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자궁동맥 색전술 후 자궁 경부로 배출된 점막하 자궁 근종
이재동(Jae Dong Lee),김사진(Sa Jin Kim),이해규(Hae Kyu Lee),김진아(Jean A Kim),강병채(Byung Chae Kang),허수영(Soo Young Hur),이귀세라(Gui Se Ra Lee),신종철(Jong Chul Shin),김수평(Soo Pyung Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.2
Uterine artery embolization was introduced to arrest post-partum hemorrhage 20 years ago. It has also been used to control severe hemorrhage from uterine gestational trophoblast tumors, carcinoma of the uterus, uterine arteriovenous malformations, and cases of pelvic trauma. More recently, transcatheter uterine artery embolization is a new treatment for uterine leiomyoma. A 33-year old married woman with 2 children had a history of heavy pelvic pain and pressure. Ultrasound and MRI investigation showed a bulky 12 x 10cm submucosal myoma in right lower uterine segment. The both uterine artery embolization was performed via a bilateral femoral artery. We present a case in which successful embolization of the uterine arteries in a woman with submucosal myoma resulted in a subsequent transcervical expulsion of large pieces of the dominant fibroid after 3 month of treatment with a brief review.
이광우,이해규,김진우,손호영,차봉연,강무일,윤건호,유순집,강성구,김태규,윤형규,최의진,한훈 대한내과학회 1995 대한내과학회지 Vol.48 No.6
Autoimmune polyglandular syndrome encompasses a number of diseases, ranging from unusual endocrine and nonendocrine disorders to the co-occurrence of common organ specific autoimmune disease. Knowledge of these syndrome is important for several respects: given the presence of one disease, certain others become more likely(in relatives as well as in the primary patient); there are similarities in the etiology and genetics of the different diseases; and immunologic treatment of one disease may be applicable to others. We recently experienced type II autoimmune polyglandular syndrome in a twenty-two-year old female patient who had insulin dependent diabetes mellitus associated with diabetic ketoacidosis, Hashimoto's thyroiditis, autoimmune Addison's disease, primary gonadal failure and alopecia totalis. Among the family member, twenty-year-old sister showed primary gonadal failure. Evaluation of the histocompatibility leukocyte anti- gene(HLA) was done in the patient and 4 relatives by two-step polymerase chain reaction(PCR). In HLA typing, the patient showed HLA-Al, B8, DR3, DR4 haplotypes, which had been known to be related with the autoimmune polyglandular syndrome.
무증상 B 형 간염 보균자에서 생긴 이형성 간세포 선종 1예
정규원,김부성,이영석,선희식,한남익,한석원,지미경,이해규,김석헌 대한소화기학회 1992 대한소화기학회지 Vol.24 No.2
The hepatocellular adenoma is a rare benign tumor, occupying on non-cirrhotic liver, especially in man. we experienced a case of hepatocellular adenoma from a 34 year-old, HBs Ag positive, man. The hepatocellular adenoma with severe dysplasia was confirmed by histologic examination after operation.
혈액투석 환자에서 동정맥루 협착 및 폐쇄 치료법으로서 경피적 혈관 확장술의 임상적 의의
김용수,김영옥,송호철,송하헌,방병기,윤선애,신미정,이해규,최의진,장윤식 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.2
Providing satisfactory vascular access for hemodialysis remains one of the most challenging problems confronting nephrologists. We evaluated the effect of percutaneous angioplasty on the treatment of stenosis and obstruction of arteriovenous fistula (AVF) in the chronic hemodialysis patients. Twenty-six dilatations of stenotic or occluded lesions in hemodialysis access fistulas were performed. The type of AVF was an native AVF in 19 cases and a graft in 7 cases. The lesions involved fore arm vein in 16 cases and an upper arm veins in 10 cases. Indications for angioplasty included acute obstruction of blood flow(9 patients), increased venous dialysis(VDP) or urea recirculation ratio(URR)(8 patients), arm edema or difficulty in needle placement(6 patients), poor maturation before first needling(3 patients). The PTA initially succeeded in 23 of 26 cases(88.5%) and 3 month patency rate was 80.5%. In 8 patients with increased VDP or URR, both VDP and URR significantly decreased after PTA (VDP;118.1±20.7mmHg vs 8.5±23.8 mmHg, P= 0.04, URR;23.9±18.4% vs 7.5±6.1%, P=0.02). The complications of PTA were vessel rupture(1 patient) and hematoma(2 patients). In conclusion, PTA seems to be effective therapy in the treatment of stenosis and obstruction of arteriovenous fistula(AVF) without serious complications in the chronic hemodialysis patients.