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폐경여성에서 호르몬 대체요법의 기간 및 환자의 특성에 따른 골밀도의 변화
김세련(Sei Ryun Kim),조숙(Sook Cho),윤정묵(Jung Mook Yoon),고승권(Seung Kwon Kho),황성욱(Seong Ook Hwang),이우영(Woo Young Lee) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.12
Objectives: A retrospective study was performed to clarify the change of lumbar bone mineral density(BMD) according to the duration of hormone replacement therapy(HRT) and the other factors such as age, years since menopause(YSM) and initial BMD in postmenopausal women. Methods: From January, 1995 to December, 1998 we measured lumbar bone mineral density in 100 postmenopausal women in the department of obstetrics and gynecology, Inha University Hospital. These women had been followed for 2 years after taking HRT. We investigated whether there were any relation between the duration of HRT, age, YSM, initial BMD and change of BMD. Results: Lumbar BMD was increased 2.06% after one year of HRT(p=0.0001) but there was no change of BMD at the 2nd year of HRT(p=0.847). The response to HRT was greatest in those who were oldest(r=0.209 ; p=0.039) and furthest YSM(r=0.209; p=0.039), and consequently among those who had the lowest BMD(r=0.590 ; p=0.0001). Conclusion: The bone mass was increased upto 2.06% at the 1st year of HRT but no more progressive increase was occurred. It suggest that intensive HRT is needed at 1st year of therapy. The risk of fracture is not decreased to that of the healthy population inspite of HRT, so the earlier therapy is necessary to prevent osteoporotic fracture despite of intervention.
선경,김정택,김광호,김현태,김세련,이춘수,이우형,Sun, Kyung,Kim, Jung-Taek,Kim, Kwang-Ho,Kim, Hyun-Tae,Kim, Sei-Ryun,Lee, Choon-Soo,Lee, Woo-Hyoung 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.3
최근 심혈관질환 수술에서 경침습 술기가 다양하게 적용되고 있다. 본 인하대학교 흉부외과에서는 승모판 교련절개술 후 재발한 착증에서 흉골측면 소절개를 이용한 경침습 접근을 통해 판막치환에 성공하였기에 보고하는 바이다. Minimally invasive techniques for various cardiac disease are widely accepted in these days. We report a successful case of reoperative mitral valve replacement approached successfully by a small right parasternal incision.
폐경 여성에서 경피적 에스트로겐이 내경동맥 맥동계수에 미치는 영향
조숙(Sook Cho),김세련(Sei Ryun Kim),이우영(Woo Young Lee),고승권(Seung Kwon Kho),황성욱(Seong Ook Hwang),김미영(Mi Young Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.10
Objectives: To evaluate the effect of transdermal estrogen on arterial tone. Methods: In 30 postmenopausal women, doppler ultrasound was used to assess blood flow characteristics in internal carotid arteries. As the pulsatility index(PI) represents impedance to blood flow distal to the point of sampling, pulsatility index of internal carotid artery was measured from the flow velocity waveform. Patients were studied pretreatment and at weeks 8, 12, and 24 of treatment with transdermal estradiol 50μg/day. Results: Blood pressure was not changed during transdermal estrogen replacement therapy. Serum estradiol was increased from 13.4±13.7pg/ml to 55.8±32.8pg/ml with week 8 of treatment and it was maintained until week 24. The mean pulsatility index was fallen to 0.1±0.1 during week 8 of therapy and a significant reduction in PI was maintained until week 24(p=0.0001). Conclusion: We believe that transdermal estrogen replacement therapy affects on the arterial tone and prevents cardiovascular disease in postmenopausal women.
분만환자와 수술 후 환자에서의 배변조영술과 음부신경 근전도술을 이용한 배변 변화의 비교
송은섭(Eun Seop Song),김세련(Sei Ryun Kim),박지현(Ji Hyeun Park),오관영(Kwan Young Oh),황성욱(Seong Ook Hwang),임영구(Young Koo Lim),임문환(Mun Hwan Lim),이병익(Byoung Ick Lee),김종화(Jong Wha Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.2
Objective: To understand the difference of defecation physiology between postpartum and postoperative women. Methods: Between July 1998 to April 1999, we performed defecogram and pudendal nerve motor latency to 31 women, who were 8 postoperative women, 9 post cesarean-section state women, and 14 normal vaginal delivery-state women. Results: According to the defecogram results, only squeezing angles of the anorectal angle were significantly increased(96.0 vs 72.3, 74.9 degree) in normal vaginal delivery-state women compared to post cesarean-section state and postoperative women, but rest and evacuation angles were not. And to pudendal nerve latency, there were no statistically significant difference. Conclusion: We concluded that the pudendal plexus was damaged during labor, therefore its ability to control puborectalis muscle was damaged. So, the anorectal angles of squeezing of postpartum women were significantly increased, compared to those of post cesarean section women or postoperative women.