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      • KCI등재

        X선골반계측에 관한 산과학적 고찰

        황동훈(DH Hwang),이용배(YB Lee),김용우(YW Kim),송상환(SW Song) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.5

        This is a clinical analysis of 244 obstetrical patients who received X-ray pelvimetry among a total of 3655 patients admitted to the Dept. of Ob & Gyn from january 1, 1965 to August 31,1968. The Colcher-Sussman technique was used to measure the various diameters of the pelvis while the biperietal diameters and weights were obtained post[artum. Since labor and delivery are a dynamic process this study is mainly concerned with relationships between pelvic diameters and fetal weight-size factors. 1. 190 X-ray were taken in patients thought to have dystocia with a vertex presenting. In this 54.2% had a vaginal delivery12.2% had a mid-forceps delivery and the remaining 33.3% received a Cesarean section. 2. In this same group when the AP of the inlet was less than 10.0cm.61.9% had a Cesarean section, when between 10.0 and 10.4cm. the rate was 30.2% and above 10.5 the rate was 22.5%. 3. Even better correlation is found in terms of type of delivery when the A.P of the inlet is related to the biparietal diameter of the infant. When the difference was between 1.0 and 1.4cm. the C-section rate was 51.1%; when the difference was between 1.5 and 1.9 weight above 3500gm. and the difference under 1.4cm. the C-section rate was around 73%. 4. The mid-pelvic transverse diameter was much less accurate in predicting the method of delivery, especially C-section. 5. When used with nulliparous breech presentation the section rate was 12.5%. 6. When the X-ray was used un patients requiring an induction the subsequent section rate was 7.9%.

      • KCI등재

        Lyndiol 2.5 경구용피임제가 한국부인에게 미치는 영향에 관한 연구

        곽현모(HM Kwak),고봉호(BH Koh),이용배(YB Lee),이연희(YH Lee),김철영(CY Kim) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.10

        We are now conducting a clinical study of lyndiol 2.5 and this is to present our brief exerience of 254 clients registered at the family planning clinic in Yonsei University Hospital for a period of 19 minths or 1764 clients cycles. Summary: 1. 254 cases were given. oral cintraceptives lyndiol 2.5 involving 1764 menstrual cycles in Korea women. 2. Age; The selected cases range between the ages 23-43. 3. Bleeding: Of 1764 cycles incidences of 1.4% 4. Nausea: Total cycles incidence of 2.7% and amenorrhea 0.4% 5. Discintinuation: 12 cases (4.7%)did so because of side effects. 8 cases (3.14%) discont- inued as they changed menthord of contraception. There were 64 cases (25.35%) lost follow up of which 17 cases did so in thefifst month. 6. None of the cases who continued to take oral pills according to our instruction under our supervision became pregnant.

      • KCI등재

        난치의 자궁출혈을 위한 내장골동맥 결찰의 2례

        오성규(SK Oh),곽현모(HM Kwak),이연희(YH Lee),이용배(YB Lee),양영호(YH Yang) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.9

        Hemoorrhage is still one of the most important cause of maternal mortality and also in Gyn- ecological field, we meet occasionally profuse hemorrhage which is difficult or impossible to control by the conventional methods of packing or suturing, or both. In such situation that multiple transfusion, plasma and packing with suturing failed to control bleeding, we must decide some definite procedure before patient drops in shock and in death. This report deals with our experiences on several cases of Internal Iliac ligation permanently or temporally and reported two cases, one case is trophoblastic tumor possibly degenerate chorircarcinoma of the uterus and the other is abvanced carcinoma of the cervix. In both cases, we got excellent result and bleeding stopped immediately and could save them. We reviewed several articles concerning ligations of the Internal Iliac Artery and summarize anatomical relationship about surgical anatomic character of vesseles involved. There is enough and adequate collateral circulation in the pelvic organs and even after both bilateral Internal Oliac artery and ovarian artery ligation, there is no artery evidence of ill effects upon the pelvic viseera including the bladder and the bowel. Interesting study about the hemodynamics of ligation of Internal Oliac artery by Dr. Clay Burchell reported only unilateral ligation decreased pulse pressure significantlu and show adequate result. In the past time ligation of the Internal Iliac artery was performed in the case of Gynecological malignancy such as cervical cancer and uterine cancer but recentlu it is used in non-malignant cases such as postpartumhemorrhage or vault bleeding after hysterectomy ect. All Obstetrician, Gynecologist and do this operation for the patient who need it without delay or waiting, because it may cost the patient her life.

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