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      • KCI등재

        조기파막의 임상적 연구

        이필한(PH Lee),김승욱(SW Kim) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.12

        1. The incidence of spontaneous premature rupture of the membranes was 5.4%. 2. The incidence of spontaneous premature rupture of the membranes was highest in the age group of third decade and in the nulliparous women. 3. The premature delivery rate in the mothers of spontaneous premature of the membranes was 27.9% and frequency of spontaneous premature rupture of the membranes in prematurely delivered fetuses was 18.2%. 4. Anemia and malpresentation were more frequently observed in the mothers of spontaneous premature rupture of the membranes than control group the frequency of malpresentation as an indication of cesarean section was higher in mothers with spontaneous premature rupture of the membranes than control group. 5. The overall incidence of breech presentation in mothers with spontaneous premature rupture of membranes was 12.1% and increased incidence of 20.6% was noted if the babies were also complicated with prematurity. 6. The longer the gestational age is the shorter the latent period. 7. the incidence of amnionitis was 5.5% and the incidence of puerperal fever was 19.8% in spontaneous premature rupture of the membranes and the longer the latent period is the higher the maternal morbidity. 8. The overall perinatal mortality of the babies complicated by spontaneous premature rupture of the membranes was 8.5% and an increased perinatal mortality was noted in mothers with longer latent period and with younger gestational age. 9. There was no sighnificant difference in the incidence of puerperal fever in antimicrobial treated and untreated groups of the mothers complicated with spontaneous premature rupture of the membranes.

      • KCI등재

        남성가성반음양의 2예

        주권량(KR Joo),이승철(SC Lee),이필한(PH Lee),신희철(HC Shin),이진용(JY Lee) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.8

        신환성 여성화 증후군은 남성가성반음양의 유전적인 변체로써 표현형이 정상여성이며, 음모 혹은 액와모가 없거나 소수이고 자궁은 없다.그러나 조직학적으로 하강되지 아니한 신환과 유사한 신환을 가지고 있으며 유전학적으로는 남성이다.신환성 퇴행화 증후군은 유전학적으로는 남성이나, 신환의 손상된 시기에 따라 외성기와 내성기가 다양하게 나타난다. 금번 저자들은 신환성 여성화 증후군 1예와 신환성 퇴행화 증후군 1예를 경험하였기에 문헌적 고찰과 함께 보고하였다. Testicular feminization is a hereditary variant of male pseudohermaphroditism manifested in phenotypically normal female with sparse or absent pubic and axillary hair; the absence of the uterus; presence of gonads that are histologically like undescended testis and genetically male sex chromosome. Testicular regression syndrome is genetically male and shows variable abnormalitis of genital development according to the stages of testicular damage. Two cases of male pseudohermaphroditism are presented with brief review of literatures.

      • KCI등재

        지상아와 제대난맛부착을 합병한 쌍태임신 1 예

        박충학(CH Park),박준우(JW Park),문신용(SY Moon),이필한(PH Lee) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.9

        Fetus papyraceus is a small mummified and compressed fetus ocurring as a result of the death of one fetus during multiple gestation due to a certain cause Also velamentous insertion of the cord is a rdlatively infrequent condition in which the vessels at the placental end of the cord are separated and pass between the chorion and the amnion for some distance before entering the placenta Recently we had a chance to study a case of fetus papyraceus with velamentous inserion of the cord in monochorial twin pregnancy A cases of fetus papyraceus with velamentous insertion of the cord is presented with brief review of the literatures conccerned.

      • KCI등재

        복강경난관불임수술 후에 속발된 원발성 난소임신의 1예

        신면우(MW Shin),남주현(CH Nam),이건용(KY Lee),이필한(PH Lee) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.3

        Ectopic pregnancy following laparoscopic tubal sterillzation is rare , but is a serious problem. The possiblity of ectopic pregnancy should not be excluded simply because of a patients`s past history with previous tubal sterilization precedure. It has been known that incidence of ovarian pregnancy among ectopic pregnancy is extremely rare. Authors have recently experinced a case of ovarian pregnancy which satisfied all of the four criteria proposed by Spiegelberg, and which was occured 7 months after laparoscopic tubal sterilization procedure. A case of ovarian pregnancy is presented with a brief review of literature concerning ectopic pregnancy after failed tubal sterilization and ovarian pregnancy.

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