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- 저자 : 이문휘 ( Mun Hwi Lee ) (검색결과 5 건)
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박현종 ( Hyun Jong Park ),이문휘 ( Mun Hwi Lee ),문영진 ( Young Jin Moon ),임기은 ( Ki Eun Lim ),하창원 ( Chang Won Ha ),권자영 ( Ja Young Kwon ),박용원 ( Yong Won Park ) 대한주산의학회 2009 Perinatology Vol.20 No.4
Hydatidiform mole with a coexisting fetus is rare, but this condition has recently shown an increased incidence because of assisted reproduction technology. In most of the reported cases, termination at diagnosis was preferred due to poor fetal survival and maternal risk factors such as vaginal bleeding, preeclampsia, hyperthyroidism, potential of malignant change. However, considering the value of pregnancy by assisted reproduction technology, whether to continue or to terminate this condition is a dilemma. Based on currently available information, it seems that it is reasonable to allow the pregnancy to continue in the absence of maternal complications. We report on a case of the complete hydatidiform mole with two coexisting fetuses with a brief reviews of the literature.
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배재만 ( Jae Man Bae ),박경아 ( Keoung Ah Park ),김희승 ( Hee Seoung Kim ),이문휘 ( Mun Hwi Lee ),문영진 ( Young Jin Moon ),이영미 ( Young Mi Lee ),강순범 ( Soon Beom Kang ),이효표 ( Hyo Pyo Lee ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.9
Liposarcoma is the most common soft tissue sarcoma in adults and accounts for 9.8% to 16% in all soft tissue sarcomas. The common sites include limbs, buttocks, and retroperitoneum, et al. The early diagnosis of retroperitoneal liposarcoma may be difficult because of due to the late onset of symptoms and the tumors are frequently noted in a large size with the involvement of adjacent structures. Surgical therapy remains the most effective modality for the treatment of retroperitoneal liposarcoma. But, complete surgical resection of these tumors is often challenging and, at times, may be impossible. So, adjuvant radiation therapy is necessary for the improvement of prognosis in many cases. We report a case of retroperitoneal liposarcoma which was treated with complete surgical resection followed by adjuvant radiation therapy.
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임기은 ( Ki Eun Lim ),문영진 ( Young Jin Moon ),조태승 ( Tae Seung Cho ),이문휘 ( Mun Hwi Lee ),장지혜 ( Ji Hye Jang ) 대한주산의학회 2012 Perinatology Vol.23 No.3
목적: 임신성 부종이 있는 산모를 대상으로 수중운동을 실시하여 수중운동이 부종감소 효과가 있는지 알아보고자 하였다. 방법: 2011년 1월부터 8월까지 제주 한라병원에 내원한 임신성부종이 있는 임산부 30명을 대상으로 하였다. 45분간 수중운동을 실시하였고 수중운동 시행 전, 후에 산모의 활력상태, 소변 비중, 체중, 태아 심박동수, 양쪽 장딴지 부피를 측정하여 비교하였다. 결과: 수중운동 시행 후 우측 장딴지의 부피는 1,714mL에서 1,428mL로 286mL 감소하였고(P<0.0001), 좌측 장딴지의 부피는 1,644mL에서 1,377 mL로 267mL 로 감소하였으며(P<0.0001), 양측 장딴지의 부피는 3,359mL에서 2,805mL로 553mL 감소하였다(P<0.0001). 소변비중은 1.0197에서 1.0150으로 감소하였다(P=0.004). 산모의 체중과 심박동수, 혈압 및 태아 심박동수는 통계학적으로 유의한 변화는 보이지 않았다. 결론: 임신성 부종을 치료하는 방법으로 수중운동이 효과적이고 안전한 방법으로 생각된다. Purpose: To confirm the effect of water exercise program for treating the gestational edema. Methods: Both low leg volume, body weight and urine specific gravity were measured in thirty women with gestational edema before and after water exercise program. Fetal heart rate, maternal heart rate and maternal blood pressure were measured before and after water exercise program. Results: Right leg volume was decreased by 286 ml from 1714 to 1428mL (P<.0001), left leg volume was decreased by 267mL from 1,644 to 1,377mL (P<0.0001), and total leg volume was decreased by 553mL from 3,359 to 2,805mL (P<0.0001). Urine specific gravity was decreased by 0.0047 from 1.0197 to 1.0150 (P=0.004). Maternal body weight, heart rate, blood pressure, and fetal heart rate were showed no significant change. Conclusion: Water exercise program is effective and safe method for treating the gestational edema.
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호정규 ( Jeong Kyu Hoh ),정재은 ( Jae Eun Chung ),하창원 ( Chang Won Ha ),문영진 ( Young Jin Moon ),이문휘 ( Mun Hwi Lee ) 대한주산의학회 2007 Perinatology Vol.18 No.4
Placenta increta is a life threatening complication of pregnancy, causing severe post-curettage bleeding. It is usually presented in the postpartum period with hemorrhage during difficult placental removal. It is especially rare in the 1st and 2nd trimesters, which is not easy to find and diagnose. We have confirmed a case of placenta increta after emergency hysterectomy due to severe vaginal bleeding following the dilatation and curettage during the 1st trimester of her pregnancy. So we report it with a brief case history and review of the concerned literatures.
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김경태,김승룡,조삼현,류기영,이문휘,조수현,문형 대한부인종양 콜포스코피학회 2000 Journal of Gynecologic Oncology Vol.11 No.1
Objective : The objective of this study was to evaluate clinical significance of endometrial and corporal extensions of Carcinoma of the uterine cervix. Methods : The 273 patients with locally advanced cervical cancer who underwent radical hysterectomy after neoadjuvant chemotherapy between Jan 1983 to May 1998 were included in this study and endometrial and corporal extension was examined by pathologic report. Then, clinical characteristics such as age, stage, tumor size, geographic contour, the lymph node and parametrial invasions, recurrence rate, and 5 year-survival rate were compared between extension(n=30) and non-extension(n=243) group. Pearson chi-square test, Fisher's exact test, and Kaplan-mayer survival analysis were used for calculation of statistical significance between two group. p-value less than 0.05 was considered to be clinically significant. Results : The incidence of endometrial and corporal extension in this locally advanced cervical cancer group was 11% (30/273). The endometrial and corporal extension were closely related with advanced stage, larger cervical tumor mass, endophytic type, and pelvic lymph node metastasis. However, 5-year disease free survival rates or 5-year actuarial survival rates did not show statistically significant differences between extension and non-extension group (7S% vs 83% and 81% vs 84%, respectively) Conclusion: The endometrial and corporal extension were closely associated to high risk factors of advanced cervical cancer. Though its clinical significance for poor outcome were not proved in this study, prospective study with more patients is needed to clarify its clinical significance.
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