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강인구,손경락,한동근,박학열,이재동,백종국 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.11
Bilateral tubal pregnancy is a very rare obstetrical phenomenon, but recently the incidence has increased with the therapeutic use of ovulation induction. We experienced a patients who was treated for secondary infertility with human menopausal gonadotropin(hMG) and presented later with bilateral tubal pregnancy. This paper concerned the bilateral pregnancy with a brief review of references.
영아 제3뇌실에 발생한 맥락총 유두종 : 증례 보고 및 문헌 고찰 Case Report and Review of the Literature
박병규,손은익,김동원,이정교,임만빈,김인홍 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.4
Choroid plexus papilloma(CPP) is a rare intraventricular neoplasm occuring primarily in the lateral ventricle of children and the 4th ventricle of adults. The 3rd ventricle is a extremely rare site of CPP. The authors report a case of choroid plexus papilloma of the 3rd ventricle in a 2-month-old girl. Magnetic resonance inaging(MRI), a noninvasive diagnostic tool, demonstrated the intraventricular location, surrounding anatomy and feeding artery, more effectively than angiography and computed tomography scanning.
김구상(KS Kim),이재관(JK Lee),손수영(SY Son),차상헌(SH Cha),이효표(HP Lee) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.7
c저자들은 조산부로 임신 35주에 사망한 다발성선청성기형을 수반한 복벽균혈증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다 Gastroschisis associated with multiple congenital anomalies is an extremely rare complication of pregnancy A case of gastroschisis associated with multiple congenital anomalies such as hydrocephalus, absence of left thumb, rudimentary right thumb, bilateral manus vara, bilateral rockerbottom feet, bilobed testes, bilateral agenesis of radius, congenital cardiac defects (ventricular septal defect, membraneous mitral valve) which we experienced recently in Seoul National University Hospital is reported here, with a brief review of the literature
김창연,이진식,김종구,이계현,손경락,김병준 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.6
저자들은 본 병원 산부인과에서 정상임신중에 발생한 Hyperreactio Luteinalis 1례를 경험하였기에 간단한 문헌고찰과 함께 이를 보고하는 바이다. Hyperreactio Luteinalis refers to moderate to marked cystic enlargement of the ovaries due to multiple benign theca lutein cysts and is most often associated with hydatidiform mole or choriocarcinoma. We present a case of hyperreactio luteinalis unassociated with trophoblastic disease and review the literature. This case, 28-year old primigravida, was admitted to our hospital due to lower abdominal pain and increasing dyspnea. By ultrasonography, which was conducted because of uncertain gestatinal criteria, there was a single fetus and a normal-appearing placenta; the dimensions of the biparietal diameter and femur length were consistent with those of a 16-week gestation; also, bilateral multicystic adnexal masses were found (right, 19*11*14 cm; left, 15*10*17 cm). After bilateral wedge resection of the ovaries conservative treatment was done. A healthy 2900 g female infant was delivered in the 37th week of pregnancy. Pathologically theca lutein cysts were confirmed.
노흥태,윤지열,심재균,손영선 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.5
저자들은 본 병원 산부인과에서 흉수와 복수를 동반한 난소섬유종을 제거함으로써 수술후 제9일째의 흉부X-선상 흉수가 완전소실된 Meigs syndrome 1례를 경험하였기에 보고하는 바이다. A case of Meigs syndrome is reported with the brief review of literature. This case, 67-year old multipara, was referred to our hospital due to distended abdomen and palpable mass in lower abdomen. The right hydrothorax was viewed by her chest film. After removal of the tumor, ascites and hydrothorax had been completely disappeared within 9 days postoperatively. Pathologically a fibroma was confirmed.
인간 정자의 수정 능력 평가에 있어서 ARIC 검사의 유용성에 관한 연구
최영민,이진용,문신용,김정구,김석현,손영수,오선경,방명걸,정병준,지병철,서창석,김희선,류범용,박서영 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.10
정자의 수정 능력 및 체외수정시술 결과를 예측하는 지표로서 ARIC 검사의 유용성을 알아보기 위하여 체외수정시술을 시행하는 환자 125명에서 ARIC 검사를 통하여 다음과 같은 결과를 얻었다. 1. 대상 환자의 평균 연령은 33.7±3.5세이었으며, 남편의 평균 연령은 35.2±4.8세이었다. 2. 정액의 평균양은 2.56±1.06 ml(range 0.8 ml∼4.9 ml)이었으며, 정자의 평균 농도는 101.17×106±68.50×106/ml(range 21.1×106/ml∼321.0×106/ml)이었다. 정자의 운동성은 평균은 59.5±20.3%(range 10.1%∼90.0%)이었으며, 운동성 지수는 41.6±17.7(range 4.9∼77.4)이었다. 3. ARIC 검사상 8.5% 이상으로 판정된 정상군은 75명이었으며, 50명은 8.5% 미만으로 판독되어 비정상군으로 분류되었다. 4. 정상군 75명 중 체외수정시술시 정상 수정률로 간주될 수 있는 정자의 난자 수정률이 30% 이상인 경우는 72명이었으며, 3명은 30% 미만의 수정률을 보였다. 5. 비정상군 50명 중 체외수정시술시 정자의 난자 수정률이 30% 이상인 경우는 14명, 30% 미만인 경우는 36명이었다. 6. ARIC 검사상 정상으로 판정된 환자에서 채취된 난자의 수는 10.9±6.2이었으며, 수정률은 68.7±19.8%, 임신율은 32.0%(24/75)이었다. 7. ARIC 검사상 비정상으로 판정된 환자에서 채취된 난자의 수는 10.7±6.7이었으며, 수정률은 28.6±28.0%이었으며, 임신율은 8.0%(4/50)이었다. 8. ARIC 검사의 민감도, 특이도, 양성 예측도, 음성 예측도는 각각 83.7%, 92.3%, 96.0%, 72.0%로 나타났다. 본 연구 결과 ARIC 검사는 남성의 수정능 평가와 체외수정시술시 예후 판정에 있어서 경제적이며, 간편하게 이용할 수 있는 유용한 방법으로 남성인자의 원인 규명과 치료 방향 설정에 크게 기여할 수 있을 것으로 사료된다. Over recent years, major emphasis has been focused on the management of male factor infertility, and it has become increasingly clear that standard semen analysis has many limits for the prediction of fertilization. As in vitro fertilization and embryo transfer (IVF-ET) is an important therapeutic option in male factor infertility, enormous efforts have been geared towards the development of better tests that might predict the fertilizing potential of a given semen specimen. The present study was designed to evaluate and verify the effectiveness of the acrosome reaction following ionophore challenge (ARIC) test as a prognostic indicator of fertilization capacity of human spermatozoa. Such parameters as the spontaneous reaction rate (control), the induced reaction rate (ionophore challenged), and the difference between the spontaneous and induced rates (ARIC value), and the proportion of spermatozoa capable of reacting in response to calcium influx were measured in 86 men with good fertilization rate (≥30%) and 39 men with poor fertilization rate (<30%) undergoing IVF-ET. While the spontaneous reaction rate had no relation to the fertilizing capacity, the induced reaction rate and ARIC value were significantly reduced in the poor fertilization group, indicating acrosomal dysfunction is a likely cause of fertilization failure. In evaluating the effectiveness of ARIC test, ROC curve was used. Among the various thresholds for the prediction of fertilizing capacity, ARIC value 8.5 corresponded to the value with higher sensitivity and lower false positive rate, and was determined as a cut-off value. Using this cut-off point, sensitivity, specificity, positive predictive value (PPV), and negtive predictive value (NPV) for ARIC test was 83.7%, 92.3%, 96.0% and 72.0%, respectively. These results suggest that ARIC test can be a valuable tool as a prognostic indicator of fertilization capacity of human spermatozoa.