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정좌구,이지연,박현철,장세권,공국영 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.12
저자들은 파열된 난소 과립막세포종 1례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. Granulosa cell tumors are low grade malignancies, the majority of which are confined one ovary at the time of diagnosis. The prognosis for the these patients is good and long term wurvival rates have been reported. But about 15% of patients who have cystic granulosa cell tumors are first examined for acute abdomens associated with hemoperitoneum. We present a case of ruptured granulosa cell tumor with brief review of literature.
정좌구,전현아,김미령,윤호주,김범 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7
저자들은 최근 우리 나라의 풍진면역항체 양성률과 면역항체 음성인 임산부의 규모를 비교, 분석함으로써 선천성 풍진중후군의 예방을 위한 방안을 모색하는데 도움이 되고자 한다. 이는 국가적인 보건사업과 의료기관인 병, 의원들과 가임 연령의 여성들 개개인의 다각적인 노력이 함께 균형을 이루어져야 할 것이다. 1996년 7월 1일부터 1997년 12월 31일까지의 기간 동안 한림대학교 동산성심병원 산부인과 외래에 산전진찰을 위해 내원한 임산부 413명의 풍진면역항체 양성률을 조사, 분석, 고찰하여 다음과 같은 결과를 얻었다. 1. 조사 대상자의 연령을 18세에서 43세까지로 평균 연령은 27.89±3.84세였고, 효소 면역 측정을 한 평균 임 신 주수는 10.9±1.96주 였다. 2. 풍진 특이 IgG 항체 양성률은 90.31%였고, IgM 항 체 양성률을 0.73%였다. 3. 연령별 풍진특이 IgG 항체 양성률은 20세 미만이 66.67%, 20∼24세 사이는 88.24%, 25∼29세 사이는 91.27 %, 30∼34세 사이는 89.81%, 35∼39세 사이는 90.48%, 40세 이상에서는 100%였다. IgM 항체 양성률은 20세 미 만은 33.33%, 20∼24세 사이는 1.47%, 25∼29세 사이는 0.47%로서 연령의 증가에 따른 풍진 면역항체 양성률 증 가의 통계적 유의성은 없었다. 4. 초산부에선 IgG 항체 양성률은 89.47%였으며, 1자 녀를 분만한 경우는 90.64%, 2자녀 이상을 분만한 경우 는 92.31%로 산과력과 풍진면역항체 양성률과 통계적 유의성은 없었다. 5. 풍진예방 접종의 과거력이 있었던 경우의 IgG 항체 양성률은 89.74%였고 접종하지 않은 경우는 81.69%였으며, 예방 접종이나 자연적으로 이환되어 면역되었는지 확실치 않은 경우가 92.80%였다. Objectives: To assess the rubella immune status of pregnant women. Methods: Between July 1996 and December 1997, the seroprevelance of rubella was determined in the study group of 413 pregnant women. We checked the rubella specific IgG and IgM antibody titer of the women`s sera by ELISA. Results: According to our study, the seropositivity rate of pregnant women was 89.6% (370/413) for rubella. IgM positive rate of 0.73% was found. Among them were no one who had taken vaccination and no one suffered from rubella infection and there were no statistically significant differences of IgG positive rate according age, gestational age and parity. Conclusions: There seems to be a high rate of naturally-acquired immunity among our study pregnant women. The importance of rubella IgG determination in pregnant women is discussed and recommendation for prevention and control of congenital rubella syndrome is suggested.
정좌구,전현아,박종성,김미령,윤호주 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.7
Struma ovarii is a highly specilized form of mature cystic teratoma of the ovary. It is extremely rare and accounts for only 2.7% of all ovarian teratomas. When thyroid tissue constitutes more than 50% of the tumor, it is usually called a struma ovarii. We reproted a case of struma ovarii and review the literature concerning this tumor briefly.
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.
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.