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차상헌 ( Sang Heon Cha ),이정재 ( Jeong Jae Lee ),이동환 ( Dong Hwan Lee ),황인철 ( In Chul Hwang ),한효상 ( Hyo Sang Han ),최규연 ( Gyu Yeon Choi ),이임순 ( Im Soon Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.6
Torsion of the paratubal cyst is a rare but significant cause of acute or recurrent lower abdominal pain in adolescent females that is difficult to recognize preoperatively. Early diagnosis is very important in adolescent because of the risk of decreased fertility if it is not treated at an early stage. We report a case of torsion of the paratubal cyst that has resulted in hemorrhagic infarction of the paratubal cyst and fallopian tube in an adolescent female with brief review of literatures.
차상헌 ( Sang Heon Cha ),이정재 ( Jeong Jae Lee ),최규연 ( Kyu Yeon Choi ),김신아 ( Shin A Kim ),박선영 ( Seon Yeong Park ),정성윤 ( Seong Yun Jeong ),이임순 ( Im Soon Lee ),이권해 ( Kwon Hae Lee ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.10
목적 : 본 연구는 자궁내 태아사망의 원인을 밝히고 임상적 특성을 분석하여 향후 자궁내 태아사망을 줄이고자 함이다. 연구 방법 : 1998년 1월부터 2003년 4월까지 5년 4개월간 순천향대학교병원 산부인과에 입원 분만한 5,523예의 환자 중 임신 20주 이상에서 자궁내 태아가 사망한 74예의 임상기록을 토대로 발생 빈도, 원인요소, 분만 방법 및 합병증 등을 고찰하였다. 결과 : 전 분만중 자궁내 태아사망이 차지하는 비율은 1.34%였다. 대상 산 Objective : The purpose of this study was to evaluate intrauterine fetal death and elucidate the etiology of intrauterine fetal death. Methods : This is a clinical study of 74 cases of intrauterine fetal death (IUFD) among 5,523 deliveries at Soonchunhyan
한국인(韓國人) Turner 증후군(症候群)의 세포유전학적(細胞遺傳學的) 연구(硏究)
문신용,정영훈,차상헌,박태동,이진용,장윤석,송정자,최규완,Moon, Shin-Yong,Jung, Young-Hoon,Cha, Sang-Heon,Park, Tae-Dong,Lee, Jin-Yong,Chang, Yoon-Seok,Song, Jeong-Ja,Choe, Gyu-Wan 대한생식의학회 1985 Clinical and Experimental Reproductive Medicine Vol.12 No.1
The purpose of this study is to investigate .the cytogenetic characteristics of the Turner's syndrome in Korea. For this study selected were eighty-two patients with Turner's syndrome, who were diagnosed by the chromosomal analyses of the cultured peripheral blood lymphocytes, at the Cytogenetic Laboratory, Institute of Reproductive Medicine and Population, College of Medicine, Seoul National University, for the period of 11 years and 6 months from May 1971 through November 1982. Among the 82 patients with Turner's syndrome, 21 (25.6%) had 45,X karyotype, 57 (69.4%) had mosaicism of 45,X/46,XX (39), 45, X/46, XX/47, XXX (9), 45, X/47, XXX (5), 45, X/46, XY (4). Remaining 4 patients had 46, $XX_{p-}$, 46, $XX_{q-}$and 46,X,i($X_q$), respectively.
모자이시즘 핵형을 가진 터너증후군 여성에서의 제왕절개 분만 1예
박재연 ( Jae Yeon Park ),차상헌 ( Sang Heon Cha ),김주연 ( Ju Yeon Kim ),김지영 ( Ji Young Kim ),김미경 ( Mi Kyung Kim ),최규연 ( Kyu Yeon Choi ),이정재 ( Jeong Jae Lee ),이임순 ( Im Soon Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.4
터너증후군 환자는 성선형성부전으로 자발적인 임신 및 분만은 매우 드물다. 최근 자연임신 및 제왕절개분만을 경험하여 보고하고자 한다. Ovarian failure and infertility are typical features in Turner syndrome. Conception without ovum donation is very rare. We experienced one case of pregnancy and Cesarean delivery in a Turner mosaic with previous recurrent miscarriages.
안승희 ( Seung Hee An ),차상헌 ( Sang Heon Cha ),김미경 ( Mi Kyung Kim ),김지영 ( Ji Young Kim ),최규연 ( Gyu Yeon Choi ),이정재 ( Jeong Jae Lee ),이임순 ( Im Soon Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.5
Adenomatoid tumor of uterus is described by Golden and Ash as a tumor that similar to adenoma but found obscured histogenesis. Adenomatoid tumor is a rare benign disease that originated from mesothelium and mostly occurred in male and rarely in female, and can be treated by simple excision of tumor because there is no recurrence or malignant change. We describe the clinical and histologic findings with references to other reported cases. We herein report a case of adenomatoid tumor of the uterus that gets an operation under clinical impression of myoma uteri.
한국 청소년들을 대상으로 한 성행태 조사: 2007년 제3차 조사
이임순 ( Im Soon Lee ),최규연 ( Gyu Yeon Choi ),차상헌 ( Sang Heon Cha ),박혜연 ( Hye Yeon Park ),이정재 ( Jeong Jae Lee ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.6
목적: 한국 청소년들의 성의식 실태와 성행태를 파악하여 적절한 대처 방안을 마련함으로써 우리나라 청소년들의 건강을 증진시키고자 조사하였다. 연구 방법: 2007년 9월 1일부터 9월 22일 기간 중 13~18세의 청소년들인 중고등학교 재학생 8만명을 대상으로 하였다. 성행태 영역에 관련된 조사지표 10항목으로 구성된 설문지를 이용하여 `자기기입식 온라인 조사방식`으로 수행하였다. 결과: 전체 조사 대상자는 78,834명이었으며 응답자는 74,698명으로 94.8%의 응답률을 보였다. 조사 대상자의 일반적 특성은 남학생이 39,466명 (52.8%), 여학생이 35,232명 (47.2%)였다. 학교 급별로는 중학교 38,820명 (52.0%), 일반계고 25,051명(33.5%), 전문계고 10,827명 (14.5%)였다. 성관계 경험률은 전체 5.2%였고, 남학생이 여학생 보다 높았다. 성관계 시작 연령은 전체 14.2세였으며, 중학교 입학 전 성관계 경험률은 전체 1.0%였고, 남학생이 여학생 보다 높았다. 임신 경험률은 0.3%였다. 성관계 경험자 중 피임 실천율은 전체 38.2%로 남학생이 여학생보다 높았다. 부적절한 피임법 사용률은 전체 21.6%였다. 남학생의 첫 몽정 시작 연령은 13.2세였으며 여학생의 월경 시작 연령은 12.4세였다. 연간 성교육 경험률은 전체가 72.2%이며 여학생이 남학생보다 높았다. 결론: 본 조사 결과 한국 청소년들의 몽정이나 월경 시작 연령이 저령화되고 있었다. 성관계 시작 연령 또한 저령화되고 있었고, 성관계 경험률은 증가하는 추세였다. 그러나 적절한 피임법의 사용률은 낮았다. 그러므로 청소년들의 원하지 않는 임신을 예방하기 위해서 효과적인 피임법을 포함한 적절한 성교육이 시행되어야 하겠다. Objective: The survey was conducted to improve the health of Korean adolescents and to prepare adequate teaching programs by investigating their sexual behavior. Methods: The participants of the survey was 80,000 middle and high school students aged 13 to 18. The survey was conducted from September 1st, 2007 to September 22nd, 2007. Results: 78,834 students were surveyed and 74,698 (94.8%) students responded the survey. 35,232 (47.2%) of respondents were male students and 39,466 (52.8%) of respondents were female students. 38,820 (52.0%) of respondents were middle school students, 25,051 (33.5%) of respondents were high school students and 10,827 (14.5%) of respondents were technical high school students. 5.2% of respondents experienced sexual intercourse. The average age of the first sexual intercourse was 14.2 years old. 1.0% of respondents had a sexual intercourse before they enter the middle school. The pregnancy rate was 0.3%. Among respondents who experienced sexual intercourse, the rate of the use of contraceptive methods was 38.2%. The rate of using inappropriate contraceptive methods was 21.6%. The average age of a first wet dream for boys was 13.2 years old. The average age of menarche for girls was 12.4 year old. The rate of respondents who had a sex education was 72.2%. Conclusion: The average age of the first wet dream and menarche had been decreased. The average age of the first sex experience among adolescents had been decreased. The rate of adolescents who experienced a sexual intercourse was increased. However, the rate of using reliable contraceptive methods was very low. Therefore, adequate sex educations including effective contraceptive methods needs to be conducted to prevent unwanted pregnancy of adolescents.
고령 여성에서 발생한 골반내 결합조직형성 소원형세포 종양
박재연 ( Jae Yeon Park ),안승희 ( Seung Hee An ),김미경 ( Mi Kyung Kim ),차상헌 ( Sang Heon Cha ),최규연 ( Gyu Yeon Choi ),이정재 ( Jeong Jae Lee ),이임순 ( Im Soon Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.7
Peritoneal desmoplastic small round cell tumor is a very rare and highly aggressive neoplasm that predominantly strikes male children and young adults. It frequently presents as a large abdominal mass with widespread peritoneal involvement at diagnosis. We report one case of desmoplastic small round cell tumors in the pelvis in a old aged woman with a brief review of literature.
한국 청소년들을 대상으로 한 성행태 조사-2006년 제 2차 조사
이임순 ( Im Soon Lee ),최규연 ( Gyu Yeon Choi ),차상헌 ( Sang Heon Cha ),김미경 ( Mi Kyung Kim ),이정재 ( Jeong Jae Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.10
목적: 한국 청소년들의 성의식 실태와 성행태를 파악하여 적절한 대처 방안을 마련함으로써 우리나라 청소년들의 건강을 증진시키고자 조사하였다. 연구 방법: 2006년 9월 1일부터 10월 30일 기간 중 13~18세의 청소년들인 중·고등학교 재학생 8만명을 대상으로 하였다. 성행태영역에 관련된 조사지표 10항목으로 구성된 설문지를 이용하여 `자기기입식 온라인 조사방식`으로 수행하였다. 결과: 전체 조사 대상자는 78,593명 이었으며 응답자는 71,404명으로 90.0%의 응답률을 보였다. 조사대상자의 일반적 특성은 남학생이 37,204명 (52.1%), 여학생이 34,200명 (47.9%)이었다. 학교급별로는 중학교 37,420명 (52.4%), 일반계고 23,500명 (32.9%), 전문계고 10,479명 (14.7%)이었다. 성관계 경험률은 전체 5.1%이었고, 남학생이 여학생 보다 높았다. 성관계 시작연령은 전체 14.2세 이었으며, 중학교 입학 전 성관계 경험률은 전체 1.0%이었고, 남학생이 여학생 보다 높았다. 임신 경험률은 0.5%이었다. 성관계 경험자 중 피임 실천율은 전체 38.1% 로 남학생이 여학생 보다 높았다. 부적절한 피임법 사용률은 전체 24.3%이었다. 남학생의 첫 몽정 시작 연령은 13.1세 이었으며 여학생의 월경 시작 연령은 12.5세 이었다. 연간 성교육 경험률은 전체가 62.0%이며 여학생이 남학생 보다 높았다. 결론: 본 조사결과 한국 청소년들의 성관계 경험률은 증가하는 추세이며, 몽정이나 월경 시작 연령이 저령화 되면서 성관계시작 연령 또한 저령화 되고 있는 점을 알 수 있다. 이에 대비한 적절한 성교육 프로그램이 절실하다 하겠다. Objective: This research was performed to improve the health of Korean adolescents and to prepare adequate teaching programs by investigating their sexual cognition and behavior and preparing for adequate programs. Methods: We conducted a survey of eighty thousand middle and high school students whose ages range from 13 to 18, during the period of September 1st, 2006 to October 30th, 2006. Results: 78,593 people are polled and 71,404 people responded. Accordingly, the response rate was 90.0%: 52.1% (37,204) of the respondents were boys and 47.9% (34,200) were girls; 52.4% (37,420) of respondents were middle school students, 32.9% (23,500) of them were high school students, and 14.7% (10,479) of them were technical high school students. The rate of respondents who had experienced sexual relationship was 5.1%. The average age of starting sexual relationship was 14.2 year old. The rate of respondents who had experienced sexual relationship before they go to the middle school was 1.0%. The rate of pregnancy experience was 0.5%. The rate of respondents who were using a contraceptive method was 38.1%. The average boys age of having the first wet dream was 13.1 years old and girls of starting menstruation was 12.5 year old. The rate of using inappropriate contraception was 24.3%. The rate of having a sex education per a year was 62.0%. Conclusion: This research shows that the rate of adolescents who are experiencing sexual relationship is increasing. Besides, the age of adolescents starting sexual relationship is decreasing as their age of starting wet dream and menstruation decreases. As a result, it is strongly asserted that adequate sex education programs are indispensable to adolescents.