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      • KCI등재

        자궁외임신에 관한 임상적 고찰

        신승권,최호준,윤길팔,양영균,양우열,고만석 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.4

        The study was undertaken for the clinical evaluation and statistical analysis on the 222 patients with ectopic pregnancy who had been adbitted and treated at the Mokpo St. Columban`s Hospital from Jan. 1, 1993 to Dec. 31, 1995. The results were obtained as follows. 1. Hospital incidence of ectopic pregnancy wasd 1 in 45 deliveries(222/10,078). 2. Ectopic pregnancy was found to occur most frequently in the age group, ranging from 31 to 35 years(36.9%). 3. Nullipara was 26.5% and woman who had experienced artificial abortion was 69.8%. 4. Hemoglobin value over 10.0 gm/dL was in 78.8% and below 8.9 gm/dL in 4.1%. 5. Initial systolic blood pressure rise above 100 mmHg was in 75.0%, the mean value was 104.5mmHg. 6. The clinical manifestations were appeared in 64.4% from the last menstrual peroid to the next 5~8 weeks. 7. Total amount of intraperitoneal hemorrhage between 100~1,000 ml was in 62.1%, above the 1,000 ml was in 29.3% and less than 100 ml was in 8.6%. 8. Ectopic pregnancy was implanted follopain tuve in 95.0% ovary in 4.5% and cervix in 0.5%. Among tubal pregnancies, ampulla portion was involved in 76.6%, interstitial portion in 3.1%, isthmic portion in 12.2% and fimbrial portion in 3.1%. 9. In the past history, the laparoscopic tubal ligation was in 18%, peritonitis was in 1.8%, appendectomy was in 7.2% and cesarean section was in 8.6%. 10. Culdocentesis was positive in 70.0% and urinary HCG test was positive in 90%. 11. 77.8% of total cases was treated by salpingectomy, 14.9% by salpingoophorectomy and 1.4% by hysterectomy. 12. Of 222 total cases, no death occurred.

      • KCI등재

        자궁에 발생한 지방평활근종 1 례

        이지신,신승권,최호준,양해관,이명재,윤길팔 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.7

        저자들은 본 성골롬반병원 산부인과에서 자궁 전적출술을 시행하여 확진한 자궁에 발생한 지방평활근종 1예를 경험하였기에 증례보고와 아울러 문헌고찰하는 바이다. Lipoleiomyomas of the uterus are extremely rare and have little attention. They have aroused interest as a consequence of occasional diagnostic confusion with sarcomas and the continuing unresolved dispute for their histogenesis. We experienced a case of lipoleiomyoma of the uterus, so reported with a brief review of the literature and pahologic findings.

      • KCI등재

        난관 간질부에 발생한 포상기태 1 예

        이지신,이상룡,신승권,이성봉,이명재,윤길팔 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.6

        난관에 발생하는 포상기태는 매우 드문 경우로 저자들은 난관간질부에 발생한 포상기태의 제거 후 hCG추적검사중인 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The ectopic pregnancy refers to a gestation in which the fertilized ovum implants on any tissue other than the mucous membrane lining the uterine cavity. The most common site of ectopic pregnancy is within the fallopian tube including interstitial portion. Moles usually occupy the uterine cavity; they rarely may be located in the oviduct and even in the ovary. Only a few cases of primary hydatidiform mole of the tube have been reported. We reported an extremely rare case of ectopic hydatidiform mole in the interstitial portion of the tube.

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