양성 난소 점액낭종 파열에 의한 복막점액종의 1 예

정학영(HY Chung),조인제(IJ Cho),박홍균(HK Park) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.3

양성 난소 점액낭종 파열에 의한 복막점액종의 1 예를 보고하는 바이다. Myxoma peritonei is defined by Willis (1952) as a condition of massive gelatinous accumulation in the peritoneal cavity and gelatinous infiltration of the serous tissue resulting from perforation of mucinous cystoma of the ovary. Although mucinous peritonei is usually of ovarian origin a similar condition results from rupture of a mucocele of the appendix. A case of pseudomyxoma peritonei originated from benign mucinous cystadenoma of the ovary is repotred with a brief review of the literature.

악성난소종양의 임상병리학적 고찰 ( 제2호 )

박인서(IS Park),조인제(IJ Cho),윤석한(SH Yoon),김현찬(HC Kim) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.3

1) 악성난소종양의 발생빈도는 전난소종양의 11.4%이었다. 2) 환자의 년령분포는 35-39세에서 가장 빈도가 높았고 평균연령은 40세 이었다. 12) 수술을 시행한 46례의 생존률은 극히 낮었고 추적불능한 예가 많아 정확한 수치는 알수가 없었다. Clinico-pathological survery was made on a series of 46 malignant ovarian tumor operated on at the National Medical Center, Seoul, Korea The results were obtained as follows; 1. The incidence of malignant ovarian tumor among all ovarian tumor was 11.4% 2. Age distribution of malignant ovarian tumor showed the highest frequency between 30-39 years group 3. Twenty one cases (45.6%) of all malignant ovarian tumor had regular menstrual cycle, remaining (19.6%) of them had menstrual disorder to some extent and rest of all (34.8%) had physiological amenorrhea. 4. As to the subjective symptoms of all malignant tumors, palpable mass in the lower abdomen, regardless the presence of ascites was 97.8% lower abdominal pain in 37.1% and G-1 truoble in 30.4% 5. Palpable masses were observed in 89.1% ascites in 63.0% abdominal distension in 39.1% anemia in 15.0% pleural effusion in 13.0% and cachexia in 2.2% on objective findings. 6. Cytological examination with vaginal and cervical discharge, and ascites were positive in 7.1% and 63.6% respectively. the associated malignancy of endometrium was not found by the histopathology of preoperative diagnostic curettage and surgical specimen. 7. The macroscopic and microscopic bilaterality were noted in 34.8% and 45.7% respectively 8. According to the international classification of the clinical stage, stage I was seen in 58.8% stage II 43%, stage III in 13.0% and 23.9% in stage IV, respectively.

임신중 심장질환의 임상적 고찰 ( 제II보 )

박인서(IS Park),조인제(IJ Cho),배평원(PW Bae),송인철(IC Song),주창남(CN Joo),정규봉(KB Jung),이학중(HJ Lee) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.3

1. The incidence of heart disease in pregnancy was 0.37%. 2. Mitral stenosis was predominated (29.4%) 3. The age distribution was predominated in the age 26-30 (41.1%) 4. Heart disease occurred mainly in the primigravida (32.4%) 5. Functional capacity of the heart was mainly in class I. 6. The chief comlaints were dyspnea, edema and palpitation. 7. Spontaneous vaginal delivery was undertaken in 19 cases (52.8%) and instrumental delivery was in 7 cases (30.5%) 8. The incidence of prematurity was 30.6%. 9. Seventy five percent of cases was complicated among which 30.8% cases was complicated by cardiac failure and 17.3% was complicated by toxemias of pregnancy with heart failure. 10. Digitalization was undertaken in 29 cases (85.3%) 11. No maternal mortality was noted in this study.

임신말기에 만출된 Lippes Loop의 1예

김선동(SD Kim),박수배(SB Park),조인제(IJ Cho) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.10

32세의 경산부에서 Lippes loop를 삽입한지 7년만에 임신이 성립되어 임신 제 34주에 조기 파수와 함께 loop의 일부가 자궁경관 밖으로 노출되어 제거함과 동시에 사산된 1예를 경험 하였기에 이를 보고하며 간단한 문헌적 고찰을 하였다. A case Lippes loop which was expelled at the spontaneous rupture of membranes in the late pregnancy is reported with the brief review of literature.

여성 요루에 관한 임상적 고찰

박찬무(CM Park),최근혜(GH Choi),조인제(IJ Cho) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.2

One hundred thirty patients with urinary fistulas had been admitted in the Gynecological Ward of the National Medical Center, Seoul, during 13 years, from the beginning of 1959 through the end of 1971, of which 109 patients were actually submitted to the surgical treatment. A review of these cases indicated that complete investigation of the urinary tract should precede repair, since these abnormal communications appeared in many varieties and might be multiple. Anatomic as well as etiologic considerations were important in diagnosis. The causes of these fistulas were analysed and methods of management were reivewed. Particular attention was paid to those patients in whom surgical repair of the fistula was undertaken and an attempt was made to evaluate the factors responsible for success of repair. The results of clinical observations were summarized as follows: 1. Seventy five out of 130 patients were obstetric fistula and more than half of them belonged to the second decade(50.7%), while in 55 of the non-obstetric fistula cases the greatest incidence was observed to be in the fourth decade(47.3%). 2. Presumed etiologic agents of the fistula showed 75 out of 130 patients were caused by various types of obstetric operation and large numbers were found in prolonged labor with or without forceps delivery and craniotomy. Etiologic agents of non-obstetric fistula could be divided into 26 of hysterectomy either simple or radical, 19 of chemical cauterization for total uterine prolapse with strong acid by laymen, 3 of genito-urinary tuberculosis, 2 of irradiation after hysterectomy due to ovarian cancer and 5 others. 3. The majority of patients, both obstetric and non-obstetric, belinged to vesicovaginal fistula, comprising 72.3%. As for the ureterovaginal variety, 17 patients consisted of 15 non-obstetric and only 2 obstetric. 4. The fistulas of less than 2cm in diameter could be found most frequently both obstetric and non-obstetric. It was our general concept that the size did not influence as much as the location of fistulas. 5. In 89 of 109 patients, various types of baginal approach were undertaken with 73(82%) patients of success. Twenty patiens, all of ureterovaginal variety as well as technically difficult patients were submitted to abdominal precedures with 18 patients(90%) of success. The combined, abdominal and vaginal approach was performed for 2 cases of complicated vesicovaginal variety with 2 patients of success. Six of 109 patients had to be resorted to various types of diversion with 5 patients of success. Nine of 130 fistulas healed spontaneously. All spontaneously healed fistulas occured as the results of surgical trauma, 3 of radical hysterectomy, 4 of abdominal total hysterectomy and 2 of subtotal hysterectomy. 6. In 109 patients operarive procedures were carried out on 137 occasions. Final cure rate of surgical repair was decreased by the number of surgical attempts made. But it seemed to be worthwhile to try repeated attempts, even more that 5 times in some selected cases, with patience and deliberated evaluation. 7. Obstetric fistulas were usually poor outcome(80.3%) than non-obstetric(89.5%), because most of them were so large and fibrosis were so extensive that it was impossible to make sufficient mobilization of the surrounding tissue to make suture without tension. In the present series, overall success was 91 of 109 patients, or 83.5% of the whole, during 13 years. 8. Genito-urinary infection was the most common complication and E. coli was the most common causative organism of urinary infection. 9. Unobstructed postoperative urinary catheter drainage was of primary importance.

인간양수를 이용한 2-세포기 생쥐배아의 체외발달에 관한 연구

김두호,조인제,승경록,정길생,정형민,황성진,이훈택 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.10

인간양수를 이용한 2-세포기 생쥐배아의 체외발달에 관하여 연구를 수행한 결과 다음과 같은 결론을 얻었다. 1. 기본 배양액에 20% 농도로 양수를 첨가한 군이 다른 첨가군에 비하여 다소 높은 배아 발달율을 보였으나 통계상의 유의성은 없었다. 그러나 순수양수만을 사용한 군에서는 배아 발달율이 현저히 낮았으며 통계상의 유의성이 있었다. 2. 소의 양수와는 달리 인간 양수의 반복된 동결용해는 배양성적에 별다른 영향이 없었다. 3. 0.3% 소 혈청알부민 및 20%양수를 각각 첨가한 배양액에서의 배아발달율을 관찰한 실험 Ⅲ에서는 각 군에서 상실배, 포배 및 부화란까지 발달율은 유사하였고 양수 첨가군에서 다소 높았으나 통제상의 유의성은 없었다, 4. 형광형미경하에서 평윤 포배의 세포수를 관찰한 결과 양수 첨가군이 약10%정도 많은 세포수를 보였으나 통계상의 유의성은 없었다. 5. 이상으로 볼 때 인간 양수는 시험관 아기 프로그램에 있어서 배양조건의 정도관리 및 임신성공율의 향상에 있어서 첨가물로서 선택적인 이용 가능성이 있다고 사료된다. To evaluate the effectiveness of human amniotic fluid for culture of 2-cell stage mouse embryos, series of experiemnts was conducted. In experiemnt 1, more embryos hatched in medium containing 20% amniotic fluid althoughno statistical difference was found among other two groups but there was remarkable decline of hatching rate in 100% amniotic fluid. In experiemnt 2 repeated freezing and thawing of amniotic fluid influenced unremarkable effect on the development of 2-cell atage mouse embryos. In experiment 3, suppoementation of each medium with 0.3%bovine serum albumin and 20% amniotic fluid revealed similar effect on embryo development. In experiment 4, improved embryo quality was observed by fluorescent staining about the embryos which were cultured in medium containing amniotic fluid.

난소임신 2 예

김수녕,김두호,조인제,최범채 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.3

저자 등은 최근 건국대학교 의과대학부속 민중병원 산부인과에서 Spiegelberg의 진단기준을 충족시킨 난소임신 2예를 체험하였기에 간단한 문헌고찰과 함께 이를 보고하는 바이다. Primary ovarian pregnancy is a rare form of ectopic pregnancy, with an estimated overall incidence of 1 in 7,000 pregnancies. Ovarian pregnancy occurs within the ovary and on the corpus luteum, usually with rupture of the ovary and a massive hemoperitoneum. It presents as a hemorrhagic ovary and is frequently misdiagnosed as a ruptured corpus luteum. We have experienced two cases of ovarian pregnancy and report with brief review of literatures.

Krukenberg 종양 1 례

김수녕,김두호,조인제,안미경,최영숙 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.6

저자 등은 위가 원발병소로서 양측 난소에 전이된 Krukenberg 종양 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Krukenberg tumor of ovary accounts for about 3~5% of ovarian tumors and most of the tumors are metastases from primary tumors of the gastrointestinal tract. We experienced one case that was presented of Krukenberg tumor metastatic from the stomach. Hereby, we report this case with a review of the literature of Krukenberg tumor.

복강임신 1 예

김수녕,김두호,조인제,유근재,박종모 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.5

저자 등은 건국대학교부속 민중병원 산부인과에서 자궁외임신 진단하에 개복수술후 병리조직학적으로 확진된 복강임신 1예를 치험하였기에 이에 문헌고찰과 함께 보고하는 바이다. Abdominal pregnancy may occur by primary implantation of the fertilized ovum in the peritoneal cavity. The occurrence is one of the most rare and yet most serious forms of extrauterine gestation. Early diagnosis is of the utmost importance in light of the possibility of massive hemorrhage secondary to intra abdominal placental seperation. We report a case of abdominal pregnancy with a review of literatures.

임신과 합병된 전신성 홍반성 낭창 1 예

김수녕,김두호,조인제,유근재,김경수 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.9

건국대학교 의과대학교부속 민중병원 산부인과에서는 출산후 고열이 지속된 23세의 초산부에서 신중후군을 동반한 전신성 홍반성 낭창 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Systemic lupus erythematosus is a multisystem, antibody mediated, autoimmune disorder that has a predilection for women of child bearing age may potentially complicated pregnancy. Maternal and fetal risks have been difficult to evaluate because of the unpredictable nature of the disease and limited individual experience.The relationship between systemic lupus erythematosus and pregnancy is controversial and the renal invilvement is a major source of morbidity and death. The increased morbidity and mortility occur in general in the first two years after delivery. The present report documents the case of a 24 years old primigravida woman in IUP at 41 weeks proven systemic lupus erythematosus after delivery and a review of the literature is presented.