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      • KCI등재

        Sertoli-Leydig Cell Tumor의 1 례

        임영미(YM Lim),이헌수(HS Lee),민영기(YK Min),박일수(IS Park),이태호(T.H Lee) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.2

        저자등은 22세의 미혼 여성에서 발생한 retiform 양상의 Sertoli-Leydig cell 종양을 경험하였기에 간단한 문헌 고찰과 함께 보고한다 The Sertoli-Leydig cell tumors which account for less than 0 2% of all ovarian tumors, exhibit a wider range of patterns and cell types than any other ovarian neoplasms Because of their rarity and microscopic variations, these tumors are apt to be confused with ovarian neoplasms of other types, sometimes resulting in inappropriate therapy This case is presented with a brief review of the literature

      • KCI등재

        수두감염으로 인해 특발성 혈수판감소성자반증 ( ITP ) 가 병발된 만삭임부 1 례

        한치동 ( CD Han ),허창규 ( CK Huh ),이헌수 ( HS Lee ) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.11

        저자들은 수두감염으로 인해 특발성 혈수판감소성자반증이 동반된 만삭임산부 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The prevalence of varicella infection during pregnancy is reported to be about 8 per 60,000. Varicella infections during pregnancy occasionally may result in serios maternal illness and also may result in serious damage to fetus or to the newborn, specially infants born to women who develop disseminated varicella four days or less prior to delivery. We experienced a case of the I.T.P. in fullterm gravida due to chickenpox infection. Here we present this case with the brief review of references.

      • KCI등재

        형질세포성 백혈병으로부터 유래된 전이성 난소암 1 예

        허창규,이헌수,박정돈,한만식,한재수,박영길 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.2

        About 5∼6% of ovarian malignances are metastatic from other organs. But leukemic infiltration of the ovaries is uncommon and especially one from plasma cell leukemia is extremely rare. When leukemic infiltration of the ovaries occurs, the involvement is usually bilateral. Increased immature plasma cells in peripheral blood and plasma cell infiltration of bone marrow and other organs are major characteristics of plasma cell leukemia. Ovaries can be the apparent site of involvement of the abdominal or pelvic viscera with a leukemia; if this circumstance is found, a careful surgical exploration may be necessary. We experienced one case of metastatic ovarian cancer arising in plasma cell leukemia of bone marrow on a 37-year-old multiparous women who eventually had emergent laparotomy due to twisting and hemorrhage of tumor-infiltrated ovary during chemotherapy. She was performed total abdominal hysterectomy and bilateral salpingooophorectomy.

      • KCI등재

        자궁외 임신의 MTX 복강경하 국소보존치료 및 전신적인 보존치료의 임상비교

        허창규,이헌수,최기숙,심재화,류상철 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.5

        1993년 6월부터 1994년 6월까지 대구 가톨릭대학병원 산부인과에서 진단된 자궁외임신 82명 의 환자중 비파열형 난관임신으로 확인된 31명의 환자를 대상으로 복강경을 통한 MTX 국소 주사 및 전신주사에 의한 보존요법실시 결과 각각의 성공률은 100%, 95.5%였으며 B-HCG 정상화기간은 국소요법에서 23일, 전신요법에서 26.2일로 비슷하였다. 국소요법군의 평균입 원 기간은 3일이었으며 두 그룹 모두에서 특별한 부작용은 없었다. Thirty-one cases of unruptured tubal pregnancies from June 1993 to June 1994 were treated with systemic and local laparoscopic MTX injection. Initial serum B-human chorionic gonadotropic level before treatment were 130-29800 mIU/ml (mean 3669.6+-6628.1) in systemic injection group and 769-12,700 mIU/ml(mean 4064.2+-4935.3) in local MTX injection group. No side effects were observed in both group. In one patients a laparotomy was performed because persisting abdominal pain and vaginal spotting. There were no differences in resolution time between local and systemic MTX treatment group (p$gt;0.1). The median resolution time were 12 to 45 days (mean 26.2+-8.89) and 15 to 31 days (mean 23+-5.78) in systemic and local MTX treatment, respectively. The successful rate were 100% in local MTX treatment and 95.5% in systemic MTX treatment .

      • KCI등재

        복강경수술 100 예에 대한 고찰

        김중기,한치동,이헌수,이상희,심재화 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.6

        본원에서 1994년 1월 1일부터 1994년 12월 31일까지 복강경수술을 시행한 100예를 분석하 여 다음과 같은 결과를 얻었다. 1. 복강경수술의 적응증은 자궁외임신 42예(42%), 난소낭종27예(27%), 자궁내막증이 9예(9%) 이었다. 2. 복강경수술의 방법으로는 난소관절제술, 난관절제술, MTX 주입법, 전기 소작법 등이 있 다. 3. 환자들의 평균연령은 28.7세였다. 4. 환자들의 평균산출력은 1.1회였다. 5. 수술시간은 수술의 종류, 난이도에 따라 30분에서 2시간까지 다양하였다. 6. 입원기간은 평균 4.1일이었다. To evaluate the efficacy of pelviscopic surgery in gynecologic patient, we reviewed 100 patients treated pelviscopically from January 1994 to December 1994. The results were as follows; 1. The common indications were ectopic pregnancy (42%) ovarian cyst(27%) and endometriosis (9%). 2. Frequent types of surgery were salpingo-oophorectomy(27%), salpingectomy(20%), MTX injection(14%), and cauterization(9%). 3. Mean age and parity of patients were 28.7 and 1.1. 4. Mean duration of hospitalization was 4.1 days. 5. The most common complication was hemorrhage at the trocar site but it was controlled without difficulty. In our conclusion, pelviscopic surgery makes minimal incision, minimal postoperative hemorrhage and postoperative discomfort, low complication and short hospital stay. This type of surgery is simple and useful method of treatment in the community hospital.

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