유착태반의 1예

정한종(HC Chung),김숙희(SH Kim),이재억(JA Lee) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.7

과거 4회의 인공임신중절술을 받았던 경산부가 최종분만후 1년 5개월후에 자궁출혈로 자궁 근종의 임상적 진단하에 자궁적출술을 시행하였으나 유착태반이었던 1례를 보고하는 바이다. One case ofvery unusual adhesive placenta which was encounted 17 months after term delivery is reported in view of its rarity and literature concerned are reviewed briefly.

난관불임수술에 관한 임상적 고찰

정한종(HC Chung),우인호(IH Woo),이진호(JH Lee) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.9

1. 난관불임수술의 빈도는 7.4%엿으며 산과적 빈도는 7.1% 부인과적 빈도는 8.3%였다. 2. 322예의 난관불임수술중 복식수술은 86.0%였으며 질식 수술은 14.0%였다. 3. 난관불임수술의 동기는 다산부가 38.2%였으며 산과적 적응증이 32.3% 부인과적 적응증이 26.1%, 내과적 적응증이 3.4%였다. 4. 난관불임수술을 받은 연령은 30내지 34세군이 49.4%로 가장 높았으며 평균 연령은 32.5 세였다. 5. 난관불임수술을 받은 환자는 대개가 2남 1녀의 3자녀 정도를 가진 부인에서 많이 시행되 었으며 질식 난관수술을 받은 환자는 과거 임신중절수술의 수가 많았다. 6. 마취는 대부분이 전신마취를 하였다. 7. 산욕기 난관불임수술의 시기도 약 80%가 30시간이내에 시행되었으며 대부분의 수술이 11내지 30분의 수술 소요시간이 걸렸다. 8. 수술후 재원일수는 산욕기 난관불임수술시는 정상 산욕기 재원기간과 비슷하였으며 질식 난관불임수술은 평균 재원기간이 4.5일로 비교적 짧았다. 9. 질식난관수술시 겸행된 수술은 질 후벽 교정수술이 84.4%에서 시행되었고, 약 60.0%에서 임신중절수술이 겸행되었다. 1. frequency of operations was 7.4% obstetric and gynecologic frequency being 7.1% and 8.3% respectively 2. abdominal procedure was 86.0% nad vaginal procedure 14.0% 3. The indication of operation was as follow ; multiparous 38.2% obstetrical 32.3%, gynecological 26.1% and medical 3.4% 4. Pedominant age group consisted of those 30-34 years old with frequency of 49.4%, the average being 32.5% years old 5. In the majority of cases those who underwent tubal sterilization operatoins had 3 children and many of those who underwent vaginal procedures had frequent artificial abortions. 6. General anesthesia was performed in the majority of cases 7. Eighty percent of puerperal sterilization operations was performed within 30 hours after bearing and the operation time took 11 to 30 minutes in the majority of cases 8. Posoperative hospital stay of those who underwent puerperal sterilization operation was almost as long as non-sterilized postpartum hospital stay , and postoperative hospital stay of those who underwent vaginal sterilization operation was 4 or 5 days. 9. Of the associated operation in the vaginal procedures posterior vaginal wall repairs were 84.4% induced abortion 60.0%.

파열된 난소 과립막세포종 1 예

정좌구,이지연,박현철,장세권,공국영 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.12

저자들은 파열된 난소 과립막세포종 1례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. Granulosa cell tumors are low grade malignancies, the majority of which are confined one ovary at the time of diagnosis. The prognosis for the these patients is good and long term wurvival rates have been reported. But about 15% of patients who have cystic granulosa cell tumors are first examined for acute abdomens associated with hemoperitoneum. We present a case of ruptured granulosa cell tumor with brief review of literature.

복압성요실금을 가진 여성 환자에서 동반되는 하부요로증상 및 성기능에 대한기능적자기장자극치료의 효과

정석영,정희창 大韓泌尿器科學會 2003 Korean Journal of Urology Vol.44 No.10

육종성 간질의 과증식을 동반한 뮐러씨 선육종 1 예

김현찬,김기태,이경복,김우경,박성혜,한지원,정철회,정대훈 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.9

Mullerian adenosarcoma has been described as a destinctive biphasic uterine tumor with benign neoplastic glands within sarcomatous stroma. It is a rare variants of mixed mesodermal tumors and considered to be a tumor of low grade malignancy with relatively good prognosis. The other histopathological variant of adenosarcoma is adenosarcoma with overgrowth by high-grade sarcoma. Sarcomatous overgrowth is seen in approximately 10% of adenosarcoma. The definition of sarcomatous overgrowth is the presence of a pure sarcoma, usually but not necessary of a higher grade and mitotic rate, that overgrows a typical adenosarcoma and accounts for at least 25% of the total tumor volume. In contrast to typical m llerian adenosarcoma of the uterus, ademosarcoma with sarcomatous overgrowth is extremely aggressive tumor frequently associated with metastasis, postoperative recurrence, rapid progression and death. For adequate management of patient, it is important to evaluate the presence or absence of the sarcomatous overgrowth when the m llerian adenosarcoma is diagnosed. Recently, we experienced a case of m llerian adenosarcoma with sarcomatous overgrowth in a 36-year-old married, nulliparous woman and report this case with a brief review of the literature.

부각자궁임신파열의 1예

김형철(HC Kim),이홍주(HJ Lee),임영균(YG Im),최숙(S Choi),정호순(HS Chung) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.5

희유한 부각자궁 임신이 임신 21주에 파열을 일으킨 예를 경험하였기에 이를 보고하고 문헌 적 고찰을 하였다. A case of ruptured cornual pregnancy which was treated at Seoul Adventist Hospital was summarized clinically with brief review of references. 1) Cornual pregnancy is a very rare form of ectopic pregnancy, in which the embryo is implanted in a rudimentary horn of the uterus. 2) The symptoms are similar to those of the interstitial type of ectopic pregnancy. 3) Diagnosis is very difficult and is most likely mistaken for a soft myoma, with perhaps an early abortion of an intrauterine pregnancy.

Testicular Feminization Syndrome 의 1예

김현찬(HC Kim),정정완(JW Chung),손용석(YS Sohn),이준덕(JD Lee) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.5

임상적으로는 정상 여성이나 생식선은 난소대신 고환을 가진 testicular feminization syndrome의 1예를 보고하고 이에 대한 문헌적 고찰을 하였다. Testicular feminization syndrome or androgen insensitivity syndrome is one of the hereditary disorders in which the patient is genetic male yet shows phenotypic female because of a lack of specific cytoplasmic androgen receptor from intrauterine life. We have recently met such a case to report it as well as brief review of literatures.

처녀막폐쇄증으로 인한 질 및 자궁혈종을 동반한 1예

정용화(YW Chung),용호정(HC Bang),유용근(YK Yoo) 대한산부인과학회 1964 Obstetrics & Gynecology Science Vol.7 No.5

저자들은 15세 5개월난 처녀막폐쇄증환자로써 질혈종 자궁혈종을 일으켜 복부팽륭을 초래하여 당병원에서 처녀막 윤상절개를 행하여 경쾌퇴원한 1예를 보고하며 간단한 문헌적 고찰을 하였다. Imperforate hymen is a rare anomaly resulting in occult retention of the menstrual products within the genital tract. Its cause is divided in two parts largely, that is, congenital and acquired. One case of imperforate hymen regarded to congenital origin, and that formed hematocolpometra, observed on April 3rd, 1963 at the Dept. of Ob.-Gyn., Han-Il Hospital, is presented and the literature is reviewed.

자궁내 감각 수용체의 화학수용적 특성에 대한 연구

나중열,정용훈,홍승길,한희철 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.1

통각유발물질로 알려진 bradykinin, capsaicin 그리고 potassium chloride 등의 화학물질을 자궁내 수용체에 자궁동맥을 통하여 투여하고 이들의 반응을 관찰하므로써 자궁수용체의 화학수용적 특성을 규명하기 위하여 alpha-chloralose로 마취한 고양이의 하복신경에서 29개의 단일 자궁구심성 신경섬유를 분리하여 흥분발사를 기록한 결과 다음과 같은 결과와 결론을 얻었다. 1. 본 실험에서 얻어진 자궁을 지배하는 29개의 구심성 신경섬유는 9개의 A-d군 신경섬유와 20개의 C군 신경섬유로 나타났다. 2. Von Frey hair자극에 대한 반응은 27개의 신경섬유에서 얻어졌으며 이들의 반응은 자극의 세기에 비례하여 증가하는 단계반응(graded response)을 보였다. 3. 자궁동맥을 통하여 bradykinin 2-10 micro g을 투여한 결과 시험한 27개의 자궁구심성 신경섬유중 74.1%인 20개에서 흥분반응을 관찰하였으며 이러한 반응은 강한 자궁수축을 동반하였다. 자궁구심성 신경섬유의 bradykinin에 대한 반응은 주입한 bradykinin의 양에 비레하는 용량의존성 관계를 보였다. 또한 자궁의 수축은 시간적으로 자궁구심성 신경섬유의 흥분반응에 선행하여 나타났다. 4. Capsaicin 1-2 micro g에 대하여는 20개의 자궁구심성 신경섬유중 50%인 10개에서 흥분반응을 보였으며 동시에 자궁의 수축도 동반되었다. Capsaicin에 의한 자궁구심성 신경섬유의 흥분반응과 자궁의 수축반응은 bradykinin에 대한 반응과 매우 유사하게 나타났다. 연속적인 capsaicin주입에 대하여 자궁구심성 신경섬유의 반응은 유의한 변화가 없었으나 자궁의 수축은 점차 감소하는 경향을 보였다. 5. 15개의 자궁구심성 신경섬유에 potassium chloride 0.1ml*0.15M과 0.1ml*0.3M를 투여한 결과 87.7%인 13개에서 흥분반응을 관찰할 수 있었다. 이러한 반응은 bradykinin과 capsaicin에 대한 반응에 비하여 반응기간은 짧게 나타났으나 최대 임펄스 발사빈도는 오히려 크게 나타났다. 2개의 자궁구심성 신경섬유는 오직 potassium chloride에 대하여만 흥분반응을 보였다. 6. 평활근 수축억제제인 loperamide는 낮은 농도에서는 자궁근의 수축을 감소시켰으며 보다 높은 농도인 20 micro g에서는 완전히 자궁수축을 억제하였다. 그러나 이와같이 자궁수축이 완전히 억제된 상태에서도 bradykinin에 대한 자궁구심성 신경섬유의 흥분반응은 계속 유지되었다. 이상의 결과를 종합하여 볼때 자궁내에 존재하는 자궁수용체는 자궁동맥을 통하여 주입된 여러종류의 통증유발물질에 의하여 활성화 될 수 있으며 이들에 대한 흥분반응은 자궁근의 수축이 완전히 억제된 상태에서도 유지되었다. 이러한 사실은 자궁수용체가 화학수용적 특성을 지니고 있다는 것을 강력히 시사하고 있다. This present study was performed to investigate the response of the uterine receptors to chemical substance, i.e potassium chloride, bradykinin and capsaicin which are known as algesic substance and to examine the chemoreceptive properties of uterine receptors for them. The recordings were done from 29 single uterine afferents in the hypogastric nerve of alpha-chloralose anesthetized cat. The results are as follows. 1. The twenty nine uterine afferents that obtained tin this study were composed of 9 A-delta fibers and 20^ fibers. 2. The response to von Frey hair were showed in 27 uterine afferents. The higher the stimuli was applied, the larger the magnitude of response was revealed, and so they showed graded response. 3. Bradykinin(2-10 micro g) were applied to the receptive field of 27 units through the uterine artery. Among them 20 units(72.1%) showed response of increased inpulse discharge to the injected bradykinin and it was followed by intense uterine contraction. And the response had dose dependent relationship to the injected bradykinin. But the initiation of uterine contraction preceded the response of uterine afferents to bradykinin in time relation. 4. 10 of 20 uterine afferents (50%) were stimulated when capsaicin (1-2 micro g) was injected as a bolus into the uterine artery. The response of uterine afferents and uterine contraction had similar pattern with the bradykinin in dose dependent relation and chronological sequence. In the nerve activity, there is nosignificant desensitizing effect but the uterine contraction curve had tendency to diminish with the serial injection of capsaicin. 5. 13 of 15 units (86.7%) revealed increased response when tested with potassium chloride of dose from 0.1 ml of 0.15M to 0.1 ml of 0.3 M concentration. Comparing with the response to bradykinin and capsaicin, the duration of response was smaller but the peak discharge was larger. The two units did not show any response to bradykinin and capsaicin but excited only by potassium chloride. 6. Loperamide, smooth muscle relaxant, diminished the magnitude to uterine contraction at lower dose (2-10 micro g) and completely abolished the contraction at higher dose (20 micro g). But the response of uterine afferents to bradykinin persisted yet inspite of complete abolition of contraction. To summarize the above results, uterine receptors were activated by the various algesic chemicals injected through uterine artery and they showed persistent response during elimination of uterine contraction. It could suggest that there might be uterine receptors that have chemoreceptive properties.

흉복부유합 중복기형아의 1예

정강수(KS Chung),박만용(MY Park),윤중희(CH Youn),김기홍(KH Kim),이회창(HC Lee) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.9

A case of thoracopagus has been described which is extremely rare in incidence and usually follows abnormal antepartum and intrapartum courses with the resultant of grave outcome on the part of mother and child. The patient was 20 years-old primigravida who followed abnormal course of labor and finally delivered of thoracopagus with fusions of ventral surface at the levels of thorax and abdomen by Cesarean Section. Autopsy revealed the presence of marked deformations of heart, and liver.