자궁외임신의 자궁내막조직상에관하여

정좌구(JK Chung) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.10

1) Observation was made in the endometrium obtained preoperatively in 106 cases of ectopic pregnancy, on the decidual change &Arias-Stella reaction. 2) Arias-Stella reaction was observed in 34 cases(32%) out of 106 cases of ectopic pregnancy. 3) The endometrium without decidual transformation was found in 67 cases (63.3%). 4) Arias-Stella reaction in the endometrium was observed in 23 cases(34.3%) out of 67 cases of non-decidual transformation. 5) Decidual transformation was found in 39 cases(36.7%) out of all the cases of ectopic pregnancy. 6) The use of Arias-Stella reaction & decidual change for the histological diagnosis of ectopic pregnancy increased the rate of correct diagnosed cases in this series from 36.7%(the rate of decidual change) to 58.4%(the rate of decidual change plus Arias-Stella reaction). Arias-Stella reaction does not represent a specific histological test for ectopic but it may be practical value for the diagnosis of ectopic pregnancy.

사지단지증아의 1례

정좌구(JK Chung),한규정(KC Han),전창수(CS Chun),최규삼(KS Choi),박연수(YS Park),명문재(MJ Myung) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.5

저자들은 사지단지증의 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A case of achondroplasia which is a rare congenital anomaly was presented. Four fifths of achondroplastic patients occur as a fresh mutation, older fathers having an increased risk of having children with this condition. Once originated, the deformity can be transmitted to half the affected person`s offspring6.15. The literatures on the achondroplasia are briefly reviewed.

선천적 질결여의 인공조질술 2예

정좌구(JK Chung),김성심(SS Kim),남상익(SI Nam),김애수(AS Kim) 대한산부인과학회 1966 Obstetrics & Gynecology Science Vol.9 No.7

Congenital absence of the vagina is a rare malformation. Two cases of congenital absence of the vagina associated with very rudimentary development of the uterine segments of the Mullerian duct which were observed at Seoul National University Hospital in 1965 are reported with review of literatures on congenital absence of the vagina and the formation of artificial vagina. These cases were treated by the creation of the space between the bladder and rectum and use of the vaginal mold.

이중 유출로를 가진 우심실

정좌구(JK Chung),지제근(JG Chi),김선원(SO Gim),조석신(SS Cho),이상국(SK Lee),김명자(MJ Kim) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.1

Double outlet right ventricle is a rare congenital anomaly of the heart. The malformation represents a furthter rotation of the aorta than that which occurs in the tetralogy of Fallot. Witham in 1957 reported the clinical and pathological findings of four cases of this anomaly and named the condition to be double outlet right ventricle. He discussed this anomaly as a partial transposition of great vessels. Recently we had a chance to examine a stillborn infant who was born from a 36 years old multiparous woman of preeclamptic condition. At autopsy the aorta is so far dextroposed that it arises entirely from the right ventricle. The pulmonary artery occupies its normal position and lies anterior to the aorta. (Vide figures). Aorta is not hypoplastic. A relatively large ventricular septal defect was found in the memtraneous portion of ventricular septum. Authors presume this case is the first autopsy-proven case of double outlet right ventircle published in Korean literature.

난관 문질부에 발생한 포상기태의 1례

정좌구(JK Chung),장유신(YS Chang),양행식(HS Yang),류보영(BY Yoo) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.8

저자들은 난관 간질부에 발생한 포상기태 1예를 치험하였기에 보고하며 간단한 문헌고찰을 하였다. An extremely rare case of ectopic hydatidiform mole in the interstitial portion of the tube which was confirmed clinically and pathologically is presented and brief review of literure to this problem is made.

자궁내 태아사망을 초래한 제대진결절의 1례

정좌구(JK Chung),이효표(HP Lee),최연동(RD Choi),임원일(WI Im) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.8

The occurrence of true knot of the umbilical cord is rare and such a knot may cause enough to be pulles tightly in utero to cause fetal death. Cases resulting in fetal death prior to the onset of labor are believed to be especially rare. Reviewing the literature on umbilical cord complications, many complications of umbilical cords were found to cause the fetal distress and fetal death before expulsion of infants. A case of true knot of umbilical cord resulting in fetal death in utero is presented with the review of literature on the umbilical cord complications.

전두위 ( Brow Presentation ) 의 1예

이동경(TK Lee),정좌구(JK Chung),이규하(KH Lee),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12

A case of brow presentation in 22-year-old multipara is presented with review of references concerned.

태반조직배양에서 LHRH와 Progesterone이 hCG 분필에 미치는 영향

남주현(CH Nam),정좌구(JK Chung),권순욱(SW Kwon),김승황(SW Kim) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.11

LHRH와 progesterone이 태반의 hCG분필에 미치는 영향을 비교하기 위하여 임신중 8주와 만삭의 태반을 6일간 시험관내에서 조직배양하여 다음과 같은 결과를 얻었다 1 임신 8주배반의 대조군에서는 배양후 1일째부터 β-hCG의 농도가 증가하기 시작하여 배양후 4일째 7001±668μIU/mg으로 최고치에 달한 후 점차 감소하였다 반면 만삭태반의 대조군에서는 제 4일째까지는 계속 감소하다가 제 5일째부터 약간 증가하는 양상을 보였다 2 LHRH첨가효과를 보면 8주태반에서는 3200μg/㎖ 첨가군의 배양후 6일째에서만 β-hCG 농도의 유의한 증가를 보인 반면 만삭태반에서는 dose-response manner(r=0 93, P<0 01)를 보이면서 배양 제 4일째부터 유의한 증가를 보였다 3 Progesterone 첨가효과를 보면 8주태반에서는 역시 dose-responser(r=0 97, P<0 01)를 보이면서 20μg/㎖첨가군에서는 배양 제 6일째에 β-hCG의 유의한 감소를 보였다 반면 만삭태반에서는 전배양기간 동안 유의한 변화가 없었다 4 이상의 결과로 미루어 볼 때 LHRH는 8주태반에서보다 만삭태반에서 β-hCG의 분필을 더 유의하게 촉진시킨 반면 progesterone은 8주태만에서 β-hCG의 분필를 유의하게 억제시켰다 To compare the effect of LHRH and progresterone on the secretion of hCG, 8-week and term placental explants were maintained in culture for 6 days with daily changes of media The levels of β-hCG in culture media without or with LHRH or progesterone treatment were measured by radioimmunoassay The results were as follows 1 In control group of 8-week placental explants, the sopntaneous secretion of β-hCG began to increase from the 1st day of culture and reached the highest level on the 4th day of culture, thereafter the levels gradually declined But in control group of term placental explants, the level of β-hCG continued to decrease till the 4th day of culture and slightly increased thereafter 2 The effect of LHRH on the secretion of β-HCG from 8-week placental explants was not observed significantly throughout the incubation period except on the 6th day of culture in 3200μg/ml LHRH-treated group But in term placental explants, β-hCG levels significantly increased from the 4th day of culture with dose-response manner (R=0 93, P<0 01) 3 In the effect of progesterone on the secretion of β-hCG from 8-week placental explants, β-hCG levels significantly decreased with dose-response manner (r=0 97, p<0 01) from the 3rd day of culture with 20μg/ml of progesterone treatment and on the last day of culture with 5μg/ml of progesterone treatment But no significant changes in β-hCG levels were observed throughout the entire incubation period in therm placental explants 4 Therefore, it is concluded that LHRH stimulated the secretion of β-hCG more significantly in term placental explants than 8-week placental explants, and progesterone suppressed the secretion of β-hCG more significantly in 8-week placental explants than in therm placental explants

복강경 난판불임술후 발생한 자궁외임신 5예

이지연(JY Lee),장유신(YS Chang),정좌구(JK Chung) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.4

본 산부인과에서는 1980년 1월부터 1981년 1월까지 복강경 불임시술후 발생한 자궁외임신 5예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. From January 1979 to January 1981, cases pregnancies after laparoscopic sterilization were performed in our hospital. Amon these, we report 5 cases of ectopic pregnancies which have been developed since 1980.

임산부의 임상통계적 관찰

신면우(MW Shin),박재일(JI Park),이동천(TK Lee),정좌구(JK Chung),김승경(SK Kim) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.3

In spite of the significant progress of the obstetrical field in Korea during past two decades, studies in regard to the baseline of this field, presentes from fhis contry, are rarely found. Although the number of cases are fairly small, the principal purpose of the present investigation was to observe the general patterns of Korean women concerned to the child-bearing. This study is based on the retrospechic investigation of 1,384 grabides visited for their anteparum cares, 1,655 parturiants delivered in the wards, 65 gravidas and puerparas not delived but admitted for incidental complications, and babies born from those mothers, between April, 1962 and March, 1964 at the Seoul National University Hospital. Result obtained were as follows: 1) Obstetrical history (1) among the total number of 1,720 cases, 588 (34.18%) primigravidas, 1,127 (65.52%) multigravidas and the rest cases were. (2) There were 675(39.24%) primiparas an d 1,042 (60.58%) muttiparas. (3) Eighty-three (4.82%) cases had histories of premature delivery and 467 (27.15%) had abortion. (4) Seven hundres and twenty-five (42.15%) cases had no living child and 992 (57.67%) had one or more living children. 2) The antepartm cares were taken on 34.02% of admilted cases in 1962, while 44.02% in 1963. In the result, during these study years, the ratio of prenatally cared cases to the all admitted ones was 669:1,720(40.63%) and gradually increasing tendency was noticed. 3) The obstetrical complications occured more frquently in the non-registered group: (1) Of the 206 (11.97%of all admitted)cases of toxemias, 64 (9.15%) were in the registered group and 142 (13.90%) in the non-registered. (2) Severe complications during labor were developed mostly in the non-registered. 4) The average weight gain during the course of pregnancy was 8.33 kgm. 5) The mean hemoglobin value at term was 10.40gm% and increased to 10.90 gm% in labor. 6) The average value of hematocrits just before the labor was 32.85% but no conlcousive changes in relation to the various gestational months were found. 7) Leukocytosis was noted in both primiparas (11.500 per cmm) and multiparas (10,500) during labor. The mean balue was 10.900 per cmm. 8) The incidence of proteinuris was 61.40% in primiparas, 55.32% in multiparas and 57.51% of the all casas. 9) Positive cardiolipin microflocculation test (including±) was detected in 3.12% of all the examined. 10) One or more kinds of intestinal parasited were found in 995 (94.67%) out of 1,051 cases. 11) Deliveries ocucred in the daytime were 53.43% and in the night 46.56%. 12) The average durations of labor in primiparas: were 14.77 hours for the first stage, 48.99 minutes for the second and 11.76 minutes for the third. In multiparas, these were 8.66 hours, 31.33 minutes and 11.10 minutes respectivelu.