Mayer-Rokitansky-Kuster-Hauser증후군 - 결장에 의한 신조질술 치험 1례 -

박상윤(SY Park),심재식(JS Shim),이응수(ES Lee),오정성(JS Oh) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.12

The Mayer-Rokitansky-Kuster-Hauser syndrome refers to the clinical entity consi sting of: Primary amenorrhea associated with congenital absence of the vagina, 46, XX, Karyotyre, a rudimentary uterus in the form of bilateral noncanaliculated muscular buds or complete absence, normal ovarian function and normal ovulation, normal female breast development, body proportion and body hair, frequent associa tion of renal, skeletal and other congenital anomalies. 0ne case of neovaginogenesis with the sigmoid colon gas presented and the literature were reviewed in the point of its advantage.

제왕절개술이 난관불임술후에 속발된 자궁외임신의 1예

석종성(JS Suck),김정구(JK Kim),이응수(ES Lee),이명우(MW Lee) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.8

When a patients with history of previous tubal ligation develops any of signs or symptoms of pregnancy the diagnosis of extrauterine pregnancy has to be very strongly considerd, as the ratio to intrauterine pregnancy is higher among pregnancy occuring after failed sterilization than among the general population. The possiblity of ectopic pregnancy should not be excluded simply because of a patients past history of bilateral tubal ligation or fulguration. A case of ectopic pregnancy in 37-year old woman, which was occured 6 years after tubal sterilization in cesarean section was reported with review of literature.

자궁에 전이된 위암의 1례

김규현(KH Kim),심재식(JS Shim),이응수(ES Lee),오정성(JS Oh) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.3

The uterus is not thought to be a common recipient of tumor metastases, except from adjacent organs, such as the ovary. Authors presented a case of stomach cancer metastatic to the uterus, with a brief review of literatures concerned.

난소에 발생한 Clear Cell Carcinoma의 1예

김환규(HK Kim),정홍(H Jung),이응수(ES Lee),장윤석(YS Chang) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.1

비정적 사유한 clear cell carcinoma 1예를 발견하고 이에 대한 간단한 문헌고찰을 하였다. Clear cell carcinoma of the ovary is a well differentiated carcinoma of clear or hobnail-type cells resembling renal carcinoma . This ovarian carcinoma now belongs to the common epithelial tumors of the ovary and is thought to originate from the pluripotential surface epithelium of the ovary. Concomitant endometriosis is found in about 25%, supporting the concept that some histogenetic relationship may exist between clear cell carcinoma and endometerioid tumors of the ovray. once the tumor has disseminated beyond the ovary the survival rates are much lower than with the other malignant cystomas. A case of clear cell carcinoma of the ovary , accompained with ascites, in a 76-year old woman was presented and briefly reviewed.

난소임신 2 례

송재헌(JH Song),이인수(IS Lee),이응수(ES Lee),김용봉(YB Kim),이홍균(HK Lee) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.2

저자들은 서울백병원 산부인과에서 Spiegelberg의 진단기준을 충족시키는 난소임신 2례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다 Two Case of ovarian pregnancy were presented with brief review of literature

자궁외임신의 중요한 원인의 하나로서의 난관불임술

라영호(YH Rha),변용진(YJ Byen),신영우(YW Shin),김창학(CH Kim),이응수(ES Lee) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.3

Although it was an observation during a short period of time, among 27 women who received surgery under the impression of ectopic pregnancy and confirmed pathologically as tubal pregnancy in our hospital in 1982, 9 women, that is 33.3%, were turned out to have received tubal sterilization before. The methods had been largely LTS. And with the positive history of previous sterilization, many of them were in some troubles in both being sent to a gynecologist and being diagnosed as ectopic pregnancy. Through this study, we insist that if a woman of her reproductive age presents herself in front of a physician with amenorrhea, lower abdominal pain and/or vaginal spotting, the possibility of tubal pregnancy would be much higher if she has a positive history of tubal sterilization.

기질성 자궁내막증식증의 1예

오정성(JS Oh),김규현(KH Kim),정홍(H Jung),이응수(ES Lee) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.12

Stromal endometriosis is a tumor-like change within the myometrium composed of endometriosis stromal cells. Many terms have been used to describe this lesion ; perithelioma endometroid, endolymphatic stromal myosis, stromatosis, stromatiod sarcoma and endometriosis interstitiable etc. Authors presented a cases of Stromal endometriosis with a brief review of literature concerned.

자궁각 임신 1례

지대훈(DH Jee),전명권(MK Jeon),김복린(BR Kim),이응수(ES Lee) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.10

일례를 보고하며 하나의 clinical entity로 새로이 하기 위하여 문헌적 고찰을 통하여 분류학적 혼돈을 피하고 감별 진단에 대하여 발표하는 바이다. Implantation of embryo in the uterine angle, medial to the uterotubal junction, may lead to several complications, both during pregnancy(persisting uterine pain and bleeding, spontaneous abortion, ruptured uterus) and in the puerperium(retained placenta). Nevertheless this entity is still rarely dscussed in textbooks or in the literature. Its differential diagnosis from interstitial tubal pregnancy is often confused. We present a case of ruptured angular pregnany found during the laparotomy under the impression of acute apndicitis with pregnancy and 39 ases from the literature of the past 50 years are reviewed. Uterine anomalies, myomas, and uterotubal implantation may be predisposing conditions in a minority of cases. The differential dianosis of angular intrauterine pregnancy from interstitial pregnancy, based on the position of the gestational enlargement in relation to the round ligaent is considered and the management disussed. Angular pregnancy

복식전자궁 적출술에 대한 임상통계학적 관찰

박성관,김용봉,이응수,이찬응,유태환,이경복,이원재 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.4

본 연구는 1983년 1월 1일부터 1987년 12월 31일까지 5년간 인제의대부속 서울백병원서 복식 전자궁적출술을 시행한 386명의 임상기록지를 통하여 다음과 같은 결과를 얻었다. 1. 복식 전자궁적출을 시행한 환자의 연령분포는 23세에서 68세까지며 평균연령은 40.8세였고 40~49세군에서 49.4%로 가장 높은 빈도를 보였다. 2. 분만횟수는 2회가 가장 많았으나 자궁적출과 분만횟수와의 상관관계는 발견되지 않았다. 3. 가장 많은 주소는 불규칙한 질출혈로서 26.6%였고 그 다음이 월경과다로서 16.2%였다. 4. 수술전 혈액검사에서 25.7%가 빈혈인 혈색소치 11 gm%이하였고 8.3%가 수술전 교정이 필요한 9 gm%이하였다. 5. 수술의 적응증은 자궁근종이 62.9%로 가장 많았고 그 다음으로 난소종양이 12.4%, 자궁경부암이 9.1%, 자궁경부이형성이 6.1%순이었다. 6. 수술방법은 386명이 전자궁적출술을 이중 35명이 근치적 자궁적출술을 받았으며 1예에서 장간막 절제술이 시행되었다. 7. 적출된 모든 조직의 병리학적소견은 자궁근종이 48.7%, 선근증이 30.8%, 난소종양이 15%였으며 자궁경부 이형성 및 악성종양이 15.1%였다. 8. 수술의 전체 합병증은 28%에서 나타났고 전체 합병증중에 열성이환율이 28.8%, 빈혈이 26.4%, 요로감염이 13.6% 순으로 나타났다. This study was attempted to analysis 386 consecutive abdominal hysterectomies, especially concerned with its indication and complication, from January 1, 1983 to December 31, 1987 at the department of Obstetrics and Gynecology of Inje Medical College Seoul Paik Hospital. The results were summarized as follows: 1. Age distribution was between 23 and 68 years with 40.8 years of mean age and the group of 40 to 49 years revealed highest incidence. 2. There couldn`t be found any relationship between the indication of surgery and the parity. 3. Irregular vaginal bleeding was the most common symptom and followed by menorrhagia. 4. 25.7% of all cases was anemic in preoperative check of hemoglobin level, and in 8.3% of all cases, correction of level was necessary. 5. The major indications for operation were uterine myoma, ovarian tumor, and cervical carcinoma was 9.1% of all cases. 6. Majority of cases were received abdominal hysterectomies, including 35 cases of radical hysterectomies with pelvic lymphadenectomy. One case of omentectomy was performed. 7. Postoperative pathologic examination revealed uterine myoma in 48.7% ovarian tumor in 15%, adenomyosis in 30.8%, and cervical dysplasia and carcinoma in 15.1%. 8. Overall complication rate of abdominal hysterectomy was 28%, which included febrile morbidity of 28.8%, anemia 26.4, and urinary tract infection of 13.6%.

노령초산부에 관한 임상통계학적 고찰

박성관,김용봉,이응수,이찬응,이경복,이원재 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.2

1985년 1월부터 1989년 12월말까지 만 5년동안 인제대학부속 서울백병원 산부인과에 입원 하여 1,000gm이상의 신생아를 분만한 노령초산부 46례를 대상으로 하여 이에 관한 임상적 고찰을 하여 아래의 결론을 얻었다. 1. 노령초산부는 총 분만수 5,254례중 46례로서 그 빈도는 0.9%였다. 2. 노령초산부의 연령별분포는 35세부터 44세까지였으며, 35~36세군이 65.2%를 차지하여 가장 많았다. 3. 산전 합병증을 고혈압성 병변이 10.9%를 나타내 가장 많았고 자연조기파수는 8.7%이었다. 4. 태위는 두위가 43례(93.5%), 둔위가 3례(6.5%)였다. 5. 분만방식은 질분만이 26례(56.5%), 복식분만은 20례(43.5%)로서 제왕절개술의빈도가 현저히 높았다. 6. 제왕절개술의 적응증은 아두골반 불균형이 10례(50%)로 제일 많았고 둔위, 태아 절박증, 전치태반, 자궁근종, 태반조기박리 등의 순위였다. 7. 미숙아는 4례로 8.7%였으며 신생아 사망 및 사산의 례는 1례도 없었다. 8. 선천성기형아는 1례도 없었다. The elderly primipara is defined as a woman who is experiencing the birth of her first viable baby over 35 years of age. Elderly primipara and her fetus were subjected to danger of obstetric complications such as toxemia, dystocia, congenital anomaly, prematurity and stillbirth. We reviewed 46 elderly primiparas experiencing at Seoul Paik Hospital from January 1985 to December 1989. The result were obtained as follows; 1. There were 46 cases among total 5,254 deliveries and the incidence of the elderly primipara was 0.9%. 2. The maternal age was distributed from 35 to 44 years. The majority was in age group of 35~36 years. 3. Concerning the maternal complications, the incidence of hypertensive disorder was 10.9% that was higher compared with 4.5% in younger primiparas. 4. There were 43 cases with vertex presentation and 3 cases with breech presentation. 5. 26 cases delivered vaginally and 20 cases abdominally. 6. Among the incidence of Cesarean section, highest incidence was cephalopelvic disproportion. Other indications were breech presentation, fetal distress, placenta previa, abruptio placenta and failure to progress in labor in order. 7. There was no perinatal death and no congenital malformation.