방광결석으로 인한 난산 1예

황상의(SU Hwang),송승규(SK Song),황순경(SK Whang),김승조(SJ Kim) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.4

임신 40주 초산부에서 하나의 큰 방광 결석의 합병으로 태아의 산도통과를 방해하여 난산을 초래함으로써 복식분만 및 결석제거술을 하였다. 본 예는 그외 신수종, 수뇨관수종 및 만성방광염을 동반하였다. A case of dystocia caused by a large bladder stone complicated in term pregnancy was presented. This 30 year-old primipara also was combined with hydronephrosis, hydroureter and chronic cystitis. The textbook and papers concerned to this problems were reviewed briefly.

여성외음부에 발생한 Paraffinoma

이경희(KH Lee),최태일(TI choe),황상의(SU Hwang),조진희(CH Cho) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.10

The paraffinoma is a kind of granuloma, revealing the pattern of chronic inflammation and giant cell reaction, developing after the injection of paraffin oil in the tissue. Two cases of the paraffinoma on the female external genitalia were presented, and the literatures of paraffinomas are briefly reviewed.

광인대내 평활근육종 1 례

정욱(W Jeong),최성원(SW Choi),박양희(YH Park),지정희(CH Chi),황상의(SU Hwang) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.8

저자들은 85년 8월 본원 산부인과에서 우측자궁부속기종양이란 임상진단하에 수술한 결과, 그 종양이 우측광인대내 악성평활근육종으로 판명된 1례를 35세 경산부에서 경험하였기에 문헌고찰과 함께 보고하는 바이다. The most common solid tumor of the broad ligament is the leiomyoma. These tumors may arise from smooth muscle fibers within the broad ligament, or originate in adjacent uterus. These smaller tumors are common and asymptomatic, and are usually found incidentally during operation or at autopsy. The larger lesions may present clinically because of their expansile growth and impingement on the ureter and iliac vessels. Tumors of the broad ligament may be defined on the basis of location as those which occur in or on the broad ligament, but are completely seperated from and are in no way connected with either the uterus or the ovary. Adhering to these criteria, we have experienced a case of leiomyosarcoma of the broad ligament in a 35 year-old multiparous woman and a brief review of the case and its literatures are presented.

난관에 발생한 낭포성기형종의 1예

이양희(YH Lee),김종금(JK Kim),김상갑(SK Kim),황상의(SU Hwang) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.6

36세 경산부의 난관에 발생한 기형종 1예를 치험하였기에 간략한 문헌고찰과 아울러 증례를 보고하였다. A benign cystic teratoma of the left uterine tube which found incidentally at the age of 36-year-old house-wife is presented with a brief review of related literature.

둔위분만에 대한 질식과 재왕절개술의 임상통계적 관찰

김진태(JT Kim),이현섭(HS Lee),김경준(KJ Kim),강병석(BS Kang),황상의(SU Hwang) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6

This study analysed 427 cases of breech presentation among the total 13613 deliveries during the period from Jan. 1977 to Dec. 1983 at St. Benedict Hospital, Department of Obstetrics and Gynecology. This data was divided into 2 groups of vaginal delivery group and cesarean section group, and then, was reviewed for mothers age, parity, birth weight, perinatal mortality and Apgar score at 5 minutes. 1. The incidence of breech presentation was 3.1%. 2. Predominant age group consisted of 25~29 age group with frequency of 52.2%. 3. As to the parity, the frequency of breech presentation was 73.9% in primipara and 52.3% in multipara (p<0.001). 4. As birth weight was increased, the frequency of cesarean section was done, 67.7% in 2500~2999gm group, 74.3% in 3000~3499gm group and 88.9% in over 4000gm group. 5. In 2500gm or more group, perinatal mortality rate was 4.6% in vaginal delivery and 0.8% in cesarean section. 6. Birty weight in breech presentation was smaller than vertex presentation. At 38 weeks, 40 weeks, 41 weeks, the difference of birth weight was meaningful (p< 0.05, p<0.01, p<0.01). 7. As to type of delivery, perinatal mortality was 5 of 5 cases in vaginal delivery and 2 of 4 cases in cesarean section at 33 weeks and 4 of 7 cases of vaginal delivery and 1 of 8 cases in cesarean section at 34 weeks therefore, cesarean section was favorable type of delivery in prematurity. 8. Perinatal mortality rate was 13.1% and most common cause of death was prematurity and most common period of death was after delivery. 9. Cesarean section rate showed a tendency to gradual increment yearly.

원발성 난관암 1례

이광재(KJ Lee),윤대영(DY Yun),문시영(SY Moon),황상의(SU Hwang) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.1

저자들은 1979년 5월 부산 성분도병원 산부인과에서 수술후 병리학적으로 확인된 원발성 난관암을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Primary carcinoma of the fallopian tube is very rare female genital cancers. A case of primary papillary alveolar type carcinoma of the left fallopian tube was found postoperatively in 46 years old premenopausal women with nulliparity. A brief review of literature is added.

분만경과에 대한 X선골반계측의 임상적 가치에 관하여

이현섭(HS Lee),김명주(MJ Kim),김경준(KJ Kim),강병석(BS Kang),정욱(W Jeong),황상의(SU Hwang) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6

One hundred sixteen cases by X-ray pelvimetry of cephalic presentations, Colcher- Sussman method, were retrospectively analyzed. Comparison was made on results of X-ray pelvimetry and body weight of newborn infant on each groups which were composed of normal labor course with vaginal delivery group (N=35), and abnormal labor course with vaginal delivery group (N=35), cesarean section after first stage of labor group (N=32), and cesarean section without labor group (N= 24), differences of means were analyzed for ratio of inlet and midpelvis (Mengert indices) versus body weight among each groups. The analysis revealed significant difference between normal labor course with vaginal delivery group and cesarean section groups, but there was no difference among the groups except for normal labor course with vaginal delivery group. Also we noticed that the position of sacrum against pelvic bone do not predictive tool for delivery outcome, and the most important parameter of pelvic dimensions is interspinous diameter. The data from this study suggest that there is no significant role for X-ray pelvimetry in diagnosis and management of cephalopelvic disproportion in dysfunctional labor.

쌍태임신에서의 지상아 1 예

황상의,손정미,유연주,강은영 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.11

The fetus papyraceus is a rare complication in multiple pregnancy. If one fetus of multiple pregnancy died in uterus remote from term and other fetus did not, the dead fetus with placenta is compressed between the uterine wall and the membrane of living fetu and then the dead fetus becomes a fetus papyraceus. We had experienced a case of fetus papyraceus in twin pregnancy. We report this case with a brief review of the concerned literatures.

태반부결절 및 모반 8 예에 대한 임상적 고찰

황상의,김혜숙,손정미,유연주,강은영 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.11

The objective of this study was to investigate clinical characteristics of placental site nodules and plaques. A clinocopathological study was made on a series of 8 cases of placental site nodules and plaques retrospectively, treated at the Department of Obstetrics and Gynecology, Seigang Hospital from 1992 to 1996. The results obtained as follows; 1. The lesions occurred on patients 25 to 39 years of age, and were discovered in an endometrial curettage specimen performed because of menorrhagia or vaginal bleeding. 2. The interval from the most recent known pregnancy to the time of presentation ranged from 1 month to 13 month(average 3.8 months) in this study in which this information was available. 3. Urine pregnancy tests were negative in all 8 cases. 4. Three of patients in this category had undergone normal vaginal delivery, four had undergone cesarean section and one had undergone D&C before presentation. 5. Microscopic examination disclosed single or multiple, mostly well-circumscribed, oval, or plaquelike, variably cellular nodules that were characteristically extensively hylinized. The lesional cells typically had abundant cytoplasm that was amphophilic, eosinophilic, or occasionally vacuolated, and irregular, often degenerative-appearing nuclei; mitotic figures were absent or rare. Chronic endometritis of variable degree evidenced by plasma cells was noted. Clinically, placental site nodule or plaque is confused with retained placenta, placental site trophoblastic tumor. The lesions may cause vaginal bleeding.