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이경복,김우경,김현찬 인제대학교 1998 仁濟醫學 Vol.19 No.2
자궁 적출술에 관한 국내외의 여러 보고에서 이미 복식 전자궁적출 및 복강경하 질식 전자궁 적출술에 비해서 질식 전자궁 적출술이 더 좋을 수도 있다는 보고에도 불구하고 대부분이 복식 전자궁 적출술로 자궁적출을 시행하고 있는 실정이다. 따라서 저자는 양성 부인과 질환과 자궁경부 상피내암 및 미세침윤암 환자 47예에서 질식 전자궁 적출술을 시행하여 안전성 및 술후의 결과에 대해서 임상적으로 고찰하여 향후 자궁 적출술의 방법선택에 지침을 얻고자 한다. A clincal study was made to evaluate the feasibility, safety, complications, & outcomes on 47 cases of vaginal hysterectomy excluding patients with prolapse uteri at the department of Obstetrics and Gynecology, Pusan Paik Hosp., College of Medicine, Inje university during the period from Jan 1996 to Dec 1997. The results were as follow : 1.The average age of patients was 46.17±8.21(31∼75) years old. Forty-seven(51%) patients were in their forties. 2.The average parity more than twice was 80.8%. Of the 47 patients, 2.2% were nullipara. Over four fifth of 47 patients had the history of vaginal delivery. 3.About one forth of 47 patients had the past history of previous abdominal operation. 4.The most common indications of vaginal hysterectomy were uterine leiomyoma and adenomyosis(70.2). Carcinoma in situ and microinvasive carcinoma of the cervix were 23.4% & 6.4%, respectively. 5.The combined operation were performed at 46.8%. The most common one was salpingo-oophorectomy. The colphorraphy was performed at 8.5% of the cases. The diagnostic laparoscopy was performed at 12.8% in the patients with past history of previous abdominal operations. 6.Over 90% of 47 vaginal hysterectomies were performed less than 90 minutes. The average time was 72.34±17.19 minutes. 7.The most common blood loss was 200∼300cc(36.2%). The majority of bloos loss was less than 400cc(86.6% ). The average blood loss was 271.28±127.58mL. 8.The majority of uterine weight was 100∼199gm(40.4%). 17.1% was more than 300 gm in weight. The average uterine weight was 194.77±86.32gm. 9.No major complications occurred during or after operation. 10.The hospital stay of 3 days or less was 61.7%. The average hospital stay was 3.45±0.95 days. The causes of delayed discharge(5 days or more hospital stay) were not operation-related complications but patient's associated medical problems. In conclusion, the outcomes of the vaginal hysterectomy mainly depends on the operator's experience. The articles published till now reported that the vaginal hysterectomy was superior to abdominal & laparoscopically assisted vaginal hysterectomy in the aspect of low complication rates, shortened hospital stay, and low hospital costs. Special techniques, sometimes, such as uterine morcellation, coring, and bisection at the time of vaginal hysterectomy are enable us to remove uterine tumor vaginally. Deciding to perform hysterectomy under suitable indications, it is resonable to perform vaginal hysterectomy to reduce the psychological, physical, and financial burdern.
Stability of closed sets in flows on TVS-cone metric spaces
이경복 충청수학회 2019 충청수학회지 Vol.32 No.3
The concept of the stability is very important in dynamical systems. This paper is devoted to the study some properties of stability on a TVS-cone metric space.
李慶馥 湖西大學校工業技術硏究所 1989 工業技術硏究所論文集 Vol.8 No.-
Let (X,π) be semiflow. We define the negative para-Liapunov function. More advanced, we investigate the properties of a negative para-Liapunov function. X will be an locally compact metric space, Unless otherwise.