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      • 자궁경부 종양 진단에 있어서 질확대경 검사상 비정형 혈관의 의미

        이순곤,한만봉,남계현,이환구,이권해 순천향대학교 1993 논문집 Vol.16 No.4

        From January 1990 to March 1993, 126 patients who were found to have cancer of teh cervix with colposcopically directed biopsy were involved in the study at the cancer detection center of the department of Obstetrics and Gynecology, Soonchunhyang University, College of Medicine. The vascular pattern of the cervix represents one of the most important diagnostic criteria of colposcopy, so the relationship between atypical vessels seen colposcopically and cervical intraepithelial neoplasia, microinvasion and frank invasive cancer was studied quantitatively. No atypical vessels were found with mild, moderate dysplasia, but 13.6% of severe dysplasia, 31.0% of carcinoma in situ, 72.7% of frank invasive cancer and 55.6% of microinvasive cancer had atypical vessels. In conclusion microinvasive cancer or invasive cancer was strongly suggested in case of atypical vessels seen colposcopically, so therapic and diagnostic cone biopsy should be performed even though atypical vessels are seen by colposcopy but colposcopically directed biopsies do not show frank invasion.

      • KCI등재

        조기진통 임신부의 경질초음파에 의한 자궁경부 평가

        이권해,이임순,이해혁,이정재,신정옥,이명환,구도형,이항재,양회경,전섭,최경훈 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.4

        목적: 경질초음파에 의해 평가된 자궁경부의 특징이 조기진통과 조기분만에 관련이 있다는 가설을 검증하는데 우리의 목적이 있었다. 방법: 조기진통이 있는 단태아 임신으로 입원한 51명의 임신부를 대상으로 치료를 시작하기 전 경질초음파를 시행하였다. 조기분만은 37주 이전에 분만된 경우로 정의하였다. 초음파 계수로 자궁경부 길이, 쇄기형[wedging]의 존재가 평가되었다. 자료분석은 student t test와 카이제곱검정법[chi-square test]을 이용하였다. P value가 0.05 미만일 때 유의성이 있는 것으로 하였다. 결과: 자궁경부에 쇄기형[wedging]이 존재하는 경우와 자궁경부 길이가 짧아져 있는 경우 조기분만과 상당히 관련이 있는 것으로 나타났다[p$lt;0.001]. 조기분만을 예측하는데 있어서 자궁경부 쇄기형[wedging]이 있는 경우 100%의 민감도, 81.6%의 특이도, 65%의 양성 예측도, 100%의 음성 예측도를 보였다. 조기분만을 예측하는데 있어서 자궁경부 길이가 29 mm 이하인 경우 100%의 민감도, 89.5%의 특이도, 76.2%의 양성 예측도, 100%의 음성 예측도를 보였다. 결론: 조기진통이 있는 산모에서 경질초음파에 의해 측정된 자궁경부의 쇄기형[wedging]의 존재와 짧아진 자궁경부 길이는 조기분만의 예측자로서 유용할 것으로 생각된다. Objective: Our purpose was to test the hypothesis that characteristics of the cervix evaluated by transvaginal ultrasonography are associated with preterm labor and preterm delivery. Methods: Fifty-one patients with preterm labor of singleton pregnancy admitted to the hospital were evaluated by transvaginal ultrasonography before institution of treatment. Preterm delivery was defined as any delivery before 37 weeks of gestation. The ultrasonographic parameters evaluated were cervical length and presence of wedging. Data analysis was performed by the student t test and chi-square test. The p value $lt; 0.05 was considered significant. Results: The presence of cervical wedging and shorter cervical length were significantly associated with preterm delivery[p$lt;0.001]. The presence of cervical wedging in the prediction of preterm delivery in this data set yielded a sensitivity of 100%, a specificity of 81.6%, a positive predictive value of 65%, and a negative predictive value of 100%. The cervical length ≤ 29mm in the prediction of preterm delivery in this data set yielded a sensitivity of 100%, a specificity of 89.5%, a positive predictive value of 76.2%, and a negative predictive value of 100%. Conclusion: The presence of cervical wedging and shorter cervical length in patients with preterm labor measured by transvaginal ultrasonography are useful as a predictor of preterm delivery.

      • 난소 임신 10예의 분석

        김용진,이충일,이해혁,남계현,이임순,이권해 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

        Ovarian pregnancy is an uncommon form of the ectopic pregnancies. The ovarian vascularity results in maternal hemorrhage early in the first trimester, which disrupts the pregnancy and usually ruptures the ovary with sufficient hemoperitoneum to require emergency operation. This report presents 10 cases of ovarian pregnancy by retrospective review between January 1986 and December 1995 at the Department of Obstetrics and Gynecology, Soonchunhyang University Hospital. There was 19,849 deliveries and 637 ectopic pregnancies during same period. It showed that the incidence of ovarian pregnancy was 3.21 % of all ectopic pregnancies. The clinical features of ovarian pregnancy revealed that abdominal pain was the major symptom, and history of amenorrhea was obscure. Because of life-threatening course, the early diagnosis and treatment of ovarian pregnancy is important. The clinical diagnosis of ovarian pregnancy was more difficult than that of tubal pregnancy.

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