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Methotrexate 투여로 치유한 자궁경관임신 1 례
박세준(SJ Park),김창수(CS Kim),송인철(IC Song) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10
Cervical pregnancy is a rare complication of the gestation in which the ovum implants in the cervical mucosa below the level of the histologic cervical os. The etioloty is unknown, but the surgical damage, abortion and multiparity are suspceted. Because of the profuse vaginal bleeding, hysterectomy usually was done in the management of cervical pregnancy. We report a case of cervical pregnancy which was treated successfully with methotrexate. We used serial beta-human chorionic gonadotropin levels, magnetic resonance imaging, and sonography to diagnose the cervical pregnancy and follow up after therapy. Hysterectomy was avoided, and the patients reprocutvie capability was preserved.
서호성(HS Seo),남철(C Nam),김창수(CS Kim),장병곤(BK Jang),양희동(HD Yang),박세준(SJ Park) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.6
From January, 1989 to December, 1994, 245 cases of uterine myoma were treated at the department of Obstetrics and Gynecology, Pusan Medical Center. A clinico-statical study on these 245 cases of uterine myoma was performed to understand the clinical characteristics of uterine myoma. The following results have been obtained: 1. The incidence of uterine myoma among 1,352 cases of major gynecologic surgery during this period was 18.1%. 2. Uterine myomas were observed most frequently in the age group 40 to 49 years, and the mean age was 43.9 years old. 3. The parity was 2.9 in average, the infertility was observed in 20 cases(8.2%) in while the primary infertility was 7.8%, the secondary 0.4%, respectively. 4. The corporeal myomas were observed in 236 cases(96.3%), whereas cervical myomas were 9 cases(3.7%). The intramural types were observed in 142 cases(58%), combined types in 46 cases(18.7%), subserous types in 32 cases(13.1%), submucous types in 25 cases(10.2%), respectively. 5. The most of frequent chief complaint was pain which was observed in 209 cases(85.3%), the next abnormal uterine bleeding in 137 cases(52.2%), palpable mass in 47 cases(19.2%), respectively. 6. The mean value of preoperative Hb was 10.9gm/dl, and transfusion was performed in 43 cases(17.5%). 7. The mean weight of the resected uterine myoma was 274.9 gm. 8. The secondary changes in uterine myomas were found in 29 cases(11.8%) and the most common change was hyaline degeneration(4.8%). 9. The most common associated conditions with myomas were chronic cervicitis(39.6%). 10. Hypermenorrhea was observed in 112 cases(45.7%) and there were significant correlations between the presence of hypermenorrhea and the type of myoma(p0.5). 11. There were no significant correlations between the dysmenorrhea and the weight of myoma, location of myoma, and types of myoma(p
남철(C Nam),김창수(CS Kim),장병곤(BK Jang),서호성(HS Seo),송인철(IC Song),박세준(SJ Park) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.5
Postpartum cardiomyopathy is defined as a syndrome of cardiac failure occuring in the latter part of pregnancy or in the puerpirium, without obious cause and without prior evidence of heart disease. Despite its infrequency, this clinical problem may have devastating consequences upon maternal and fetal outcome. It is important to recognize the association of cardiac failure and pregnancy as a sepqrate syndrome so that, once identified, postpartum cardiomypathy can be treated promatly and aggressively. We have experienced one case of postpartum cardiomyopathy, which are presented with a brief review of the literature.