골반복막후방 점액종

이동훈(DH Lee),윤진규(CK Yoon),송민자(MZ Song) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.1

The true myxoma of the retroperitoneal region is a relatively rare neoplasm of primitive mesenchyme, which is generally being, however, recurrences frequently develop after incomplete surgery. A pelvic retroperitoneal myxoma was operated at the Department od Obstetrics and Gynecology, Medical College Hospital, Pusan National University and a follow-up period of 2year and 2 month has been obtained with no recurrence. The patient was a 32-year-old Korean female in 1967. In 1961, the patient underwent abdominal total hysterectomy and left salpingo-oophorectomy for destructive mole. In October, 1967, a right lower abdominal mass was palpated and on November 27, 1967, the pelvic retroperitoneal mass was enucleated and the right tube and ovary were infact. The operative specimen was an ovoid,, white-gray, and soft mass, weighing approximately 410gm, and the microscopic diagnosis was retroperitoneal myxoma.

선천적 선미부 기형종의 1예

이동훈(DH Lee),김영선(YS Kim),배혜진(HJ Bae),김정숙(JS Kim),옥숙미(SM OK) 대한산부인과학회 1966 Obstetrics & Gynecology Science Vol.9 No.8

The Authors Present a Case Report of Ruptured Corpus Luteum with intra-Abdominal Hemorrhage which they have Diagnosed as Rupture of Ectopic Pregnancy Before Operation.

난소중신종의 1례

이동훈(DH Lee),주명숙(MS Choo),성정주(JJ Sung) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.1

In 1939, Schiller originally described a new specificially recognizavle overian tumor as being of mesonephric origin for its peculiar morphological pattern and called it mesobnephroma. After Schiller`s original report, numerous further cases of mesonep- hroma and discussions have appeared the literature in foreign countries and Korea. The case I am going to report must be considered malignant mesonephroma of the ovary to fulfill the features indicated by Schiller as diagnostic of this tumor.

난소임신 3예 보고

이은행(EH Lee),이동훈(DH Lee) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.4

Primary ovarian pregnacy is still a comparatively rarity. In this article there are presented three cases of primary ovarian pregnancy, which meet all of the criteria set up by Spiegelberg for a true primary ovarian pregnancy.

충양돌기 자궁내막증의 1예

김순애(SA Kim),김영선(YS Kim),이동훈(DH Lee) 대한산부인과학회 1964 Obstetrics & Gynecology Science Vol.7 No.2

23세의 기혼미임여자에서 타장기자궁내막증 합병없이 단독히 충양돌기에 발생한 자궁내막증의 1예를 보고한다.

쌍각단경자궁의 임신에서의 선천성내반족 1례 보고

호삼수(SS Hoh),김일승(IC Kim),이동훈(DH Lee) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.3

The patient was a Korea 28 years old woman. On November 10, 1966 the hysterosalpingography revealed utrerus bicornis unicollis and bilaterally obstructed tubes at both ends (Fig. 1,2,3), On March 17, 1967 bilateral salpingostomy, wedge resection of both ovatries and anterrior fixation of the uterus were performed. After this surgery thyroid rxtract was given for two months. The last menstrual period was on February 28, 1968 and the diagnosis of pregnancy was given on May 24, 1968. On September 9, 1968 the breech presentation was noted and the external cephalic Dece- mber version wqas failed. On December 7, 1968 the X-ray revealed breech Presentation(Fig.4) On December 11, 1968 elective low cervical transberse ceasrean section was performed and a female infant wasd elivered. The infant weighed 3,200 Gm. and the left foot was talipes equinovarrus(Fig.5) On the fourth post-puerperal day, the left foot was mantained in a position of over-correction with a cast by a orthopedist. On january 15,1969 theclub-foot was well corrected. The authors concluded the left club-foot had come from the abnormal intra-uterine position of the fetal feet in uterus bicornis unicollis.

조기분만진통 산모에서 양수내 감염의 발생양상 및 임상적 의의

이재훈,김승욱,이동훈,신희철,윤보현,전종관,양순하,구자남,김경섬 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.7

양막파열없이 조기분만진통을 주소로 서울대학교 병원 산부인과에 입원한 산모 75명을 대상으로 하여 경복부 양수천자를 시행하여 얻은 양수로 배양검사를 실시하고 임신의 경과와 분만된 신생아의 예후를 조사하여 다음과 같은 결과를 얻었다. 1. 양수배양결과 세균이 분리된 산모는 9명(12.0%)이었다. 2. 자궁수축억제제의 투여가 실패한 경우는 배양양성군에서는 100%, 배양음성군에서는 47.9%로 배양양성군에서 유의하게 높았다. 3. 양수배양양성군의 모든 산모가 조기분만하였고 배양음성군에서는 60.6%가 조기분만하였다. 인위적으로 조기분만시킨 경우를 제외한 자연적인 조기분만진통에 의한 조기분만율도 배양양성군에서 100%, 배양음성군에서 51.9%로 배양 양성군에서 유의하게 높았다. 4. 양수배양양성군은 음성군에 비해 양수천자에서 분만까지의 시간 간격이 유의하게 짧았다. 5. 양수배양양성군의 신생아는 출생시 배양음성군의 신생아에 비해 임신주수 및 체중이 유의하게 낮았다. 6. 양수배양양성군의 주산기 사망율이 배양음성군에 비해 유의하게 높았으며 신생아 패혈증, 호흡부전증후군, 뇌실내 출혈, 기관지폐이형성증, 폐렴, 괴사성 장염 등의 신생아 이환율도 배양양성군에서 더 높았다. Objectives: To determine the prevalence and microbiology of intraamniotic infection and to compare maternal and neonatal outcomes according to amniotic fluid culture results in patients with preterm labor and intract membranes. Methods: Amniotic fluid was obtained by transabdominal amniocentesis in 75 patients with preterm labor and intact membrances, and cultured for aerobic and anaerobic bateria as well as for mycoplasmas. Fishers exact test, Students test, Mann-Whitney U test, and generalized Wilcoxon test for survival analysis were used for statictical comparisons. Results: 1) The prevalence of positive amniotic fluid cultures was 12.0% (9/75). 2) The most frequently isolated microorganism was Ureaplasma urealyticum(n=9). 3) Failure of tocolysis was more common in patients with positive amniotic fluid cultures than in those with negative amniotic fluid cultures(6/6 [100%] vs. 23/48 [47.9%], p$lt;0.05), Moreover, the amniocentesis-to-deliver interval of patients with positive amniotic fluid cultures was significantly shorter than that of patients with negative amniotic fluid cultures (median 17 hr, range 1-385 hr vs. median 123 hr, range 1-1747 hr, respectively; p$lt;0.005). 4) The newborn infants born to mothers with positive amniotic fluid cultures ahd lower gestational ages and birth weights than those born to mothers with negative amniotic fluid dultures. 5) Neonates of patients with positive amniotic fluid cultures had significantly higher rate of perinatal complications than those with negative cultures. Conclusion: Microbial invasion of amniotic cavity is a risk factor for failure of tocolysis, spontaneous preterm delivery, and perinatal morbidity and mortality in patients with preterm labor and intact membranes.

복부초음파 유도하에 복수천자를 시행하여 산전진단된 태변성 복막염 1 례

김승욱,이동훈,신희철,윤보현,전종관,김준권,최석태,황종대 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.10

서울대학교병원 산부인과에서 산전 초음파상 석회화의 증거없이 태아복수증의 소견만 있는 태아에서 초음파 유도하에 복수천자를 시행하여 복수 태변착색과 세포검사로 태변성 복막염을 진단하여 조기에 신생아에게 수술적 처치를 시행하여 신생아의 예후를 좋게 한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. We report a case of meconium peritonitis diagnosed antenatally by ultrasound-guided paracentesis of fetal ascites. Cytologic or meconium-stained fluid examination is a useful tool for the antenatal diagnosis of meconium peritonitis in presenting fetal ascites only.

개복술의 기왕력 없이 생긴 다발성 골반외 자궁내막증 1 예

최영민,이동훈,김경선,박교훈,이지희,이희선 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.10

저자들은 개복술의 기왕력 없이 생긴 다발성 골반의 자궁내막증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Endometriosis has been reported not only in thepelvic cavity but anywhere in the body such as umbilicus, inguinal region, appendix, aladder, cervix, extrimities, hernia sacs, nerves, pleural cavity and lugns, rectum, round ligaments, lymphatics, sigmoid colon, small intestine, vagina and vulva. We documented a case of multiple extrapelvic endometriosis without the previous history of laparotomy in 41 year-old nulliparous woman.

분만 48 시간 이후에 나타난 자간증 2 례

김승욱,이동훈,신희철,윤보현,전종관,김경선,박교훈,이지희 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.8

분만전 자간전증의 증상이 있던 환자에서 분만 48시간이후에 자간성 경련이 일어난 경우를 2례 경험하였기에 보고하는 바이다. Eclampsia is characterized by generalized tonic-colinic convulsions that develop in women with hypertension induced or aggravated by pregnancy. Because identification of patients at risk and preventive therapies are imperfect, eclamptic seizures continue to occur occasionally during puerperium. Nearly all cases of postpartum elcampsia develop within 24 hours of delivery, but otherwise typical cases are seen up to 26 days postpartum. Another diagnosis should be considered in women with the onset of convulsions more than 48 hours postpartum. We described two cases of late onset postpartum eclampsia including a review of the literature.