자궁경부암검진에 있어서 세포진검사와 질 확대경하 조직검사의 비교

문화숙,김상갑,백영철,권혁영,박양희,안병언,이기욱,윤준희,이가영 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.12

1988년 1월부터 1994년 1월까지 부산 문화병원 산부인과에 자궁경부암 조기진단을 위하여 방문한 환자들을 대상으로 세포진검사와 질확대경을 동시에 사용하여 질확대경하 실시한 생검의 결과상 이형성 이상의 결과가 나온 490예의 조직검사결과와 세포진결과를 비교하여 다음과 같은 결과를 얻었다. 1. 490예의 조직검사결과의 분포를 보면 경도 이형성이 158예(32.2%) ,중등도 이형성이 74예(15.1%) 중증 이형성이 74예(15.1%), 상피내암이 110예(22.5%), 침윤암이 74예(15.1%)였고, 평균연령은 경도이형성의 경우 39세이었던 반면 침윤암은 51세이었다. 2. 450예의 세포진결과는 class I이 122예 (24.9%), Class II가 26 cases (5.3%), Class III가 222 cases (45.3%), Class IV 가 61 cases (12.4%), Class V가 59 cases (12.1%)의 분포를 보였다. 3. 조직검사상 class I 과 II의 세포진 결과가 나온 것을 보면 158예의 경도 이형성에서 각각 85예(53.8%) 14예(8.9%)이었고, 74예의 중등도 이형성에서 각각 11예(14.9%) 7예(9.5%)이었고 74예의 중증이형성에서 12예(16.2%), 2예(2.7%)이었고 110예의 상피내암에서 11예(10.0%), 3예(2.7%)이었고, 74예의 침윤성에서 class I이 3예(4.0%)의 위음성을 보여주었다. 이상의 결과로 자궁경부암 검진에 있어서 질확대경을 사용하게 되면 세포진검사를 단독 사용할 경우 발생할 위음성을 줄일 수 있으므로 보완적 방법으로 질확대경의 사용을 고려하여야 할 것이다. In order to find out the role of colposcopy and Pap smear in early diagnosis of cervical neoplasia, we analyzed the findings of histology and Pap smear. There were dysplasia, carcinoma in situ and invasive cancer in the 490 histologic findings. These findings were compred to the Pap smear findings. We obtained the following results: 1. Among the histologic results of 490 cases, 158cases (32.2%) were mild dysplasia 74 cases(15.1%) moderate dysplasia 74 cases(15.1%) severe dysplasia 110 cases (22.5%) carcinoma in situ and 74 cases(15.1%) invasive carcinoma. The mean age of the mind dysplasia was 39years old. Whereas that of the invasive cancer was 51years old. 2. The cytologic results of 490 cases were found to be : Class I 122 cases (24.9%), Class II 26 cases (5.3%), Class III 222 cases (45.3%), Class IV 61 cases (12.4%), Class V 59 cases (12.1%) 3. Among the mild dysplasia, Class I were 53.8% (85/158) and Class II were 8.9% (14/158) Among the moderate dysplasia, Class I were 14.9% (11/74) and Class II were 9.5% (7/74). Among the severe dysplasia, Class I were 16.2% (12/74) and Class II were 2.7% (2/74). In the carcinoma in situ. Class I were 10.0% (11/110) and Class II were 2.7% (3/110). Among the invasive cancer, Class I were 4.0% (3/74). From the above results, Pap smear has the limitation in diagnozing the cervical disease, and we conclude that other adjunctive method like coloposcopy is recommened when the Pap smear test is used.

Mechanical and structural properties of PC/ABS treated with Ar ion using hybrid ion beam system

Sk. Faruque Ahmed,Jin Woo Yi,Myoung-Woon Moon,Yong-Jun Jang,Bong-Hyun Park,Seong-Hoon Lee,Kwang-Ryeol Lee 한국진공학회 2009 한국진공학회 학술발표회초록집 Vol.36 No.-

전자궁적출술 후 발생한 질궁탈출복원술 4 예

문화숙,김상갑,권혁영 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.2

A rare complication of hysterectomy, particularly if inappropriately done, is complete prolapse and inversion of vagina. This can occur whether the hysterectomy was abdominal or vaginal and cystocele and/or enterocele is often associated with this condition. The objectives of the surgery are to suspend the vaginal cuff securely and to ensure that vaginal function is retained. It is difficult to satisfy both these requirements simultaneously. Therefore a variety of abdominal, vaginal procedure have been devised. We experienced four cases who had repair of posthysterectomy vaginal vault polapse by combined abdominal vaginal procedure and report with brief review of literatures.

자궁벽내임신 2 례

문화숙,김상갑,백영철,권혁영,박양희,안병언,이기욱,이가영,유준희 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.12

자궁벽내임신이란 매우 희귀하며 조기진단이 어려운 반면, 진단이 늦어져서 임신이 진행된후 중증 실혈 및 쇼크상태에 빠져서 진단될 경우에는 환자에게 무척 치명적이며 자궁보존은 어렵게 될 것으로 사료된다. 사실 자궁벽내임신은 초기에는 증세가 전혀 없으므로 다른 자궁외임신과는 달리 복벽촉진 및 질식내진으로 조기진단은 불가능하며, 최근에는 혈청 beta-HCG 정량측정, 복식 및 질식초음파기기의 사용과 병행하여 진단적 및 수술적 골반경(pelviscopic operation)사용을 부합하면 진단 및 치료가 아주 용이해질 것으로 사료된다. 한편, MTX와 folinic acid사용도 고려해볼 수 있으나, 본 저자의 소견으로는 MTX사용은 수술시 출혈을 감소시키는 효과는 있겠지만 확정적인 치료효과는 없을 것으로 사료된다. 의료기기의 발달로 인해 과거에는 조기진단이 어려웠던 자궁벽내임신 진단이 조기에 가능하므로 조기진단의 중요성을 인식하고 진찰 및 치료에 임하는 것이 중요하다고 사료되는 바이다. Intramural implantation is among the rarest sites for ectopic gestation. Intramural pregnancy was first reported in 1924 by Perli and since then has been rarely found in literatures. The pathologic diagnosis of an intramural ectopic pregnancy requires that the myometrium surround the products of conception separate from the endometrial cavity or fallopian tubes. Recent improvement in the sonography and radioimmunoassay of the beta-subunit of human chorionic gonadotropin have markedly enhanced the ability to diagnose of intramural pregnancy. So, diagnosis of intramural pregnancy is possible during very early gestation. We have recently experienced two cases of intramural pregnancy and report with a brief review of the literatures.

중증 두개강내압 항진환자에서의 고장성 식염수 주입요법

문한건,박상근,김태홍,신형식,황용순 대한신경외과학회 2003 Journal of Korean neurosurgical society Vol.34 No.4

혈관내 유두양 내피세포증식증에 의한 경척수압박-증례 보고-

문승명,노성우,임승철,강신광 대한신경외과학회 2002 Journal of Korean neurosurgical society Vol.32 No.1

Evolution the surface morphology and mechanical properties of Polyimide induced by Ion Beam Irradiation

Sk. Faruque Ahmed,Gun-Ho Nho,Myoung-Woon Moon,Jun-Hyun Han,Kwang-Ryeol Lee 한국진공학회 2010 한국진공학회 학술발표회초록집 Vol.38 No.-

병합임신의 1예

이선경(SK Lee),문병준(BJ Moon),김문욱(MW Kim),김광희(KH Kim) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.5

부전유산의 진단으로 수술후 좌측난관임신을 동반한 1예를 경험하였기에 간략한 문헌고찰과 아울러 증례를 보고하였다. A case of combined pregnancy was relatively rarely occured. we experienced a case of intrauterine pregnancy and left tubal pregnancy as combined pregnancy in 27 year-old-nulliparous woman, and this case was presented with brief review of literature

High aspect ratio wrinkles on a soft polymer

Ahmed, Sk. Faruque,Rho, Geon-Ho,Lee, Kwang-Ryeol,Vaziri, Ashkan,Moon, Myoung-Woon Royal Society of Chemistry 2010 SOFT MATTER Vol.6 No.22

<P>Instability of a stiff thin film attached to a compliant substrate often leads to the emergence of exquisite wrinkles with length scales that depend on the system geometry and applied stresses. These patterns have vast potential applications including in tissue engineering, flexible electronics and the semiconductor industry. However, one of the limiting factors in the usage of these patterns is the low amplitude/wavelength ratio that can be achieved using the current surface engineering techniques. Here, we present an effective method that allows the creation of wrinkles with an amplitude/wavelength aspect ratio as large as 2.5 on a soft polymer. In this method, first, the surface of a poly(dimethylsiloxane) (PDMS) is pre-patterned using an Ar ion beam. Then, an amorphous carbon film gets deposited on the pre-patterned polymeric surface using glancing angle deposition (GLAD). We show that the amplitude of the created patterns can be varied between several nm to submicron size by changing the carbon deposition time, allowing us to harness patterned polymeric substrates for a variety of applications. Specifically, we demonstrate a potential application of the high aspect ratio wrinkles for changing the surface optical band gap.</P> <P>Graphic Abstract</P><P>This work presents a method to pattern polymer surfaces with wrinkles with an amplitude/wavelength ratio as large as 2.5. A novel application of high aspect ratio wrinkles in optics is demonstrated. <IMG SRC='http://pubs.rsc.org/services/images/RSCpubs.ePlatform.Service.FreeContent.ImageService.svc/ImageService/image/GA?id=c0sm00386g'> </P>

치료받지 않은 Wilson`s Disease 산모의

김세광,손용석,한성식,권혜경,이경진,문성은,박용규,김재욱 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.6

임신과 동반된 Wilson`s disease는 매우 드문 질환으로 알려져 있으며, 병의 진행에 대한 기전과 모체 및 태아의 상호 관계에 대해서도 많은 보고가 되어있지 않다. 더욱이 치료받지 않은 Wilson`s disease 환자에서 성공적인 임신과 분만은 많이 알려진 바 없다. 저자들은 간경화와 용혈성 빈혈을 동반한 치료받지 않은 Wilson`s disease 산모에서 성공적인 임신과 분만을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Wilson`s disease associated with pregnancy is not common and the underlying mechanism triggering the event is not known at present. There are few reports of successful pregnancies in women with untreated Wilson`s disease. Recently we experienced a 28-year-old pregnant woman with Wilson`s disease who had liver cirrhosis with hemolytic anemia. The patient had a successful pregnancy outcome with no complication.