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허혁 ( Heo Hyeog ),김도균 ( Kim Do Gyun ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
목적 : 분만 2개월 후의 체중감소의 평균, 표준편차 및 백분위수를 구하고, 임신 전 실제질량지수 군과 연관성을 분석하고자 하였다. 연구 방법 : 2002년 1월 1일부터 2002년 12월 31일까지 한일병원 산부인과에서 분만하였고, 분만 후 50일에서 70일 사이에 다시 방문한 비합병 단태출산 175예를 대상으로 하였으며, 임신 전 실제질량지수 (BMI)에 의해 3개군으로 나누어 비교하였다. 결과 : 기간 중 평균 체중감소는 9.46±3.42 ㎏이었고, BMI군별로 통계적으로 유의한 차이가 없었고, 임신중 체중증가가 많을수록 분만 2개월 후 체중이 통계적으로 유의하게 더 많이 감소하였고, 출산력 및 분만방식별로 통계적으로 유의한 차이가 있었다. 결론 : 주의깊은 산후체중관리를 통해 적정한 체중 감소를 유도하여 향후 비만을 예방할 수 있는 자료로 활용할 수 있을 것이다. Objective : Our purpose was to review patients undergoing radical hysterectmy and pelvic lymphadenectomy, comparing Pfannenstiel and Vertical midline incisions for operative feasibility and perioperative outcome. Methods : Between January 2001 and February 2003, 123 patients underwent radical hysterectomy and pelvic lymphadenectomy for cervical cancer at Busan Paik hospital. All procedures were performed by a gynecologic oncologist. Prospectively, all data were collected from review of each patient`s medical record, including age, body mass index (BMI), stage, histology, nodal counts, operative time, estimated blood loss, surgical pathologic margin positivity, complications, and length of hospital stay. Associations between variables were studied using X²test, t-test, and Fisher Exact test. Results : Radical hysterectomy was performed through a Vertical midline (n=62) and Pfannenstiel (n=61) incision. There were no significant differences in age, BMI, stage, histology, nodal counts, estimated blood loss, surgical pathologic margin positivity, complications, and length of hospital stay. But, patients with a Pfannenstiel incision had shorter operative time than those with Vertical midline incision (169 min vs 197 min, P<0.0001). Conclusion : Radical hysterectomy and pelvic lymphadenectomy can be safely performed through a Pfannenstiel incision without increased operative morbidity and equal nodal removal as compared with Vertical midline incision. Pfannenstiel incision may offer the benefits of improved cosmesis and shorter operative time without compromising surgical exposure or increasing the risk of surgical complications.
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35세 이상 고령산모의 임신과 출산에 대한 임상적 연구
허혁 ( Heo Hyeog ),황지영 ( Hwang Ji Yeong ),김도균 ( Kim Do Gyun ),이형종 ( Lee Hyeong Jong ),심재철 ( Sim Jae Cheol ),양회생 ( Yang Hoe Saeng ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.3
목적 : 35세 이상의 고령 산모에서 연령이 임신과 출산에 미치는 영향을 파악하여 향후 이들의 관리에 도움을 주고자 한다. 연구 방법 : 2000년 4월부터 2003년 6월까지 동국대학교 경주병원 산부인과에서 분만한 2,526명의 산모 중 35세 이상 산모 183명을 연구군으로, 이 기간동안 분만한 25세에서 29세 사이의 산모 150명을 대조군으로 설정한 후 통계학적으로 비교 분석하였다. 결과 : 35세 이상의 고령 산모는 전체의 7.24%였다. 본 연구에서는 전치태반, 남아분만, 비정상태위, 저체중아, 거대아, 철결핍성 빈혈, 조기진통 등이 대조군보다 높았으며, 조기분만, 임신성 고혈압, 제왕절개 분만은 고령산모에서 통계적으로 유의하게 높은 것으로 나타났다. 결론 : 고령 산모는 점차 증가하는 추세에 있으며, 산전 합병증이나 분만방법의 결정, 신생아 상태에서 좋지 않은 결과를 보이는 경향은 있으나, 철저한 산전관리를 통해 예측 가능한 합병증의 조기 진단과 치료를 적극적으로 시행하고, 분만방법에 있어서도 적절한 적응증을 적용하면 제왕절개술의 빈도는 감소시키고, 비교적 양호한 임신결과를 얻을 수 있을 것이라고 생각된다. Objective : We studied the effects of the age factor in pregnant women who are over the age of 35 on pregnancy, parturition and verified its usefulness in the future managements of the old aged pregnancy. Methods : Out of 2,526 mothers who delivered in Dongguk university hospital from April 2000 to June 2003, we selected 183 mothers who aged more than 35 years as a study group, and 150 mothers aged between 25 and 29 years as a control group. We then statistically evaluated and analyzed the two groups. Results : Study group consumed up to 7.24%. Placenta previa, male birth delivery abnormal presentation, low birth weight, iron deficiency anemia and preterm labor was noted more in the study group. Likewise, preterm delivery, pregnancy induced hypertension and cesarean section rates were significantly high in the study group. Conclusion : Pregnancy in old age is currently a rising trend. While they might have the tendency to show prenatal complications, neonatal complication and difficult decision making in delivery method, early detection and treatment of presumable complications by adequate antenatal care and appropriate selection of delivery method can reduce the section rates and obtain relatively successful pregnancy outcome.
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퇴행성 슬관절염 환자에 대한 TDP(Tending Diancibo Pu)의 임상적 효과 : 무작위 대조 임상연구
어봉우 ( Bong Woo Uh ),허혁 ( Hyeog Heo ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.3
Objectives :This paper investigates the effectiveness of TDP devices on the osteoarthritis of knee joint among more than 60-aged women patients. Methods :Randomized controlled trial was conducted to evaluate the effectiveness between acupuncture group(ACU group) and acupuncture plus Tending Diancibo Pu(TDP group). Subjects of the research were 74 persons(divided into ACU group 37 persons and TDP group 30 persons) via three local oriental medicine clinic from January 2012 to April 2008. A total of 7 subjects of TDP group were dropped out. ACU group and TDP group were treated by each intervention three times a week for 4 weeks. The primary outcome was measured using visual analogue scale(VAS) per visit, and the secondary outcome was investigated using The Western Ontario and McMaster universities arthritis index(WOMAC) once a week. Results :Our research shows that there were significant statistically between ACU and TDP group from visit 3 to visit 13 in the VAS, and the difference of VAS (baseline-each visit) in the within-group were significant at every visit. Additionally, It was reported that there were significant statistically between ACU and TDP group from visit 7 to visit 13 in the WOMAC score, and the difference of WOMAC score(baseline-each visit) in the within-group were significant at every visit. Conclusions: It could be concluded that TDP plus acupuncture is more effective than only acupuncture in more than 60-aged women patients with knee osteoarthritis.
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이동기 ( Lee Dong Gi ),허혁 ( Heo Hyeog ),하준영 ( Ha Jun Yeong ),김도균 ( Kim Do Gyun ),심재철 ( Sim Jae Cheol ),최석진 ( Choe Seog Jin ),김정란 ( Kim Jeong Lan ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.9
Congenital intracranial teratoma is a very rare tumor. We recently experienced a case of massive congenital intracranial teratoma that discovered in a male infant of 28 weeks of gestation. A 33-year old multigravida was observed at 28 weeks gestation for
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임신동안과 산욕기에 발생한 뇌졸중 2예 자간증 및 전자간증의 증상이 없는 산모에 있어서의 대뇌경색의 와 대뇌출혈의
하준영 ( Ha Jun Yeong ),김연경 ( Kim Yeon Gyeong ),허혁 ( Heo Hyeog ),최대섭 ( Choe Dae Seob ),김도균 ( Kim Do Gyun ),양회생 ( Yang Hoe Saeng ),심재철 ( Sim Jae Cheol ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.8
While maternal mortality rates due to obstetric causes have declined in recent years, maternal mortality rates due to non-obstetric causes have relatively increased. Among these, pregnancy related stroke is significant because it has the worst impact on b
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