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이영규(YK Lee),등영문(YM Teng),황영규(YK Hwang),한상원(SW Han),차동수(DS Cha),김대현(TH Kim) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.9
1982년 9월1일부터 1987년 8월31일까지 5년간 연세대학교 원주의과대학부속 원주기독병원 산부인과에 입원한 환자중 원추생검을 실시하 131예를 연구군으로하여 질세포진 검사, 조절 편 검사, 원추생검 및 자궁적출술후 세포조직병리학적 소견을 비교하여 이들 단계적 진단방 법 간의 일치여부, 과소평가, 잔류병변 존재율을 비교 분석하였으며, 원추생검후 자궁적출술 을 시행한 시간간격에 따른 수술후 합병증의 발생을 임상통계학적으로 고찰하여 다음과 같 은 결론은 얻었다. 1. 자궁경부의 양성 및 악성병변에 의해 원추생검이 필요하였던 환자군의 평균연령은 39세 였으며 30대에서 가장 빈발하였다. 2. 자궁경부의 육안적 소견으로 자궁경부의 병리학적 진단을 추측하는 것은 임상적으로 가 치가 없었다. 3. 질세포진 검사의 위음성율은 12%, 위양성율은 2%였다. 4. 조절편 생검을 원추생검과 비교해 볼 때 조직병리학적 일치율은 50.4%이며 ,조절편생검 의 과소평가는 자궁경부암과 flat condyloma를 제외하면 21예로 약 16%엿다. 5. 질세포진 검사상 이상소견이 잇엇던 경우에는 조절편생검시 상피내암 이하의 병변이 확 인되었다 하더라도 원추생검이 반드시 필요하다. 6. 원추생검후 자궁적출술을 시행한 101예중 원추생검 적출물의 조직병리학적 진단이상의 잔류병변이 확인된 경우는 23예로 약 23%엿다. 7. 원추생검후 자궁적출을 시행한 경우 합병증의 발생빈도는 약 31%였고, 이중 열이환율인 55.3%로 가장 많았다. 8. 원추생검후 2일이전이나, 8일이후에 자궁적출술을 시행하는 경우 합병증이 감소하는 것을 알 수있다 To evaluate the effeciveness of conization in the diagnosis and treatment of cervical lesion the histopathologic findings of 131 conization were compared to the cytology, punch biopsy and hysterctomy from September 1, 1982 to August 31.1987 at the Gynecologic Department of Obsterics and Gyunecology, Yonsei University , Wonju College of Medicine The results wer summarized as follows; 1. Gross finding of the cervix was little relation to cancerous lesion of the cervix. 2. According to comparision cytology and conization the false negative was 12% and the false positive was 2%. 3. The rate of correlation and underdiagnasis of punch biopsy were 50.4% 16%, respectively 4. Of 131 cases 101cases were performed hysterectomy and 23% of them were found to residaul lesion. 5. The rate of complications of hysterectomy was 31% and the most common complications was febrile morbidity (55.3%) 6. complications of hysterctomy that was performed before 3 days or after 8 days was decreased
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우리나라 1개 농촌 지역 주민의 질병상태에 관한 조사 : 경기도 양주군 수동면 Su-Dong Myun, Yang-Ju Gun, Kyung-Gi Do
이옥엽,박순복,원규숙,이내숙,등영문 이화여자대학교 의과대학 1979 梨花醫學誌 Vol.- No.11
A study on the status of disease in a Korean rural Community, Su-Dong Myun, Yong Ju Gun, Kyung-Gi Do was carried out from December, 28 1978 to January, 19 1979 through analizing the meclical records of Su-Dong Health Subcenter during the period september, 1977 to August, 1978 and following results were obtained. 1. New cases of out patients were 5,695 composed of 49.1% male and 50.9% female during the study period. 2. Cumulative cases of out patients were 9,956 composed of 56.4% male and 43.6% female during the study period. 3. Annual morbidity rate was 908.6 per 1,000 for male and 986.4 for female and average annual morbidity rate was 946.6 per 1,00 population. 4. The highest morbidity rate was 3,660.0 as composed of aged 0∼4, the lowest was 498.4 as composed of aged 10∼14 per 1m000 population per year. 5. Following was the order of five major disease which were classified with I.C.D. ① Diseases of the respiratory system : 33.4% ② Diseases of the digestive system : 21.5% ③ Diseases of the skin and subcutaneous tissue : 15.4% ④ Diseases of the nervous system and sense organs : 7.9% ⑤ Accidents, poisonings and violence : 9.4% 6. The visiting rate in the health subcenter were 2.01 for male, 1.44 for female and the average 1.75 per each out patient. 7. Average medical fee per new case was 653±510 won and average cumulatived fee per case was 923±833 won. 8. The distribution of out patients according to the cost of medical fee, 48.9% of total new patients was treated with less than 500 won and 93.3% of new patients was treated with less than 1,000 won.
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우리나라 1개 농촌 지역 주민의 질병상태에 관한 조사 : 경기도 양주군 수동면 , Su-Dong Myun, Yang-Ju Gun, Kyung-Gi Do
이옥엽,박순복,원규숙,이내숙,등영문 이화여자대학교 의학회 1979 梨花醫學會誌 Vol.- No.11
A study on the status of disease in a Korean rural Community, Su-Dong Myun, Yong Ju Gun, Kyung-Gi Do was carried out from December, 28 1978 to January, 19 1979 through analizing the meclical records of Su-Dong Health Subcenter during the period september, 1977 to August, 1978 and following results were obtained. 1. New cases of out patients were 5,695 composed of 49.1% male and 50.9% female during the study period. 2. Cumulative cases of out patients were 9,956 composed of 56.4% male and 43.6% female during the study period. 3. Annual morbidity rate was 908.6 per 1,000 for male and 986.4 for female and average annual morbidity rate was 946.6 per 1,00 population. 4. The highest morbidity rate was 3,660.0 as composed of aged 0∼4, the lowest was 498.4 as composed of aged 10∼14 per 1m000 population per year. 5. Following was the order of five major disease which were classified with I.C.D. ① Diseases of the respiratory system : 33.4% ② Diseases of the digestive system : 21.5% ③ Diseases of the skin and subcutaneous tissue : 15.4% ④ Diseases of the nervous system and sense organs : 7.9% ⑤ Accidents, poisonings and violence : 9.4% 6. The visiting rate in the health subcenter were 2.01 for male, 1.44 for female and the average 1.75 per each out patient. 7. Average medical fee per new case was 653±510 won and average cumulatived fee per case was 923±833 won. 8. The distribution of out patients according to the cost of medical fee, 48.9% of total new patients was treated with less than 500 won and 93.3% of new patients was treated with less than 1,000 won.
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