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.

난소임신 2예

한치동(CD Han),신수재(SJ Shin),정승균(SK Chung),김성도(SD Kim),안재영(JY Ahn) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.3

Primary ovarian pregnancy is comparatively rare in ectopic pregnancy and the Spiegelberg`s criteria should be fulfiled for the diagnosis of ovarian pregnancy. Thw cases of ovarian pregnancy were seen in recent years at Korea General Hospital and presented with a brief literature.

전신성 홍반성 낭창과 동반된 임신 1례

정승균(SK Chung),한치동(CD Han),신수제(SJ Shin),김승도(SD Kim),안재영(JY Ahn) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.10

저자들은 고려병원 산부인과에서 임상적, 이학적 소견이 전신성홍잔성낭창과 일치하고 안면 피부조직거마상, L.E.세포, A.N.A.검사에서 확진된 28세의 다산부의 임신과정을 관찰할 수 있었다. Systemic lupus erythematosus (S.L.E) is an autoimmune disease occuring most frequently in woman during the reproductive age and it has been known that this disease is often complicated by renal disease up to 75% of cases. Recently we encountered a case of S.L.E. associated with pregnancy which was confirmed by skin biopsy, positive L.E. cell, and A.N.A. test. Authors report clinical course, therapy on the patient with brief review of concerned literatures.

Prostaglandin F₂α의 양막외주입에 의한 중기임신중절

신수재(SJ Shin),정승균(SK Chung),한치동(CD Han),김성도(SD Kim),안재영(JY Ahn) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.6

Although much research is being carried out all over the world, midtrimester abortion still presents many difficult medical problem. It is well known that prostaglandin E and F are effective in uterine contraction in both pregnant and nonpregnant uterus. The use of prostaglandin F₂α administered by extraamniotic infusion through Foley catheter for the induction of abortion was studied in 35 patients between 17 and 33 weeks gestation, and this method had been proved to be safe and effective mean of the termination of the pregnancies at midtrimester. The results were as followings: 1. The range of age was between 24 and 42. 2. Nulliparas were 17 cases and multiparas were 18 cases. 3. Intrauterine fetal death were indicated in over the half. 4. The mean duration from infusion to the delivery of the fetus was 15.70 hours. The mean duration for the multiparas was 14.17 hours, and the mean duration for the primipara was 15.25 hours. 5. The mean total dosage of prostaglandin F₂α was 5.692mg in primiparas and 4.479mg in multiparas. 6. The abortion was successfully induced in 88.2% of primiparas and 88.9% of multiparas within 24 hours. 7. The successful abortion rate by the balloon size of the Foley catheter were 86.4% in the group of 30~40cc balloon size and 100% in the group of 80~100cc balloon size within 24 hours. 8. The duration of the oxytocin infusion after the expulsion of Foley catheter were 4.59 hours in the group of 30~40cc balloon size and 1.32 hours in the group of 80~ 100cc balloon size. 9. The most common side effect was consisted of gastrointestinal symptom such as nausea, vomiting and diarrhea. Other side effects were included transient pyrexia, chilling and facial flush. 10. The main complication in this series was incomplete abortion, which occurred in 6 patients. Others were excessive bleeding over 500ml, endometritis and cervical laceration.

자궁경관무력증에 대한 임상적 고찰

한치동,박정돈,한경환 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.1

The 68 cervical cerclage operations of incompetent internal os of the cervix(IIOC) were performed at the Taegu Catholic Medical Center from Jan. 1, 1990 to Dec. 31, 1995. The results of this study were as follows: 1. The incidence of operation for IIOC was 0.23% of total delivery. 2. Highest number of IIOC was observed in the age group of 25 to 29, and the average number of pregnancy before operation was 4.1. 3. The significant contributory factor was previous history of the induced or spontaneous abortion. 4. In all cases, cerclage method was McDonald operation. 5. The average fetal salvage rate after operation was 82.5% and from the 14th week to 16th week of gestation(43 cases), the success rate of operation was 85%. 6. The causes of operation failure were premature labor in 6 cases(55%), premature rupture of membrane in 3 cases(27%) and abortion in 2 cases(18%) in order.

난소의 양성기형종에서 발생한 편평상피세포암 1 례와 피지선암 (Sebaceous Carcinoma) 1 례

한치동,오훈규,류상철,한경환 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.6

저자 등은 난소 낭성기형종에서 발생한 편평상피 세포암 및 피지선암종으로 악성변화를 일으켰던 2례를 보고하는 바이다. The mature cystic teratoma is the most common ovarian germ cell neoplasm and comprises approximately 10~20% of all ovarian tumors. It contains of all three germ layers. There are many complications in dermoid cyst such as rupture, torsion, infection, suppuration, and rarely malignant change. Squamous cell carcinoma or sebaceous carcinoma in a ovarian dermoid cyst is a rare entity, and especially sebaceous carcinoma is very rare case. We experienced a case of squamous cell carcinoma and a case of sebaceous carcinoma arising in mature cystic teratoma of the ovary. Two patients were performed total abdominal hysterectomy and bilateral salpingoophorectomy.

악성 Brenner 종양 1 예

한치동,김용진,김미숙,박영길,지청수,홍성연,박미옥 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7

저자들은 매우 드문 것으로 알려진 악성 Brenner 종양 1예를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다. The Brenner tumor is a relative rare ovarian neoplasia and the malignant Brenner tumor is very rare. We present a postmenopausal patient with a huge pelvic mass with vaginal spotting. Computed tomography scanning showed suspicious ovarian malignancy and tumor marker studies showed slightly elevated CEA and CA 125. Total abdominal hysterectomy and bilateral salpingooophorectomy with omentectomy was done. Histologic diagnosis was a malignant Brenner tumor, FIGO stage Ia. We applied postoperative chemotherapy (cyclophosphamide and cisplatin) six times. And then we report a case of malignant Brenner tumor.

만삭임산부에서 TLU (Translabial Utrasonogram) 를 이용한 자궁경부 길이 측정

한치동,허창규,황순구,류상철 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.12

대구 가톨릭대학병원 산부인과에서는 만삭 산모 117명을 대상으로 TLU를 이용한 자궁경부 관찰이 분만에 어떤 의미가 있는지를 관찰한 결과 다음과 같은 결론을 얻었다. 1. 만삭 자궁경부의 길이는 초산모군 81예에서 2.2+or-0.5cm, 경산모 36예에서 2.6+or-0.7cm으로 두 집단간에는 의미있는 차이를 나타내었다(p$lt;0.05). 2. 만삭 자궁경부 길이와 임신주수와는 상관관계가 없었다(p$lt;0.05). 3. 자궁경부의 길이는 분만개시일과 분만까지 소요시간과 별 상관관계가 없는 것으로 관찰되었다(p$gt;0.1). In a prospecive study of 117 pregnancies, at Department of Obstetrics and Gynecology, Taegu Catholic University Hospital, cervical lengths were documented by TLU (translabial ultrasonography) during antenatal period after 36 completed weeks of gestation, except PROM, spontaneous labor and cesarean section. The results were as follows : 1. Mean cervical length of promigravidsa were 2.2 +or- 0.5 cm, and those of multigravidas were 2.6 +or- 0.7 cm, there was a significant difference between two groups(p$lt;0.05). 2. A relationship was not found between cervical length and different gestational age in fullterm gravidas(p$gt;0.1). 3. There were no significant differences between cervical length and labor onset and cervical length and duration of labor(p$gt;0.1).

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.