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- 저자 : 김영환(YW Kim) (검색결과 6 건)
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임신중절을 목적으로 고농도식염수 주입에 의한 자궁괴사 및 복막염의 1예
김영환(YW Kim),박의호(EH Park),임광호(KH Lim),한영석(YS Han),황용우(YW Hwang) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.2
결론 저자들은 30세의 경산부에서 양막내 고농도식염수를 사용하여 임신중절 시킨 후 자궁괴사와 복막염을 일으킨 1예를 경험 하였기 에 문헌적 고찰과 함께 보고하는 바이다. Extensive uterine necrosis and peritonitis occured after the injection of hypertonic saline to terminae pregnancy is a rare and grave condition. Recently, authers exprienced a case of termination of pregnancy by this technic at our Dept. of Obetrtric & Gynecology. A case of uterine necrosis and perironitis after the kypertonic saline abortion is presented with brief literature.
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Laparoscope 난관소작법에 의한 임난의 난관 통과방지로 인하여 발생한 자궁외 임신의 1예
김영환(YW Kim),임광호(KH Lim),한영석(YS Han),조중동(JD Cho) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.9
불임시술중 복강경을 이용한 전기소작술 이전에 이미 수정된 수정란의 자궁강내 이동이 장애를 받아 발생된 난관임신을 경험하였기에 문헌적 고찰과 더불어 보고하는 바이다. Laparoscopic sterilization method is widely used for female sterilization, because of its safety, simplicity, less expensiveness and short hospitalization, comparing with previously used methods. The rate of failure also less than 2%, which is mainly due to luteal phase pregnancy before operation. We report a case of ectopic pregnancy which was developed after laparoscopic sterilization, interpreted as to impeded transportation of fertilized ovum to the uterus due to laparoscopic cauterization of the fallopian tubes.
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김영환(YW Kim),권오석(OS Kwon),김창이(CY Kim),오원섭(WS O) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.5
과립막세포종의 1례를 보고하는 바이다. Since Von. Werdt`s original description in 1814, much information on granulosa-theca cell tumor of ovary has been recorded such as a gross and microscopic pathology. Three aspects of this tumor remain to be solved which are the histogenesis, the production of estrogen and their potentiality for malignancy. We reviewed the literatures on the granulosa-theca cell tumor with a case of patient in reproductive age.
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정구윤(KY Chung),김영환(YW Kim),권오석(OS Kwon),김영근(YG Kim) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.3
저자들은 만삭임부 150예를 대상으로 무증후성세균뇨의 빈도를 조사하고 임상적으로 간편한 screening method의 신뢰도를 확인하였고 이들을 관찰 분석하여 다음과 같은 결론을 얻었다. 1. 150예의 만삭임부중 무증후성세균뇨는 16명(10.6%)이었다. 2. Griess test양성은 16예로써 신뢰도는 81%였다. Griess 가음성은 3예로 19%였고 가양성은 3예(19%)였다. 3. Modified Griess test 양성은 18예로써 신뢰도는 94%였다. Modified Griess test 가음성은 1예 (6%)였고 가양성은 2예(17%)였다. 4. 무증후성세균뇨의 균주는 Escherichia coli가 81%로 제일 많았다. 5. 무증후성세균뇨의 16예의 연령은 24세 내지 34세였고 초산이 10예였으며 혈압은 임신중독증 1 예를 제외한 전부가 정상치였다. 6. 무증후성세균뇨 16예에서 조산은 1예로 6.3%였고 대조군에선 12예로 9%였다. 7. 무증후성세균뇨 16예중 뇨로감염증의 과거력을 가졌던 예는 3예(19%)였고 분만후 3개월내 발 생한 뇨로감염증은 신우염 1예를 포함한 4예로 25%였다. 8. 뇨로감염증을 보인 4예를 제외한 무증후성세균뇨 12예 중 1예는 분만 2개월 후 자연치유 되었 다. The clinical significance of asymptomatic bacteriuria was in the coincidental complication of pyelonephritis during the course of pregnancy and puerperium and also in the prevention of prematurity and progressive renal damage. We have studied the incidence of asymptomatic bacteriuria of 150 term pregnancies by means of bacterial colony count and screening method such as Griess test and Modified Griess test which is simple and highly reliable. We also studied the asymptomatic bacteriuria related to age, parity, blood pressure, pyelonephritis, prematurity and spontaneous healing. The results were as follow: 1. The incidence of asymptomatic bacteriuria among 150 term pregnancies was 10.6% (16 cases). 2. The positive Griess test was seen in 16 cases and it`s reliability was 81%. Griess false negative was seen in 3 cases (19%) ans false positive was seen in 3 cases (19%). 3. Positive modified Griess test was seen in 18 cases and it`s reliability was 94%. Modified Griess false negative was seen in 1 case (6%) and Modified Griess false positive was seen in 2 cases (17%). 4. The most predominant organism was E. coli. with an incidence of 81%. 5. The age distribution was from 24 to 34. Primiparas were 10 cases among 16 cases. The 16 cases except 1 preeclampsia showed normal range of blood pressure. 6. The incidence of prematurity was 6.3% among the asymptomatic bacteriurics compared with 9% in the control group. 7. 3 cases (19%) revealed past history of urinary tract infection. 4 cases (25%) showed an evidence of urinary tract infection on the 3rd month of postpartum and 1 case of them showed typical pyelonephritis. 8. Spontaneous healing occurred in 1 case on the second month of postpartum.
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임신중에 Endodermal Sinus Tumor와 Dysgerminoma 가 합병한 1예
임광호(KH Lim),김영환(YW Kim),한영석(YS Han),황용우(YW Hwang) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.11
난소에서 발생하는 endodermal sinus tumor는 주로 20세 전,후에서 발생하며, 악성도가 심하여 치명율이 높다. 광범위 수술이나 방사선치료보다는 단순히 일측병소부위제거술 및 여러가지 화학요법을 실시하는 것이 어느정도 효과가 있다고 한다. 저자들은 25세된 초임부에서 endodermal sinus tumor와 dysgerminoma가 혼재되어 발생한 난소배세포종을 1977년 7월 12일 광범위 수술후 방사선 치료하였으나 4개월만인 1977년 11월 16일에 사망한 1예를 경험하였기에 문헌고찰과 아울러 보고하는 바이다. Endodermal sinus tumor is one of the most malignant neoplasms arising in the ovary. We are experienced one case of endodermal sinus tumor mixed with dysgerminoma in pregnancy and report it with brief review of the literatures.
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송승규(SK Song),최성기(SK Choi),김영환(YW Kim) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.10
Understanding of the morphology and morbidity of the uterine scars that form following cesarean section is of freat help in preventing possible rupture of the uterus and to select the type of delively on the subsequent pregnancy. The present study has been undertaken to make observation on the uterine changes revealed by hysterogram. The clinical materials were consisted in 44 women who had at least one previous cesarean section, and also in 10 normal parous women after normal vaginal delivery as the control. The hysterogram was performed by Kjellberg`s method employing fractionation of the contrast medium(Lipiodolⓡ 25%) according to Hyam`s recommendation. The following results and conclusions were obstained. 1. Of 44 women with previous cesarean section, 31.8% showed normal hysterofram, In the remain- ing patients, hysterographic abnormalities of various degree were noted. The most frequent type od X-ray changes was a mild outpouching at the site of previous surgery, i.e., isthmus or so-called lower uterine segment(during pregnancy). 2. The deformation of the uterus on husterogram in the patients with multiple cesarean sections was more prominent and marked than in the patients with single operation. 3. There is no relationship between the degree and type of deformation and such periparturient complications as prematured rupture of the membrance, prolonged delivery, post-operative febrile episode (a fever higher than 38℃), or post-operative abdominal infection. On the other hand, all these factorts excepting premature rupture of the membrance seem to have some form of influence on the incidence of the scar formations.
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