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여성 외음부의 악성종양에 대한 근치적 외음절제술 및 대퇴박근 통상편 피부근육판 유경이식 술 4 예
박영양(YY Park),김해숙(HS Kim),김민경(MK Kim),박상윤(SY Park),이제호(JH Lee),이의돈(ED Rhee),이경희(KH Lee),박기복(KB Park) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.2
The radiclal vulvectomy with gracilis myocutaneous pedicle graft is commonly performed in patient with vulvar malignancy. We have experienced 4 cases of radical vulvectomy and gracilis myocutaneous pedicle graft for vulvar malignancies in this hospital from 1986 to 1988. We presents the cases with brief review of literatures.
산후 출혈로 제왕절개 자궁적출술을 시행받은 41 예의 임상적 고찰
박준혁(JH Park),노정석(JS Rho),문태식(TS Moon),전대준(DJ Jeon),장영우(YW Jang),구자남(JN Koo),박영세(YS Park) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.10
Objective: To evaluate the causes and maternal outcomes in patients who received cesarean hysterectomy operation. Methods: Forty one patients received cesarean hysterectomy at Ulsan university hospital for the 11 years, from January 1987 to December 1997. Results: The incidence of cesarean hysterectomy was 0.21% (41/19,485 deliveries). Cesarean hysterectomy was performed in 32 of 4,917 cesarean sections (0.65%) and in 9 of 14,568 vaginal deliveries (0.062%). The higher the age and parity of patients, the higher the incidence of cesarean hysterectomy were noted (p<0.05, respectively). The most common indication of cesarean hysterectomy was placental disorders (41.4%), and that was followed by uterine atony (36.6%), uterine rupture (9.8%), uncontrolled bleeding with placenta previa (4.9%) and uterine myoma with pregnancy (4.9%). The postoperative complications were febrile morbidity, urinary tract infection, bladder injury, disseminated intravascular coagulopathy and wound disruption. There was one maternal death, the cause was sepsis and congestive heart failure. There was no significant difference between two operation methods in the aspect of postoperative complications (p>0.05). Conclusion: Postoperative complication still remains the main cause of maternal mortality and morbidity. Therefore, careful prenatal care, momentary judgement of right operation time must be conjunction with maternal lifesaving.
1 차적 수술을 시행한 FIGO 임상병기 I기와 II기 자궁내막암 환자에 있어서 임상병리학적 예후인자에 관한 연구
배재호(JH Bae),고재환(JH Koh),한혁신(HS Han),김종훈(JH Kim),김병기(BG Kim),박상윤(SY Park),이의돈(ED Rhee),이경희(KH Lee),박기복(KB Park) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.9
From January 1981 to December 1992, a retrospective study was conducted at Korea Cancer Center Hospital in 71 patients for FIGO clinical stage I, II endometrial carcinoma, the impact on survival of age at diagnosis, menopausal status, FIGO clinical and surgical stage, myometrial invasion, tumor grade and histology was evaluated by univariate and multivariate analysis. At a median follow-up of 35 months(range 3-142), 5 patients had died, and therefore overall 3-year survival was 91%(66/71). Univariate analysis showed that age and menopausal status did not influence survival, whereas FIGO clinical state(p=0.008), histology(p=0.0001), surgical stage(p=0.0001), myometrial invasion(p=0.0091) and tumor grade(p=0.0384) were important prognostic factors. Multivariate analysis showed that myometrial invasion(p=0.001), tumor grade(p=0.001) and FIGO surgical stage(p=0.025) had a significant impact on survival.
경계성 상피성 난소종양 환자에서 혈청 CA-125농도 측정의 임상적 효용성
고재환(JH Koh),배재호(JH Bae),한현신(HS Han),김종훈(JH Kim),김병기(BG Kim),박상윤(SY Park),이제호(JH Lee),이의돈(ED Rhee),이경희(KH Lee),박기복(KB Park) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.10
The measurement of serum CA-125 levels has been demonstrated to be useful in monitoring the disease status of patients with invasive epithelial ovarian malignancies. However, the role of serum CA-125 in the diagnosis and management of patients with borderline ovarian tumors has not been established. Retrospective analysis of serum CA-125 levels was performed in 29 patients before operation and after treatment for borderline epithelial ovarian tumors at the Korea Cancer Center Hospital between 1987 and 1992. 14(87.5%), 2(12.5%) of 16 patients with mucinous tumor were stage I and III, while 11 (84.6%), 1(7.7%), 1(7.7%) of 13 aptients with serous tumors were stage I, II, III< respectively on surgical staging. The tumor sizes between patients with normal (less than 35 U/ml) and elevated level(over than 35 U/ml) of serum CA-125 were 18.3+-1.8 and 17.4+-3.0 cm, respectively, and there was no statistical difference between the two groups(p=0.689). 38.5% of serous and 50.0% of mucinous tumors ahd elevated CA-125 levels, and there was no statistical difference between the two groups(p=0.806). Combining both cell types, 9(36.0%) of 25 patients with stage I desease and 4(100.0%) of 4 patients with Stage II and III disease had elevated preoperative levels. Serum CA-125 was statically significnatly increased according to upstaging(p=0.001). Serum CA-125 levels in patients with serous tumors(N=12) were decreased after surgery from 257.1+-211.3U/ml to 7.3+-1.7 U/ml(p=0.0049), and with mucinous tumors(N=12) from 55.9+-11.3U/ml to 9.4+-2.8 U/ml(p=0.0005). CA-125 levels in patients with elevated CA-125 level(N=10) were decreased after surgery from 349.6+-247.5 U/ml to 9.4+-3.4 U/ml(p=0.002) and with normal CA-125 level(N-14) from 18.6+-2.5 U/ml to 7.6+-1.5 U/ml(p=0.0038). These data suggest that preoperative serum CA-125 level correlates with stage of disease and serum CA-125 levels decrease after sugery regardless the initial level before treatment.
박철현(CH Park),박소정(SJ Park),이상희(SH Lee),심재화(JH Shim),허창규(CK Huh),박재복(JB Park),김용진(YJ Kim) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.2
Endometrial stromal sarcomas are rare tumors cumposed of cell closely resembling the stromal cell of proliferative atage of the endometirum. This tumor is classified into histologically low-grade stromal sarcoma, also known as endolymphati stromal myosis, and high grade stromal sarcoma by mitotic count. While the high grade stromal sarcoma has poor morbid clinical course, the endolymphatic stromal myosis usally follows an indolent course and have a low motality rate. We experienced a case of uterine endolymphatic stromal myosis occurred in 40 years old woman, which tumor had grown in polyp from lower uterine body and protruded on uterine cervix. The pronounced adenomyosis was associated.
김해숙(HS Kim),박영양(YY Park),김민경(MK Kim),박상윤(SY Park),이제호(JH Lee),이의돈(ED Rhee),이경희(KH Lee),박기복(KB Park),명나혜(NH Myung),조경자(KJ Cho) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.3
The reported cases of adenoid cystic carcinoma of Bartholins gland are extremely rare. We experienced two cases of adenoid cystic carcinoma of Bartholins gland. Authors presented two cases with a brief review o literatures.
경피신루설치술을 시행한 부인암 환자 103 명의 임상적 고찰
한현신(HS Han),고재환(JH Koh),배재호(JH Bae),김종훈(JH Kim),김병기(BG Kim),박상윤(SY Park),이의돈(ED Rhee),이경희(KH Lee),박기복(KB Park) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.10
Uremia by ureteral obstruction is one of the causes of deathes in hynecoligic malignancies. So if the clinicians will manage the urteral obstruction successfully, many patients can obtain longer survival with further aggressive treatment, chemotherapy or radiotherpy. Percutaneous neophrostomy (PCN) is one of good medalities to manage that problems. From January, 1986 to December, 1992, PCNs were performed in 103 patients with ureteral obstruction caused by gynecoologic malignancies in Korea Cancer Center Hospital. Etiology of ureteral obstruction was classified with untreated advanced cancer(N:23), recurrent cancer(N: 54), persistant cancer(N:19), post-radiotherapy(N:3), post-operation(N:2), and others(N:2). The improvement of renal function after PCN was found in 92.2%(95/103) of patients and the recovery rate of serum creatinine to below 1.5 mg/dl against cancer after PCN and especially more frequently in advanced cancer. The removal of PCN catheter in 7 patients(6.8%) could be made successfully and the drainage time averaged 3.2 months. These data suggests that PCN was a simple effective and safe procedure for obstructive uremic patients with advance gynecologic cancers. PCN can be used to improve renal function and to allow palliative therazy.
박기복(KB Park),이제호(JH Lee),이의돈(ED Rhee),이경희(KH Lee),임흥배(HB Im),송계용(KY Song) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.2
결론 43세된 여자에서 발생된 원발성난관암 1예를 체험하였기에 간단한 문헌고찰과 보고하는 바이다. Primary carcinoma of the follopian tube is one of the least common gynecologic malignancies. This paper reports our experience with a case of primary fallopian tube carcinoma incidentally encountered.
박민선(MS Park),차정호(JH Cha),김진(J Kim),(Soren Nielsen) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.2
N/A Sufficient fluid removal is vital to renal replace-ment therapy in end-stage renal failure patients. Aquaporins are integral membrane proteins and the primary water channels that allow water transport only. Type 1, 3 and 4 aquaporins were found in peritoneal capillary walls and peritoneal mesothelial cells. Approximately 5096 of total amount of free water transported during peritoneal dialysis is through aquaporins. Ultrafiltration failure and fluid overload are found in some of long-term continous ambulatory peritoneal dialysis(CAPI3) patients and are major causes of withdrawl from CAPD. Long- term use of high glucose containing dialysis solutions, and functional and morphological changes of aquaporins were suggested as possible mechanisms of ultrafiltration failure. However, a direct relation between alterations of aquaporins in the peritoneum and ultrafiltration failure in long-term CAPD has not been reported yet. In this study peritoneal aquaporins and ultrafiltration were evaluated after long-term peritoneal exposure to high glucose containing dialy- sis solutions in rats. Sprague-Dawley rats with normal kidney func- tions were used. Twenty five milliliter of 4.25% glucose containing dialysis solutions were injected into the peritoneal cavity twice a day for 12 weeks in 13 rats(dialysis-group). The other 13 rats were used without intraperitoneal injection as controls (control-group). One rat from each group died during the study was excluded. After 12 weeks of intraperitoneal injection, a 2 hour peritoneal transport study was done in 9 rats from each group. To calculate intraperitoneal fluid absorption rate, (131)I labelled human serum albumin(RISA) was used as a volume marker. Mesenteries were taken from the remaining three rats from each group for immuno-histochemistry for aquaporin type l. Intraperitoneal volume after 2 hour dialysis was significantly lower in dialysis-group than in control-group(33.7±3.6 vs 39.4±6.1mL, p<0,05). The peri- toneal fluid absorption rate was significamtly higher in dialysis-group than in contml-group(0,070±0.051 vs 0.049±0.016 mL/min, p<0.05). Dg'P> srxlium was signifieantly higher in dialysis-group than in con- trol-group(0.890±0.014 vs 0.856±0.038, p<0.05).D₂P₂urea and D2/D0 glucose did not differ between the two groups. Immunohistochemistry revealed that aquaporin type 1 was strongly stained in the me-sentery capillary walls in control-group, while it was almost disappeared in dialysis-group. In conclusion, long-term use of high glucose containing dialysis solutions decreased aquaporin type 1 population in the peritoneum and ultrafil-tration volume. Increased peritoneal fluid absorption rate is also in part responsible for decreased ultra- filtration volume after long-term use of dialysie solutions.
박원종(WC Park),이원기(WK Lee),이재현(JH Lee) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.5
저자는 경희의료원 산부인과에서 복강경난관불임술로 인한 합병증으로 화상의 2예를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. Female sterilization by laparoscopic technics has many advantages over traditional methods. However, it still has come some problems to be improved, especially in electric coagulation method. It has danger of heat injury such as gastro intestinal, bladder& abdominal burn. We have presented the recent our own experience of 2 series complication reguiring Laparotomy occured in electric coagulation, one case was complicated from intestinal burn with omental adhesion and the other was ovarian burn due to electric coagulation. The presentation, management, and hospital course of these injuries are presented.