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- 저자 : 이춘보(Chun Bo Lee) (검색결과 2 건)
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이승열 ( Seung Yol Lee ),류현호 ( Hyun Ho Ryu ),이춘보 ( Chun Bo Lee ),주은현 ( Eun Hyun Joo ),김성경 ( Seong Kyung Kim ),송치훈 ( Chi Hun Song ),윤광섭 ( Kwang Seop Youn ),이상녕 ( Sang Nyeong Lee ),이장용 ( Jang Yong Lee ),나재 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.6
목적 : 골반경하 자궁근종절제술을 시행한 93명의 환자를 대상으로 시행한 수술방법을 간략히 소개하고 임상경과 및 술후 합병증 여부를 분석하여 골반경하 근종적출술의 임상적 안정성 및 유용성에 대해 알아보고자 하였다. 연구 방법 : 2001년 5월부터 2002년 12월까지 20개월간 여수 전남병원 산부인과에서 골반경하 자궁 근종절제술을 시행한 환자 93명의 외래차트와 입원기록지를 가지고 이들의 나이, 출산력, 증상, 근종의 개수, 크기, 무게, 수술시간, 입원기간, 혈색소 감소량, 술후 합병증 등에 대해 후향적 고찰을 하였고 Microsoft Excel로 분석하였다. 결과 : 평균 연령은 42.68 (±5.37)세 였고 평균 출산력은 2.02 (±0.96)회였다. 근종의 개수는 평균 1.70 (±1.27)개였으며 평균 무게는 71.7 (±56.4) gm이었으며 위치는 점막하 근종이 가장 많았고 수술의 적응증이 되는 증상은 과다출혈이 가장 많았다. 평균 수술시간은 101.0 (±30.0)분이었고 술후 평균 혈색소 감소량은 1.40 (±0.81) g/dL이었다. 평균 입원기간은 3.90 (±1.19)일이었다. 술중 합병증으로 투관침 부위 출혈이 2예 있었고, 피하기종이 2예 있었고, 2예에서 개복술로 전환하였다. 술후 합병증은 없었다. 결론 : 본원에서 골반경하 자궁 근종절제술의 적응증을 확대하여 가임기 뿐만 아니라 거의 모든 연령층에 적용하여 심각한 합병증 없이 많은 환자를 수술하였다. 골반경하 자궁 근종절제술을 위한 적절한 시설과 술자의 숙련된 술기가 중요하다 사료되며 앞으로 다양한 기술개발과 훈련으로 근종치료에 있어서 골반경하 자궁근종절제술이 보다 대중화되고 효과적인 수술이 될 것을 기대하는 바이다. Objective : The study was undertaken to evaluate clinical safety and usefulness of laparoscopic myomectomy with analyzing clinical course and postoperative complications of 93 patients underwent laparoscopic myomectomy at Yosu Chon-nam Hospital and to introduce operative methods executed in this hospital. Methods : Total number of patients underwent laparoscopic myomectomy at Yosu Chon-nam Hospital from May 2001 to December 2002 was 93. With ward chart and admission recordings, Age, parity, symtom, size of myoma, number of myoma, location operation time and hemoglobin change were recorded. Data were analyzed with Microsoft Excel. Results : The mean age of patients was 42.68 (±6.05) years. The mean parity was 2.02 (±0.96). The mean number of myoma was 1.70 (±1.27). The mean weight of myoma was 71.7 (±56.4) gm. The most common symtom was hypermenorrhea. The location of myoma was submucosal, intramural, subserosal in large order. The mean operation time was 101.1 (±30.2) minutes. The mean hemoglobin change after operation was 1.40 (±0.81) g/dL. Mean hospital stay was 3.90 (±1.20) days. The operative complication was trocar site bleeding (2 cases), surgical emphysema (2 cases). In cases, Laparoscopic procedure was converted to laparotomic method. Conclusion : Indication of operation was extended in almost all age (including reproductive age) and 93 Laparoscopic myomectomy was done safely and effectively without severe complications. However, to obtain more safety and usefulness of laparoscopic myomectomy, adequate laparoscopic instrument and expertized operative technic should be demanded. In near future, laparoscopic myomectomy will be more popular and effective by variable technical development and ordered discipline.
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이호형(Ho Hyoung Lee),김종대(Jong Dae Kim),장은철(Eun Cheol Jang),손은식(Eun Sik Sohn),임희택(Hee Taek Lim),이춘보(Chun Bo Lee),신승권(Seung Kwan Shin) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
Chorioangioma is the most common benign tumor of the placenta, which consists of a benign angioma arising from the primitive chorionic mesenchyme. The incidence is reported to be 1% in most large series where systemic section of placentas revealed small tumors. However, the incidence of large chorioangioma varies from 1 in 500 to 1 in 16,000 placentas examined.Most placental chorioangiomas have no clinical significance. However, the uncommon large tumors, particularly those greater than 5cm in diameter may be associated with maternal or fetal complications. For diagnosis of these lesions, the ultrasonography was used. If the chorioangioma is suspected, color doppler study is informative to confirm the presence of the vascular channels. We describe a recent case of chorioangioma and discuss the noxious effects of this benign tumor on the mother and the fetus.
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