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      • KCI등재

        임신지속기간에 따른 포도당 Creatinine농도 및 트롬보플라스틴 활성도에 관한 연구

        이원강(WK Lee),이미영(MY Lee),배도환(DH Pai) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.6

        1. 양수내 glucose, creatinine 및 TAAF는 임신 지속 기간에 따라 의의있는 상관관계를 보였다. 2. 정상 만삭 임신에서의 양수니 glucose, creatinine과 TAAF의 평균치는 각각 11.08 1.82mg/dl, 2.03 0.25mg/dl와 52.93 11.74초이었다. 3. Preterm의 양수내 creatinine, 혈청 creatinine, AF/MS ratio 및 TAAF는 term에 비해 낮았고 양수내 glucose는 높았다. 4. postterm의 양수내 creatinine은 term에 비해 비교적 높았으나 혈청 creatinine과 AF/MS ratio는 큰 차이가 없었다. postterm의 양수내 glucose는 term에 비해 낮았고 TAAF는 높았다. 5. 임신자간전증군에서의 양수내 creatinine, AF/MS ratio는 정상임신군에 비해 높았으나, 혈청 creatinine, 양수내 glucose 및 TAAF는 큰 차이를 보이지 않았다. 6. 자궁내 태아발육지연군의 양수내 creatinine, AF/MS ratio는 정상임신군에 비해 낮았으나, 혈청 creatinine, 양수내 glucose 및 TAAF는 큰 차이를 보이지 않았다. Amniotic fluid glucose, creatinine concentration and thromboplastic activity were measured in 69 women with normal and abnormal pregnancies from 28 to 43 week gestation. Based on the present study, these parameters can be used as indicators of fetal maturity. Combining these parameters of fetal maturity results in a more reliable tool. The results were as follows: 1) There was high degree of correlation between gestational week and glucose, creatinine concentration and TAAF(thromboplastic activity in amniotic fluid)(glucose;r=-0.869, p<0.001, creatinine;r=0.708, p<0.001, TAAF;r=-0.913, p<0.001). 2) In normal pregnancies, the mean values of glucose, creatinine and TAAF were 11.08 1.82mg/dl, 2.03 0.25mg/dl and 52.93 11.74 seconds. 3) Amniotic creatinine, serum creatinine, AF/MS ratio(amniotic fluid creatinine/maternal serum creatinine ratio) and TAAF levels in preterm pregnancies were lower than term pregnancies. However amniotic glucose levels in preterm pregnancies were higher. 4) Amniotic creatinine levels in postterm pregnancies were higher than term pregnancies. There was no significant difference in serum creatinine and AF/MS ratio in postterm and term pregnancies. Amniotic glucose levels in postterm pregnancies were lower than in term pregnancies. TAAF levels on the other hand were higher in postterm pregnancies. 5) Amniotic creatinine levels and AF/MS ratio were higher in preeclamptic group than normal pregnancy group. But serum creatinine, amniotic glucose and TAAF levels showed no significant difference. 6) Amniotic creatinine and AF/MS ratio were lower in IUGR group than in normal pregnancy group. Serum creatinine, amniotic glucose and TAAF showed no significant difference in IUGR group and normal pregnancy group.

      • KCI등재

        악성질흑색종의 1 예

        현경헌(KH Hyun),윤병녕(BN Yoon),이원강(WK Lee),배도환(DH Pai) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.7

        저자들은 1983년 11월 본원 산부인과에서 수술후 병리조직검사로 확인된 원발성 질혹색종 1예를 경험하였기에 문헌고찰과 함계 보고하는 바이다. Vaginal melanoma has been considered in the past to be always secondary since it had been accpted that melanocytes did not occur in the vagina This objection is no longer valid Melanocytes are present in 3% of vaginas. Their presene provides a theoretic cell or origin for malignant melanoma of the vagina Primary malignant melanomal of the vagina is extremly rare disease and the prognosis of the patient bearing malignant malanoma of the vagina is very poor inspite of variety of therapeutic measures. A caes of primary malignant melanoma of the vagina we experienced was presented with a brief review of literature.

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