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홍선웅(Sun Woong Hong),김병선(Byung Sun Kim),김형호(Hyung Ho Kim),이장용(Jang Yong Lee),강용필(Yong Pil Kang),선진규(Jin Gyu Sun),기광수(Kwang Soo Kee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.8
Umbilical cord stricture is a very rare cord abnormality that cause intrauterine fetal death. An extreme focal deficiency of Wharton`s jelly is suggested as a cause of cord stricture, and was most commonly occurred at the fetal end of umbilical cord. Antenatal detection of umbilical cord stricture is very difficult. We experienced a case of the intrauterine fetal death due to umbilical cord stricture, and we report this case with a brief review of literatures.
이장용(Jang Yong Lee),홍선웅(Sun Woong Hong),박애별(Ae Byul Park),강용필(Yong Pil Kang),기광수(Kwang Soo Kee),임헌정(Hun Jung Im),김경수(Kyung Soo Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
Actinomycosis is a rare disease in human and has variable clinical features, which make the diagnosis difficult. Actinomycosis may be confused with malignancy and other inflammatory diseases because of its infiltrative nature and its tendency to invade normal anatomic barriers. We have experienced a case of abdominal actinomycosis combined with ovarian mucinous cystadenocarcinoma and report this case with brief review of literatures.
제왕절개반흔에 발생한 자궁벽내 임신의 Methotrexate 치료
김병선 ( Kim Byeong Seon ),김형호 ( Kim Hyeong Ho ),구진영 ( Gu Jin Yeong ),홍선웅 ( Hong Seon Ung ),선진규 ( Seon Jin Gyu ),기광수 ( Gi Gwang Su ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.9
Intramural pregnancy implanting in the previous cesarean section scar is one of the rarest form of an ectopic pregnancy and probably the most dangerous form because of its risk of rupture and hemorrhage. For its sonographic diagnosis, the gestational sac
전 자궁 적출술 및 양측 부속기 절제술 후 발생한 난소 잔유물 증후군
신성희(Sung Hee Shin),이주엽(Ju Yub Lee),홍선웅(Sun Woong Hong),정금지(Kum Ji Jung),김병선(Byoung Sun Kim),강용필(Yong Pil Kang),기광수(Kwang Soo Kee),임헌정(Hun Jung Im) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.6
Ovarian remnant syndrome is a rare condition which develops when functional ovarian tissue is left in situ after intended bilateral oophorectomy. It produces clinically significant syndrome, namely chronic pelvic pain and dysmenorrhea. Although the true incidence of this syndrome is unknown, an apprant increase in incidence has been reported. We have experienced a case of ovarian remnant syndrome showing chronic pelvic pain and palpable abdominal mass after difficult gynecologic operation. So, we report this case with a brief review of literatures.
자궁절제경술을 이용한 자궁내유착증의 치료 예후에 대한 임상고찰
김병원(Byong Won Kim),신성희(Sung Hee Shin),정석(Suk Jung),홍선웅(Sun Woong Hong),김대화(Dae Hwa Kim),기광수(Kwang Soo Kee),임헌정(Hun Jung Im) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.10
목적: 본원 불임클리닉에 불임증을 주소로 내원한 환자중에, 자궁난관조영술상에서 비정상적인 자궁내막소견을 보인 자궁내유착증환자에게 자궁절제경술을 시행하여 이의 효과적인 치료결과와 자궁내유착증의 재발생 빈도 그리고 이의 예방법의 유용성에 대하여 고찰하였다. 연구방법: 45명의 자궁내유착증환자를 대상으로 했으며 이를 중앙부 유착, 변연부 유착, 그리고 다발성 유착으로 구분했으며, Storz사 제품의 26F Resectoscope를 사용하여 수술을 시행하였고 재유착을 예방하기 위해서 자궁내 피임장치을 삽입하거나, 소아용 폴리카테타를 삽입하였으며, 자궁내막 상피화를 증진시키기 위하여 Conjugated estrogen(Premarin) 5mg을 30-50일간 투여한후 medroxy progesterone acetate(Provera) 10mg을 10일간 투여하여 소퇴성출혈을 유발시킨후 자궁 난관촬영술을 시행하여 수술 전후의 자궁내 상태를 비교하였다. 결과: 계속적인 추적관찰이 이루어진 41명에서 자궁난관조영술상 수술전 병변이 소실된 경우가 21명, 개선된 경우가 12명, 큰 변화가 없거나 재발된 경우가 8명으로 81%의 높은 치료율을 보였다. 41명중에서 재유착의 예방을 위해서 소아용 폴리카테타를 삽입한 경우는 20명으로 이중 5명(25%) 에서 재발을 하였고, 자궁내 피임장치를 삽입한 경우는 21명으로 이중 3명(14%)에서 재발을 하였다. 추적관찰환자중 15명에서 임신이 되었고 이중 10명은 만삭분만을 하였고 3명이 초기 자연유산이 되었으며 1명은 자궁외임신으로 복강경하 난관절제술을 시행했으며 1명은 임신이 진행중이다. 결론: 이상의 결과를 볼때 자궁내유착증의 치료에 자궁절제경술이 유용한 방법으로 사료되며, 수술 후 자궁내 재유착의 예방을 위해서 자궁내 피임장치를 삽입한 경우가 소아용 폴리카테타를 삽입한 경우에 비하여 재유착의 발생율이 비교적 낮은 경향을 보임을 알 수 있었으나, 향후 더욱 많은 예에 대한 연구와 면밀한 추적관찰이 필요하리라 생각된다. Objectives: From February 1995 to April 1998, those patients who had visited for evaluation of infertility, shown abnormal endometrial pattern on hysterosalpingography underwent resectoscopic operation. We evaluated about its therapeutic effect, recurrence rate of uterine adhesion and effectiveness of its assisted method. Method: We have reviewed 45 cases of intrauterine adhesion, classified as a central type, marginal type and multiple type. We used 26F resectoscope made in Storz for operation and inserted Lippes loop or pediatric foley catheter for prevention of readhesion. For promoting reepithelialization, conjugated estrogens(premarin) 5mg daily for 30 - 50 days were given and then 10mg of medroxyprogesterone acetate(provera) were added daily for the last 10 days. We evaluated the uterine cavity condition preoperatively and postoperatively by using hysterosalpingography. Result: In 45 cases, 41 cases were followed up postoperatively. 21 cases were markedly improved, 12 cases were improved and 8 cases were not improved or recurred on hysterosalpingography. In 41 cases, for prevention of readhesion 20 cases were used pediatric foley catheter and 5 cases(25%) were recurred. 21 cases were used Lippes loop and 3 cases(14%) were recurred. Pregnancy outcome was as follows;15 cases were pregnant and 10 cases delivered a viable infant, 3 cases aborted spontaneously, 1 case was ectopic pregnancy and laparoscopic salpingectomy was done, 1 case was ongoing pregnancy. Conclusion: This report suggests that resectoscopic operation is very effective in the treatment of intrauterine adhesion(therapeutic rate of 81%) and that the use of Lippes loop seems like to have the less recurrence rate than the use of pediatric foley catheter in prevention of postoperative readhesion, but more experience and further follow-up are necessary to obtain more detailed conclusions.