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- 저자 : 양인환(IW Yang) (검색결과 3 건)
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양인환(IW Yang),김철영(CY Kim) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.2
It is well known that syphilis in pregnancy is injurious to mother and fetus. The prevention of prenatal syphilis y treatment of the infected mother with penicilin during pregnancy is one of the major triumphs in modern medicine. Siphilis in pregnancy has decreased in almost all countries in the world. The trepoema pallidum, the causative agent, is very sensitive to penicillin and registant strains have not been found yet. Neverthless there is still a vast reservoir of infection and an alarming amount of undiscovered syphilis in the population. Recent information, obtained by the Medical Clinics of North America for the years 1960 to 1961 shows that the total number of reported cases of infective syphilis has risen three times in United States. In Korea, there is little documentary evidence of increase of syphilis since 1963. The diagnosis and treatment of syphilis in pregnancy are the same as for any syphilitic person, except that here werare not only concerned with curing the pregnant woman but also hope to avoid congenital syphilis in the baby. In some cases we may be pressed for time and forced to modify our general rules of diagnosis and treatment, in an effort to avoid the birth of a syphilitic infant. In order to know the current pattern of syphilis among pregnant women, 2838 women who delivered at Severance Hospital from 1962 to June, 1966, were analysed and the following retults were obtained. 1. During the 4½ years from Jan. 1962 to June. 1966, the rate of positive V.D.R.L. test`s was 5.2%. The rate of biological false positive test among the positie V.D.R.L. tests was 54%. 2. 51% of the gravidas reeived a V.D.R.L. test during or after delivery. Only 20% of the positive cases received the test prior the 7th month of gestation. 3. The majority of the patients with positive v.D.R.L. and R.P.C.F. test were primigravidas 25-30 years in age. 4. 92% of the syphilitic pregnnt women had latent syphilis. 5. Either a stillbirth or a premature delivery was noted in 48% of the positive R.P.c.F. untreated cases. 83% of the premature infants died during the neontal period. There were no deaths among the term infants. 6. Emphasis is placed upon the necessity of finding and treating all cases of syphilis during pregnancy. 7. In addition to general deucations about syphilis, it is reommented that pre-marital seroligic tests for syphilis be requird by law.
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박찬규(CK Park),양인환(IW Yang),고흥수(HS Koh),홍성선(SS Hong) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.6
Ovarian tumors are one of the many neoplasms seen in the practice of gynecology. Becaus of the various types no basic etiology has been established. Numerous classifications have been devised based on etiology, histology and embryology, but no one has been universally accepted by gynecologists or pathologists. Only a few statistical surveys on ovarian tumors have been reported in Korea and even the small numbers of reports show great variation in their results. The author undertook this study because of the importance of a clinico-pathologic survey of ovarian tumors as observed in Korea. A Clinico-pathological as well as statistical survey was made on a series of 230 ovarian tumors admitted, operated upon and confirmed with post-operative histopathologlcal study as the Department of Obstetrics & Gynecology and Department of Surgery, Severance Hospital, Yonsei University during a period of 5 years and 7 months from January, 1961 to July, 1966. The results obtained are as follows: 1. The incidence of benign tumors was 87.4% of all ovarian tumors while that of malignant ones 12.6%. 2. Age distribution of benign tumors was between 26-46(average 36 years), while that of malignant ones 31-59(average 45 years). 3. Menstruation was regular in 57.8%, irregular in 11.7% and the rest were amenorrheic. Patients with benign tumors had regular cycle in 59.7%, irregular in 11.7%. 4. Among the subjective symptoms complained of by the patient, 51.3% noticed a lower abdominal mass, 47.4% complained of lower abdominal pain and 15.6% had backache. 5. As to objective signs among the ovarian tumors, ascites were observed in 27 cases(11.7%), cachexia in 6 cases(2.6%). In malignant tumors ascites and cachexia Were noted in 65.5%, 20.7% respectively while in benign ones none had cachexia and only 3.9% had ascites. 6. The size of benign and malignant ovarian tumors were average 11cm, 10.5cm respectively while that of non-neoplastic cyst among the benign tumors was average 9.9 cm. 7. Of all the ovarian tumors 45.9% were noted in the right ovary, 33.8% in the left. Benign tumors were observed 51.3% in right ovary, 37.8% in left while among the malignant tumors 24.1% were right, 17.2% in left. We can see the greater occurrence of tumors in right ovary in both the benign and malignat catagory. 8. The order of incidence of the benign tumors was dermoid cyst 30.4%, pseudomucinous cystadenoma 15.4%, simple cyst 14.4% and serous cystadenoma 11.4% while the incidence of the malignant ones was serous papillary cystadenocarcinoma 34.5% krukenberg tumor 24.1% and pseudomucinous cystadenocarcinoma 20.7%. 9. Among the neoplastic ovarian cysts dermoid cysts were bilateral in 14.8%, serous cystadenoma in 8.7% and pseudomucinous cystadenoma in 6.4%. 10. The incidence of malignancy in the serous neoplasms, pseudomucinous ones and dermoid cysts was 43.5%, 19.4% and 1.6% respectively while the malignancy of all the ovarian tumors was 12.6%.
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문영기(YK Moon),오성규(SK Oh),이재억(JA Lee),양인환(IW Yang) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.9
14 cases of maternal deaths were encountered among 2864 deliveries and 151 prenatal cases. Average maternal mortality was 50.5. There were 80 cases of stillbirths and 92 cases of neonatal deaths among the 2914 births. Average perinatal mortality was 62.1. These were seen at Yonsei University Hospital between February, 1959 and August 1964. Rate of maternal mortality decreased rapidly in comparison to perinatal mortality. The majority of preinatal deaths were in the premature group. Prenatal care controlled the maternal mortality and perinatal mortality. All of the maternal deaths had not been under prenatal care. Maternal mortality committee and perinatal mortality committee are needed for control maternal mortality and perinatal mortality.
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