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임신 18주 이전 자궁부속기 종양의 수술적 처치 시 개복수술과 복강경수술의 비교연구
황호명 ( Ho Myong Hwang ),이창호 ( Chang Ho Lee ),태철민 ( Cheol Min Tae ),오병찬 ( Byung Chan Oh ),조성남 ( Sung Nam Cho ),정영주 ( Young Ju Jeong ),김종덕 ( Jong Duk Kim ),김관식 ( Kwan Sik Kim ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.9
목적 : 임신 중 진단된 자궁부속기 종양의 개복수술과 복강경수술의 결과를 비교해 봄으로써 복강경수술의 안전성 및 장단점을 살펴보고자 하였다. 연구 방법 : 1996년 1월부터 2002년 7월까지 전북대학교병원에서 임신 중 진단된 자궁부속기 종양으로 수술이 시행된 54예를 후향적으로 분석하였다. 복강경수술은 17명의 환자에서 시행되었고, 개복수술은 37명에서 시행하였다. 의무기록을 토대로 재태연령, 수술시간, 수술방법, 병리조직검사 결과, 그리고 임신의 Objective : To evaluate the safety and benefit of laparoscopic surgery compared with laparotomy for the management of adnexal tumor during pregnancy. Methods : We reviewed 54 cases of adnexal tumor during pregnancy which were managed surgically at Chonbuk
조기양막파수 환자에서 산전 Betamethasone 1 회 요법과 다회 요법의 신생아 및 임산부 감염 유병률 비교
황호명(Ho Myong Hwang),장인석(In Seck Jang),정영주(Young Ju Jeong),조성남(Sung Nam Cho) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
N/A Objective : The optimal management of cervical intraepithelial neoplasia (CIN) after loop electrosurgical excisional procedure (LEEP) remains controversial and reliable predictive factors of residual disease after LEEP have not been consistently identified. This study was performed to identify predictive factors for residual disease after LEEP in patients with CIN. Methods : From June 1996 to May 2000, 166 patients who received subsequent hysterectomy after LEEP according to indication in Dept. of Obstet. And Gynecol. At Chonbuk National University Hospital. The age of patients, the severity of disease, the status of resection margin, and high-risk HPV infection were analyzed for predictive values of residual disease. The student t-test and chi-square test were used for statistical analysis. Results : 1. The residual disease after hysterectomy was negative in 68.1% (113/166) and positive in 31.9% (53/166). 2. The mean age of patients with no residual disease was 45.7 years (range;27-67) and that of patients with residual disease was 49.7 years (range;32-67), showing significant difference (p=0.008). 3. Thirty-three out of 129 cases (25.6%) with negative resection margin and 20 out of 37 cases (54.1%) with positive resection margin in LEEP had residual disease, showing significant difference (p=0.001). 4. Residual disease after hysterectomy was more frequent in patients with more high grade lesions in LEEP, but there was no statistical significant difference (p>0.05). 5. There was no significant difference in the possibility of positive residual disease after hysterectomy between HPV-positive group and HPV-negative group (p=0.84). Conclusion : The negative resection margin in LEEP does not always guarantee that there is no residual disease. More aggressive treatment plan (wide conization or hysterectomy) should be considered in patients who has higher possibility of residual disease such as old age and positive resection margin in LEEP.
중증 지역사회획득 폐렴환자의 예후에 영향을 미치는 면역지표에 대한 연구
황재경 ( Hwang Jae Gyeong ),이호명 ( Lee Ho Myeong ),서일혜 ( Seo Il Hye ),남귀현 ( Nam Gwi Hyeon ),송광식 ( Song Gwang Sig ),박계영 ( Park Gye Yeong ),박정웅 ( Park Jeong Ung ),박재경 ( Park Jae Gyeong ),정성환 ( Jeong Seong H 대한결핵 및 호흡기학회 2001 Tuberculosis and Respiratory Diseases Vol.50 No.4
임신 34주부터 37주사이의 조기양막파수 환자에서 적극적인 처치와 보존적인 처치의 비교
김종현,권주택,황호명,나미옥,엄철,정영주,조성남 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.12
목적 : 임신 34주 0일에서 36주 6일 사이의 조기양막파수 환자에서 적극적 치료와 보존적인 처치를 시행했을 때 산모와 신생아의 이환율에 대한 차이에 대해 알아보고자 한다. 연구 방법 : 본 연구에서는 1997년 1월에서 1998년 12월 말까지 만 2년동안 전북대학교병원 산부인과에 입원한 임신 34주 0일부터 36주 6일 사이의 두위의 단태임신 조기양막파수 환자 121명을 prostaglandin E2 질정이나 oxytocin의 투여로 유도분만을 시도한 적극적인 처치 62명과 진통 억제제와 corticosteroid를 사용하지 않고 단순 침상 안정만을 취한 보존적인 처치 59명의 두 군으로 분류하여 조사하였다. 결과 : 산모의 예후와 이환율은 예상대로 입원에서 분만까지의 잠복기와 총 입원기간이 보존적 처치군에서 유의하게 길었으며(P$lt;0.01) 융모양막염은 보존적 처치군에서 적극적인 처치군보다 의의있게 많았다(P$lt;0.05). 신생아 패혈증은 보존적인 처치를 받은 군에서만 3예(5.1%) 나타났으나 통계학적 의의가 없었으며 모두 별다른 후유증 없이 회복하였다. 결론 : 임신 34주 0일 이상의 조기양막파수 환자에서 적극적인 처치로서의 유도분만은 신생아에게도 안전하며 산모와 신생아의 감염 및 합병증을 피할 수 있다. Objective : Our objective was to compare differences in maternal, neonatal morbidity and mortality associated with active versus expectant management of premature rupture of membranes. Methods : Of 121 women with premature rupture of the membranes at 34 weeks 0 days' to 36 weeks 6 days' gestation, the women were allocated with induction and expectant group randomly. A retrospective review was undertaken to compare active management(n=62) with intravaginal prostaglandin E2, oxytocin induction and expectant management(n=59) included hospitalization without the use of tocolytics and corticosteroid. Results : As expected, the latency to the onset of labor and to delivery was significantly prolonged with expectant management(P$lt;0.01). Maternal hospitalization was significantly prolonged with expectant management(P$lt;0.01). The incidence of chorioamnionitis was significantly higher in expectant management group than active management group(p$lt;0.05). Neonatal sepsis was also more common in the expectant group(n=3) than among induction group(n=0), but the difference was not statistically significant. Conclusions : Active management of premature rupture of the membranes at $gt; 34 weeks 0 days' gestation by induction of labor is safe for the neonate and avoids maternal-neonatal infectious complications in our study.
세침흡인 세포검사로 진단된 복벽의 자궁내막증 -2예 보고-
정명자,정연준,황호명,장규윤,문우성,강명재,이동근,Chung, Myoung-Ja,Jeong, Yeon-Jun,Hwang, Ho-Myong,Jang, Kyu-Yoon,Moon, Woo-Sung,Kang, Myoung-Jae,Lee, Dong-Geun 대한세포병리학회 2004 대한세포병리학회지 Vol.15 No.1
The incidence of endometriosis in post-operative abdominal scars is rare. We describe two cases of abdominal endometriosis diagnosed by fine needle aspiration (FNA). Both patients presented with subcutaneous masses at previous cesarean section scars with cyclic symptoms of pain. The cytologic smears were cellular and comprised two distinct cell populations consisting of epithelial and stromal components. An epithelial component consisted of flat sheets of polygonal cells and the second stromal component showed crowded clusters of spindle cells or isolated single cells. Hemosiderin-laden macrophages were found in the background. FNA offers a safe and effective tool for diagnosis of abdominal wall endometriosis.
거대 자궁동정맥기형에서 경동맥 색전술 (TAE) 치료경험
김현영 ( Kim Hyeon Yeong ),황호명 ( Hwang Ho Myeong ),한영민 ( Han Yeong Min ),오병찬 ( O Byeong Chan ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.9
A case of Cessation of massive vaginal bleeding after TAE in giant Arteriovenous Malformation (AVM) of the Uterus. A 68-year old woman who had massive vaginal bleeding was diagnosed of AVM of uterus by ultrasonogram, CT, MRI, and angiography. In our case
자궁경부 상피내종양의 치료로서 환상투열요법 시행 후 잔류병변의 예측인자
임태건(Tai Gun Im),황호명(Ho Myong Hwang),정영주(Young Ju Jeong),오병찬(Byung Chan Oh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
N/A Objective : The purpose of this study was to determine whether unexplained elevation of second- trimester maternal serum beta-human chorionic gonadotropin (β-hCG) is associated with adverse pregnancy outcomes. Method : Between January 1998 and December 1999, we evaluated 2112 pregnant women undergoing second trimester triple marker screening test who delivered at our hospital. Inclusion criteria were singleton pregnancy, confirmed gestational age, and hCG level greater than 2.0 MoM. The exclusion criteria were fetal anomaly, abnormal karyotype, MSAFP level greater than 2.0 MoM, uE3 level less than 0.4 MoM, and referred patients with pregnancy-induced hypertension (PIH). A group of randomly selected women with normal maternal serum hCG and AFP levels served as control. Results : Women with unexplained elevation of hCG level showed increased risks for PIH (p<0.001) and preterm delivery (p<0.003). There were no significant diffrences between study and control groups with respect to placental abruption, fetal distress, PROM, intrauterine fetal death, and apgar score. Conclusion ; Pregnancies with unexplained elevation of hCG levels should be regarded as high-risk pregnancies and managed accordingly. The combination with these biomarkers such as VEGF, plasminogen activating factor I and AT-III as a screening test for PIH may be useful.
안은준 ( An Eun Jun ),김성욱 ( Kim Seong Ug ),양환주 ( Yang Hwan Ju ),황호명 ( Hwang Ho Myeong ),정영주 ( Jeong Yeong Ju ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5
Heterotopic pregnancy occurs when an intrauterine pregnancy co-exists with an ectopic pregnancy. It is a potentially fatal condition, rarely occuring in natural conception cycle. But its incidence is increased since the rise in PID, pelvic surgery, IUD, and advent of assisted reproductive technology involving use of superovulatory drugs and/or in virto-fertilization. We present a case of intrauterine twin pregnancy and right tubal pregnancy following treatment with in vitro-fertilization. The right tubal pregnancy was diagnosed after rupturing at 6^th gestational weeks, and resected via laparoscopy. And healthy twin babies were delivered without complication at 38^th gestational week. So we report this case with a brief review of the literatures.