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      • KCI등재

        자궁평활근 섬유육종의 1례

        이광택(KT Rhee),이희정(HJ Lee),정신호(SH Chung),이규택(KT Lee),채민석(MS Chai),이현식(HS Lee) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.7

        저자는 최근 본병원 산부인과에서 희유한 자궁 평골근 면유육종의 1예를 경험하였기에 이에 대한 간단한 문헌적 고찰을 검토하여 보고하는 바이다. Leiomyosarcoma of the uterus is far less common, high malignant tumor of the mesoder- mal origin. The diagnosis of this tumor is very difficult pre-operatively because the symp- toms and physical findings are attibuted to the myomata. A case of leiomyosarcoma found post-operatively is presented with a brief review of litera- ture available.

      • KCI등재

        한국 여성 방광질요루 35예의 임상적 고찰

        이광택(KT Rhee),이희정(HJ Lee),정신호(SH Chung),이규택(KT Lee),이현식(HS Lee) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.8

        주산기사망에 관한 연구를 통하여 산전관리의 경험이 있는 예는 29.1%에 불과하였다. We report our experience showing as the following about 35 cases of Begico-baginal fistula treated surgically from 1965 to 1972 at Presbyterian medical Center. 1. The most common group appears as 15 cases (42.8%) occurring from the birth trauma among the 35 cases. 2. 11 cases occurred from AgNO3 solution infiltration in order to correct the uterine prolaps took a proportion of 31.4%. 3. The age incidence of patient visited at P.M.C. were 40`s, 30`s and 50`s in order. 4. Successful surgical repair was done in 28 cases and failed in 7 cases which proportion is similar to other`s reports. 5. Because 3 cases among the failed 7 cases were contributed to the obstruction of urinary catheter, we think it is important factor in leading to successful operation to keep good urinary drainage after surgical repair. 6. The period of 3 cases among the all surgical repaired cases from the onset of the fistula to the day taking an operation was less that 3 months and surgical operation of those all cases were failed. 7. The worst prognosis was the case originated AgNO3 solution infiltration.

      • KCI등재

        How demand for security influence the shaping of foreign policy: Using the theory of securitisation to understand Armenia–Iran relations

        ktürkTüysüzoğlu 한양대학교 아태지역연구센터 2014 Journal of Eurasian Studies Vol.5 No.2

        This study assesses the alliance currently developing between Armenia and Iran using the framework provided by the Copenhagen School's securitisation theory. Armenia is resorting to securitisation with regard to Turkey on the basis of genocide, and with regard to Azerbaijan through the Nagorno-Karabakh Question. Iran, meanwhile, is securitising Azerbaijan and Turkey within the framework of its own regional activities. Examining the relationship developing between Armenia and Iran, in terms of the theory of securitisation, will be helpful in revealing the psycho-social aspects of the tensions in this region.

      • KCI등재

        자궁 경부암 조기진단을 위한 질세포진 검사의 의의

        김경태(KT Kim),문형(H Moon),김두상(DS Kim) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.11

        1974년 개원이래 1983년까지 만 10년 동안 한양대학병원 산부인과 자궁암 조기 진단센타에서 실시한 28,124례으 질세포진검사를 토대로 자궁경부암의 연도별 연령별 유병율, 비정상 탈락세포율, 질세포진의 의음, 양성율 등을 분석하여 다음과 같은 결론을 얻었다. 1. 연도별 질세포진 검진율은 18.7%이었고 검진율은 연도별로 점점증가 추세이었다. 2. 비정상 탈락세포율은 총 28,124례중 344례로써 1.2%이었고 class III는 153례(0.5%), class IV 는 62례(0.2%), class V는 129례(0.5%)이었다. 3. 자궁경부암의 유병율은 1.5%이었고 그 중 자궁경 상피내암은 0.3%, 침윤성 자궁경부암은 1.2%이었다. 4. 연령별 유병율은 자궁경 상피내암의 경우 40대가 침윤성 자궁경부암은 60대에서 각각 높은 유병율을 보였다(p<0.01). 5. 자궁경 상피내암은 86례이었고 30대 및 40대가 75례(87.2%)로 대부분을 점하였으며 I기 II기 및 III기의 비율은 1:2.7:17.5이었고 특히 III기는 45세-49세에 주로 분포하였다. 6. 비정상 탈락세포군에 대한 생검례에서 양성 병변을 보인 비율은 class III의 경우 41.2%, class IV는 10.3%, class V는 4.5%이었다. 7. 자궁경부암 진단을 위한 질세포진 검사의 의양성율은 3.7%, 의음성율은 16.8%이었고 그 민감도는 83.2%, 특이도는 96.3%, predictive value는 81.5%이었다. 8. 자궁경부암 환자를 과거력상 질세포진 검진 유무에 따라 구분한 결과 자궁경 상피내암은 시행군에서, 침윤성 자궁경부암은 비시행군에서 그 비율은 유의하게 높았으며 특히 침윤성 자궁경부암에서 비시행군이 약 30배 높았다(p<0.01). The vaginal cytologic examination by Papanicolaou smear has been used to detect early cancer of the uterine cervix and much contributed to a striking decline of the morbidity and mortality from the cervical cancer. Cytologic examinations on 28,124 women for last 10 years from 1974 to 1983 were analysed in the Department of Obstetrics and Gynecology, Hanyang University Hospital. The results are as follows: 1. Abnormal cytologic rates were 1.2% which comprised 0.5% of Class III, 0.2% of Class IV, and 0.5% of Class V. 2. the prevalence rate of cervical cancer confirmed by histopathology for 10 years was 1.5%. The rate of cervical intraepithelial neoplasia and that of invasive cervical cancer were 0.3% and 1.2%, resepectively. 3. The prevalence rate of the cervical cancer was increasing by aging of women and the highest frequency was noted in the age group of forties for cervical intraepithelial neoplasia and sixties for invasive cervical cancer. 4. The falso negative rate was 16.8%(32/979) and the false positive rate was 3.7%(36/195). The frequency of the false negative rate showed decreasing tendency in lower grades of cervical intraepithelial neoplasia than in higher grades and invasive cervical cancer, but no statistical significance. 5. The sensitivity, sepcificity and predictive value of cytologic screening were 83.2%, 96.3% and 81.5%. 6. The frequency of cervical cancer in the patients with previous cytologic examination was much lower as 16.8%(72/428) than 83.2%(356/428) in those without previous examination. 7. Above results reemphasize the importance of mass cytologic screening program which have resulted in an increase in early diagnosis and a decrease in the incidence of invasive disease. Therefore, it is necessary to coninue the routine screening by cytologic examination and reduce the number of unscreened women.

      • KCI등재

        과립막세포종의 1례

        이규택(KT Lee),최영중(YJ Choi),최영균(YK Choi),정신호(SH Chung),부영철(YC Boo) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.7

        저자들은 60세의 폐경기경산부에 발생한 과립막세포종 1예를 경험하였기에 문헌과 함께 보고하는 바이다. Granulosa cell tumor is one of rare feminizing tumor of ovary. A case of granulosa cell tumor in 60 year old woman was reported and a brief review of literature on granulosa cell tumor was made.

      • KCI등재

        Krukenberg 종양 18예

        김경태(KT Kim),박찬용(CY Park),송인철(IC Song),박인서(IS Park) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.12

        There is a high incidence of carcinoma of the stomach in Korea and it has lead to the general impression that there are large number of Krukenberg Tumor . Eighteen Krukenberg Tumor among 980 cases of ovarian tumors were found in the hospital records at National Medical Center for 18 year from Jan. 1959 to Dec 1976. The results as follows; 1. The incidence of the Krukenberg Tumor among ovarian tumor (980 cases ) and malignant ovarian tumor (149 cases) were 1.8 percent, 12.1 percent respectively. 2. Average age was 43 years with range of 19 to 63. 3. Clincal symptoms and signs were abdominal pain and distension, abdominal mass, ascites menstrual irregularity and GI symptoms in order of frequency. 4. Abdominal pain and mass in 12 cases was present for 1 to 5 months before diagnosis. 5. Primary site of carcinoma was found in the stomach in 12 cases breast in a case and colon in one cases. 11 patients (61.1 percent) were bilateral.

      • KCI등재

        제왕절개수술에 대한 임상적 고찰

        김경태(KT Kim),박찬용(CY Park),송인철(IC Song),박인서(IS Park) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.12

        1967년 1월초부터 1976년 12월말까지 만 10년간 국립의료원 산부인과에서 시행한 제왕절개술 1121예중 의무기록이 만족스러웠던 705예에 대한 임상통계학적 고찰을 다음과 같은 결과를 얻었다. 1) 제왕절개술의 빈도는 총분만수 12,742예중 1121예로 8.8%에 해당되었으며 이중 의무 기록이 만족스러웠던 705예에 대한 빈도는 5.5%에 해당되었고 대체적으로 매년 증가하 는 추세이었다. 2) 제왕절개술의 적응증은 아두골반불균형이 27.5%로 가장 많았으며 반복제절24.5%, 태위이상 16.5%, 전치태반8.8%, 태아절박증 6.1%등의 순위이었다. 3) 일반적으로 임신중독증 자체만으로는 제절의 적응증이 되지 못하였으나 (자간전증 4.6%, 자간증 25%) 태반성질환 즉 전치태반은 48.6%, 태반조기박리는 16.4%에서 제절 을 행하여 높은 빈도를 나타내었다. 4) 술식의 종류로는 자궁경부횡절개술이 663예(94.0%), 자궁체부종절개술 38예(5.4%), 제왕절개자궁척출술이 4예(0.6%)이었다. 5) 마취방법은 전신마취 610예로 86.5%, 전신마취 및 국소마취가 91예(12.9%), 척수마 취가 4예(0.6%)이었다. 6) 신생아 체중 별분포는 3,001∼3,500gm군이 268예로 37.0%를 차지하여 가장 많았으 며 미숙아는 87예로 12.1%이었고 성숙아는 636예로 87.9%이었다. 7) 총주산기사망은 59예로 주산기사망율은 8.3%이었으며 사산 37예, 신생아사망 23예의 분포이었고 미숙아군이 32예로 과반수를 차지하였다. 8) 모성사망은 3예로 0.43%에 해당되었다. 9) 제왕절개술과 병행된 수술예는 292예로 41.4%에서 시행하였고 난관피임수술이 233 예(79.9%)로 가장 많았고 충수적출술이 6.9%, 난소난관적출술이 3.4%의 순위이었다. 10) 수술중 출혈량은 평균 600cc이었고 500cc이하가 63.9%이었다. 11) 모성합병증은 이환율이 29.8%이었고 가장 빈번한 증상은 원인불명의 고열이 44.2% 이었고 뇨로감염증이 22.8%, 복부창상감염이 14.8%등의 순위이었다. The rise in incidence of Cesarean section has been noteworthy in many areas of our country since mid of 1960s. There are several reasons, but basic justification lies in lowering of maternal mortality with an increasing fetal salvage rate as compared with certain operativr procedures of vaginal delivery. This study was retrospectively carried out based on the clinical charts of patients who had 705 Cesarean sections performed at the department of Pbstetricw & Gynecology, National Medical Center from January 1967 to December 1976. The results were as follows; 1. Cesarean section rate was 5.5% in 12,742 total deliveries. It has been a tendency to gradual increment. 2. the indications for Cesarean section were cephalo-pelvid disproportion (27.5%) that was most prevalent, repeat section(12.5%), malpresentation(16.5%),placenta previa(8.8%), fetal distress(6.1%)and so on. 3. There was no absolute indication of Cesarean section rate in toxemic pregnancy, but high rate was noted in antepartum hemorrhage cases such as placenta previa(48.6%) and abruptio placentae(16.4%) 4. Low cervical section was performed in 94.0%, classical section in 5.4% & Cesarean hysterectomy in 0.6% 5. Types of anesthesia was general(86.5%), local and general(12.9%) and spinal (0.6%) 6. The weight group of 3,001-3,500g, comprised of 37.0% of all newborns. In comparison with prematurity and maturity, prematurity was 12.5%, and mature infant was 87.9%. 7. perinatal mortality rate was 8.3%. Its main carses were prematurity, abruptio placentae and so on. 8. Them were 3 maternal deaths in 12,742 pregnant woman, and a mortality rate was 0.43%. 9. Of 292 combined operations with Cesarean section, tubal ligation(79.9%), appendectomy(6.9%), and salpingooophorectomy(3.4%) were noted. 10. Average blood loss during operation was estimated about 600cc and blood loss under 500cc was observed in 63.9%. 11. Among the complication of Cesarean section, puerperal fever was the most frequent(44.2%), urinary tract infection(22.8%), abdominal wound infection(14.8%) and so on.

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