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- 저자 : ( Ji Hyon Jang ) (검색결과 55 건)
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Extrauterine adenomyoma invading the sigmoid mesocolon in pelvic cavity
( Ji Hyon Jang ),( Mee Hwa Lee ),( Jin Hyung Heo ),( Sun Hee Cha ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-
Adenomyomas are benign tumors which have endometriotic tissue and smooth muscle tissue. They are typically located within the uterus. Extrauterine adenomyomas located in ovary, broad ligament, small bowel mesentery are rare entity. Extrauterine adenomyomas like as adenomyoma within the uterus have central cavity lined by functional endometrial tissue and surrounded by smooth muscle resembling uterine structure. Extrauterine adenomyomas can occur anywhere in pelvic cavity or abdomen. Among them, extrauterine adenomyoma invading sigmoid colon is extremely rare. We described two case of extrauterine adenomyoma invading sigmoid mesocolon. One is extrauterine adenomyoma with multiple extrauterine leiomyoma , the other is extrauterine adenomyoma accompanying multiple myomas . We report them with review of the literature.
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( Ji Eun Jeong ),( Hyun Jung Kim ),( Ji Yeon Lee ),( Sung Woon Chang ),( Myung Jin Moon ),( Eun Hee Ahn ),( Ji Hyon Jang ),( Eun Duc Na ),( Hee Young Cho ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
목적: To compare the efficacy of progesterone versus cervical cerclage in preventing preterm birth in twin pregnancies with a history of preterm birth or presentation of a short cervix 방법: This was a retrospective study of twin pregnancies managed at Obstetrics and Gynecology, CHA Bundang Medical center from December 2007 to April 2016 using medical records. We included 432 patients with 28weeks of gestation or less who were diagnosed with a cervical length less than 25 mm or who had history of preterm birth. The study population were devided 4 groups including progesterone group (n=138), cervical cerclage group (n=21), progesterone with cerclage group (n=78) and conservative treatment group (n=195) and outcomes were compared among 4 groups. The primary outcome measures were spontaneous birth at <28, 32, 34, or 36 weeks of gestation. The secondary outcome measures included hospitalization for tocolytics, antenatal corticosteroids and small for gestational age. 결과: Incidence of spontaneous delivery at <34 weeks of gestation was 26.9% (21/78) and 13.8% (27/195) in the progesterone with cerclage group and conservative treatment group, respectively (OR 36.9, 95% CI 5.45-250.24, p<0.001). There was statistically significant differences received antenatal corticosteroid between two groups. (OR 4.39, 95% CI 1.29-14.98, p=0.018) 결론: In twin pregnancies where patients are diagnosed with short cervical length or with a prior preterm birth history, treatment of cervical cerclage with progesterone showed significantly greater occurrence of delivery before 34 weeks compared to conservative management.
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무심장 쌍둥이 임신에서 고주파 융해술 후 정상 태아 생존 출생한
장지현 ( Ji Hyon Jang ),문명진 ( Myoung Jin Moon ),박혜리 ( Hea Ree Park ),안은희 ( Eun Hee Ahn ),정상희 ( Sang Hee Jung ),이유미 ( Yu Mi Lee ),김은아 ( Eun A Kim ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.5
Acardiac twin is a rare anomaly that occurs 1% in monochorionic twins and 1 in 35,000 pregnancies overall. Acardiac twin, also known as twin-reversed arterial perfusion (TRAP) sequence, involves a “pump” or donor twin perfusing a recipient or “acardiac” twin through vascular (usually arterial-arterial and venous-venous) anastomoses. Perinatal mortality rate for the pump twin has been reported to be 50~75%, mainly as a result of polyhydramnios, preterm labor, and congestive heart failure. Therefore, occlusion of the circulation to the acardiac twin has been recommended to improve perinatal outcome of the pump twin. Radiofrequency ablation of the acardiac twin effectively protects the pump twin from high-output cardiac failure and death. We report our experience in the treatment of patients with TRAP sequence using radio frequency ablation to stop perfusion to the acardiac twin.
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Yon Hyon-Ju,Oh Eun-Suk,Jang Ji Young,Jang Ji Yun,Shim Hongjin 대한외상중환자외과학회 2022 Journal of Acute Care Surgery Vol.12 No.1
Purpose: Attending physicians in Korea are aware of the existence of the Nutrition Support Team (NST), but even when the NST are consulted, compliance with their recommendations may be low. This study was performed to identify physicians’ compliance with the NST advice and how this affected the outcome of treatment for critically ill patients.Methods: This study was a retrospective observational study. Critically ill patients who were older than 18 years, younger than 90 years, and had been admitted and managed in the intensive care unit were selected for this study. Patients were assigned to either the compliance group or the non-compliance group according to physician compliance with the NST advice. Each group were compared using variables such as calorie supply, protein supply, laboratory findings, hospital stay, 30-day mortality, and survival rate.Results: The compliance group (81% of cases) was supplied with a significantly higher energy (1,146.36 ± 473.45 kcal vs. 832.45 ± 364.28 kcal, p < 0.01) and a significantly higher protein (55.00 ± 22.30 g/day vs. 42.98 ± 24.46 g/day, p = 0.04) compared with the non-compliance group. There was no significant difference in the basic demographics between groups, although the compliance group had a better outcome in the 30-day mortality rate (8% vs. 26%, p = 0.02), and in survival beyond 1 year (Crude model, hazard ratio: 2.42, CI: 1.11-5.29).Conclusion: Critically ill patients whose attending physician complied with the NST advice, received an increased energy intake and supply of protein which was positively associated with survival.
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( Ji Yeon Lee ),( Eun Ah Kim ),( Ji Hyon Jang ),( Min Jung Baek ),( Hee Young Cho ),( Young Ran Kim ),( Eun Hee Ahn ),( Sukho Kang ),( Myung Jin Moon ),( Sung Woon Chang ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
목적: To identify factors associated with massive postpartum bleeding in pregnancies complicated by incomplete placenta previa located on the posterior uterine wall 방법: A retrospective cohort study was performed. Of 718 pregnant women with placenta previa who delivered babies after 24 weeks of gestation between January 2006 and April 2016, we identified 210 healthy singleton pregnancies with incomplete (partial or marginal) placenta previa located on the posterior uterine wall. The cases with intraoperative blood loss (>2,000ml) or transfusion of packed red blood cells (pRBC) (>4) or uterine artery embolization or hysterectomy were defined as massive bleeding. A P value <0.05 was considered statistically significant. 결과: Twenty-three women experienced postpartum profuse bleeding (11.0%). After multivariable analysis, four variables were associated with massive bleeding: experience of 2 or more prior uterine curettage (aOR 4.47, 95%CI 1.29-15.48, p=0.018), short cervical length before delivery (< 2.0cm) (aOR 7.13, 95%CI 1.01-50.25, p=0.049), fetal non-cephalic presentation (aOR 12.48, 95%CI 1.29-121.24, p=0.030), and uteroplacental hypervascularity (aOR 6.23, 95%CI 2.30-8.83, p<0.001). 결론: This is the first study of incomplete placenta previa located on the posterior uterine wall with massive postpartum hemorrhage. Our findings might be helpful to guide obstetric management and provide useful information for prediction of massive postpartum bleeding in pregnancies with incomplete placenta previa located on the posterior uterine wall.
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Do reduced twin pregnancies require additional antenatal care after 20 weeks of gestation?
( Ji Yeon Lee ),( Eun Ah Kim ),( Ji Hyon Jang ),( Min Jung Baek ),( Hee Young Cho ),( Young Ran Kim ),( Eun Hee Ahn ),( Sukho Kang ),( Myung Jin Moon ),( Sung Woon Chang ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
목적: To compare the perinatal outcomes among primary twin, non-reduced and reduced twin pregnancies produced through assisted reproductive technology(ART) 방법: A retrospective study of 1005 twin pregnancies who delivered in our hospital was performed. We included primary twin pregnancies(n=180) who visited us before 14 weeks of gestational age(GA) for antenatal care(group I), non-reduced iatrogenic (group II)(n=663) and reduced iatrogenic twin pregnancies(group III)(n=162). ART and fetal reduction were performed in our hospital. A P value <0.05 was considered significant. 결과: Maternal age in group II & III was older than group I(35.6 vs.37.4 vs.37.7 years, p<0.001). There were no differences in BMI, prior preterm birth(PTB), and chorionicity among groups. GA at delivery(36.4 vs. 35.7 vs. 35.3 years, p<0.001) and birthweight(2.48 vs.2.31 vs.2.27 kg, p<0.001) were different among 3 groups. There were no differences in placental weight, small for gestational age, anomaly and intrauterine fetal death among 3 groups. After multivariable analysis, group III showed high adjusted odds ratio for PTB(<36 weeks of GA)(aOR 3.30, 95%CI 1.87-5.84, p<0.001), PTB(<34)(aOR 8.16, 95%CI 3.31-20.10, p<0.001), short cervix(aOR 2.68, 95%CI 1.56-4.61, p<0.001), use of tocolytics(aOR 11.71, 95%CI 6.01-22.64, p<0.001) and use of steroid(aOR 5.01, 95%CI 2.62-9.57, p<0.001) in comparison with group I. Group III also revealed high adjusted odds ratio for PTB(<34)(aOR 4.77, 95%CI 1.55-14.71, p<0.001), use of tocolytics(aOR 1.51, 95%CI 1.05-2.18, p=0.028), and preeclampsia(aOR 2.13, 95%CI 1.19-3.81, p=0.011) in comparison with group II. 결론: This is the first study of a comparison of the perinatal outcomes among primary twin, non-reduced and reduced twin produced through ART. Twin pregnancies after fetal reduction were still associated with an increased risk of preterm birth and preeclampsia when compared to non-reduced twin pregnancies. Obstetricians should pay attention to reduced twin even after 20 weeks of GA.
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