51 pts, 1.8% or 47 pts and 1.6% or 43 pts respectively. Total number of abno- rmal cytology were 141 pts or 5.4%. When A and B consecutive vaginal smears were carried out increased detecyion rate of 0.8 to 1.1% was found than A smear alone. Performing the second cervical smear increased the detection rate of suspicious snd positive cytology by 13.0%(12 to 92) and increased the detection rate of all abnormal cytology be 19.1%(27 to 141).

혈중 Douglas와 천자액의 검토

안종호(JH Ahn),이태호(TH Lee) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.2

In order to promote diagnostic accuracy of intraperitoneal hemorrhage , analysis were undertaken on 54 case of Douglas aspirates and their peripheral blood which include 51 cases of ectopic pregnancy each case of corpus luteum, follicular hemorrhage and destructive mole, on the status of hematcrit, hemoglobin and number of wbc through Jan. 1 1980 to July 31 1980 at out Ob and Gyn department. the results summerized were as follows. Among 54cases of intraperitoneal hemorrhage, ectopic pregnancy were 51 cases or 94.4% and remainder were each case of corpus luteum and follicular hemorrhage and a case of destructive mole. Mean and standard deviation of hematocrit from Douglas aspirates revealed 28.7%+-9.6 found little difference as that of peripheral blood 28.1%+-8.9. Hematocrit from 3 cases of old ectopic pregnancy showed unusual elevation of 55%, 49%, 49% respectively. That is considered important diagnostic clue on diagnosing old ectopic pregnancy. Hematocrit from cases of intraperitoneal hemorrhage caused by other than ectopic pregnancy , namely a case of destructive mole and corpus luteum hemorrhage showed little difference that of ectopic pregnancy. However a case of follicular hemorrhage which showed unusual low value was thought a good indicator for differentiating from ectopic pregnancy, in other words that mean possible avoidability of unnecessary laparotomy by misdiagnosis. It is recommended that since case was extremly small further study should be carreid out. Hemoglobin failed to reveal important role between Douglas aspirates and control in diagnosing ectopic pregnancy. On the contrary in 42 cases out of 51 cases number of wbc was remarkably increased peripheral blood than Douglas aspirates, suggesting possibility of diagnostic aid for ectopic pregency.

임신 4개월의 흔적자궁 자연파열 1예

안종호(JH Ahn),이태호(TH Lee),박일수(IS Park),김유정(YJ Kim) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.12

A case of sponataneous rupture of rudimentray uterine horn with 4 month gestation which was diagnosed as a rupture of tubal gestation is presented and some articles, concerned to this subject were reviewed briefly

임신에 합병된미분화배세포종의 1예

안종호(JH Ahn) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.12

저자들은 23세의 산욕기에서 발견된 미분화배세포종의 1에를 치험하였기에 문헌적 고찰과 함께 보고하는 바이다. A case of dysgerminoma associated in conjunction with pregnancy in 23 year woman is reported and the literatures is reviewed briefly.

자궁경부편평상피암의 초미세구조에 관한 소고

안종호(JH Ahn) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.6

저자는 경북대학교 의과대학 부속병원 산부인과 외래에 내방한 8예의 경부편평 상피암을 전 자현미경으로 관찰하고 얻어진 성적을 요약하면 다음과 같은 결론을 얻었다. 1. 세포막에 잇어서는 그 변연의 불규칙, microvillilike structure등을 특징으로 하는 소견이 나 타났다. 2. 핵에 있어서는 크기의 증대, chromatin 분포의 불규칙, 핵소체 및 nucleolenema 에서는 크 기의 증대가 있었다. 3. 세포체에 있어서는 tonofilament의 증가 tonofilament와 desmosome과의 연속성의 증가, free ribosome의 증가, rER의 감소, mitochondria의 증대, 크기의 불규칙, cristae의 불규칙, Golgi complex의 위축등이 있었다. 4. 간질에 있어서는 기저막의 부분적 결손 및 이로 부터의 종양 세포의 돌출등이 잇었다. 5. 이상의 관찰 성적으로 보아 이들 소견은 대부분세포의 dedifferentiation의 표현이라 생각될 뿐 아니라 태생기세포나 아세포에서도 공히 볼 수 있다는 것을 상기할 때 지금으로서는 미 세구조상 이들과 구별할 수 있는 본질적인 차이는 없는 것으로 믿어진다. The author studied the ultrastructures of the uterine cervical epithelial cells in 8 squamous cell carcinoma cases. The results were as follows; 1. The cellular borders were irregular and showed microovilli-like structure. 2. Nuclei were considerably large and chromatin patterns were markedly heterochromatic. Nucleoli were also enlarged and prominent. 3. Most areas of cytoplasm were filled with increased tonofilaments in certain cells. Also noted were increase of free ribosome, decrease of rER, swelling of mitochondria with variation in their size and atrophy of Golgi complex. 4. Basement membranes were partially discontinued, from where epithelial cells were producted. 5. These changes may regard as a morphologic expression of cellular dedifferentiation, and embryonic cells or blasts also show similar structures which would be the difficult point in differentiation of malignant tumor cells from embryonic cells or blasts.

진행된 자궁경부암의 박탈상피세포상

손유익(WY Sohn),안종호(JH Ahn),이태호(TH Lee) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.7

In order to determine the possibilily of occurance of false negative cases, the cytogram was studied on 30 cases of advanced Ca. Of the uterine cervix who visited the cancer center of Kyungbook National University Hospital Taegu, Korea from Oct. 1, 1972 to Sep 30, 1973. In this study randomly seleteced 39 cases of ca in situ of the uterine cervix diagnosed by surgical specimen, who visited same institution during Jan. 1, 1972 to Sep.30, 1973 served as control from comparison and the following results were obatined. The difference of false negative rate between vaginal pool smear and cervical scraping smear of advnaced Ca. of the cervix was insighnificant. Only minimal difference was noted between advanced Ca. and Ca. in situ of the uterine cervix. Regarding exfoliated number of dyskaryotic cells no difference was noted between both smear method of advanced Ca. Of the uterine cervix. On the other hand marked increment was noted on Ca. in situ of the cervix. The incidence of a case which showed exfoliation of benign cells over 500, in 36 cases out of 39 cases Ca. in situ and 2 cases out of 30 cases of advanced Ca. of the cervix were 92.3% and 6.7% respectively. the difference being statistically sighnificant. Concerning the rate of exfoliated malignant cells, marked difference was noted between Ca. in situ and advanced Ca. of the uterine cervix in the group of 0.1% to 1.0% and about dyskaryotic and benign cells no case was found both more than 30.1% group and less than 50.0% of Ca. in situ of uterine cervix respectively. Both advanced Ca and in situ of the uterine cervix the most frequent combination found in exfoliated rate of each cell type in order of dominant was benign dyskaryotic and malignant cell.

Lippes Loop 착용부인의 질세포학적 관찰

김유탁(YT Kim),안종호(JH Ahn),이태호(TH Lee) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.5

Lippes loop를 착용한 농촌부인 382명의 암성변화잠재능 및 배란성 월경주기를 가진 128명의 loop착용농촌부인의 질표층세포의 핵농축지수를 연구한 바 그 성적은 아래와 같다. Loop비착용군 6,314명의 papanicolau암세포진의 결과는 음성 6,285(9.54), 의증24(0. 38%), 양성 5명 (0.08%)이었고 Loop착용군 382명의 결과는 음성 38명으로 Loop착용군의 암발생잠재능을 인정할 수 없었다. Loop착용군 128명의 월경주기에 대한 질표층세포 농축지수의 변동은 제1,2,3군에서 순차적인 상승을 하여 제4군에서 정점을 이루었고, 그후 제5,6,7군 순으로 점차 감소함 을 관찰하였고 대조군과의 농축지수변동경향의 차이를 인정할 수 없었다. Cytological studies were made on the induceability of uterine cancer in 382 women using Lippes loop who lived in rural area and studies of karyopyknotic index on 128 women using Lippes loop who seemed to have ovulatory 28 day menstrual cycle were also carried out. The results summarized were as follows. Pap. results on 6314 women of control group were negative in 6285 or 99.54%, suspicious in 24 or 0.38%, positive in 5 or 0.08% respectively. On the other hand 382 women using Lippes loop showed entirely negative smears. Studies on karyo-pyknotic index in 128 women using Lippes loop showed gradual increment in order of group 1,2,3, and revealed peak value at group 4. thereafter gradual decrement was seen in the order of group 5,6,7. These results were very similar to that of control group. Judging from these results it may be considered that the presence of an Lippes loop does not have any effect both on the ovarian function or estrogen activity and inductin of uterine cancer.

자궁경질부 미란의 질확대경진상

전상식(SS Jeon),안종호(JH Ahn),이태호(TH Lee) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.1

자궁경질부 미란 239례의 정상 및 이상수복 과정을 질확대경진을 통하여 연구한 바 그 성적을 다음과 같이 요약한다. 자궁경질부 미란의 빈도는 22.3%이었다. 자궁경질부 미란의 연령별빈도는 35세~39세 군이 가장 높고, 60세 이상군이 가장 낮았다. 자궁경질부 미란의 정상수복상의 기별분포는 각각 초기 26.5%, 중기 42.0%, 말기 31.5%이었다. 자궁경질부 미란의 이상수복상은 기저 42.9%, 백반 33.3%, 분야 14.3%, 이상혈관 9.5%이었다. 자궁경질부 미란의 이상수복상 21례의 조직진단은 만성경관염 38.1%, 이형상피 23.8%, 상피내암 28.6%, 침윤암 9.5%이었다. Normal and abnormal reparative process were studied on the 239 cases of cervical erosion by colposcope, the results obtained were summarized as follows. The incidence of cervical erosion was 22.3%. The highest found on the group of age 35 to 39, whereas the lowest on the group of age 60 or more. Normal reparative process of cervical erosion revealed stage of initial 26.5%, advanced 42.0%, and terminal 31.5% respectively. Abnormal reparative process of cervical erosion revealed punctation 42.9%, leukoplakia 33.3%, mosaic 14.3% and abnormal blood vessel 9.5%, respectively. Histological diagnosis of abnormal reparative process on 21 cases with cervical erosion disclosed chronic cervicitis 38.1%, dysplastic epithelium 23.8%, ca. in situ 28.6%, and invasive ca. 9.5%.

분만예정일 초과에 관한 연구

박종근(JK Park),안종호(JH Ahn),이태호(TH Lee) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.5

Total 1,312 cases were delivered during Jan. 1978 to Aug. 31 1981 at our university hospital. Among 1312 cases there were 69 post term pregnancies, the occurance rate was 5.3%. Comparison was made on factors that influencing delivery, fetal morbidity and mortality with control group of both 37 weeks and 39 weeks and with transient control group of 41 weeks. The results summarized were as follows. Frequency of induction of labor was significantly higher in post term group than transient control group