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복강경시술 중 발견된 Fitz-Hugh-Curtis증후군의 임상적 고찰
배제준 ( Jei Jun Bae ),이대형 ( Dae Hyung Lee ),고민환 ( Min Whan Koh ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.5
Objective: The aim of this study was to analyse the characteristics, severity of Fitz-Hugh-Curtis syndrome (FHCS), pelvic adhesions and hematologic findings of incidentally founded FHCS in laparoscopy. Methods: We retrospectively reviewed the medical records of 40 patients incidentally found laparoscopically as FHCS at the department of obstetrics and gynecology of Yeungnam University Hospital from Jan. 2001 to Dec. 2006. Severity of FHCS and pelvic adhesions were classified and characteristics of patients, hematologic findings, past medical histories and symptoms after surgery were analysed. Results: The ages of the cases varied between 16 and 65 years old. Mean age of cases was 32.9 years. Indications of surgery were uterine myoma, benign adnexal mass, ectopic pregnancy, endometriosis, chronic pelvic pain and pelvic tuberculosis. From this study we can notice that FHCS can be found out most frequently in the patient with pelvic inflammatory disease (PID). Past medical history were pelvic inflammatory disease, ectopic pregnancy, abdominal surgery and pelvic tuberculosis. 17 patients had been suffered from RUQ pain and 10 patients (58.8%) were in good health after adhesiolysis. Conclusion: Laparoscopy is a confirmative tool in the diagnosis of FHCS. Direct observation of perihepatic space is the most definitive method of diagnosing this syndrome. From our study, we can find that FHCS can be diagnosed frequently in the patient with pelvic inflammatory disease, ectopic pregnancy and pelvic tuberculosis. So, We recommend that investigating the perihepatic space during surgery is a good treatment especially in patients with PID, vague abdominal discomfort and pains.
IIA형 Phospholipase A2에 의한 TNF-α와 IL-6 생성 기전
안재홍 ( Jae Hong Ahn ),박대원 ( Dae Won Park ),김진희 ( Jin Hee Kim ),배제준 ( Jei Jun Bae ),배연경 ( Yeun Kyoung Bae ),박윤기 ( Yoon Ki Park ) 영남대학교 기초/임상의학연구소 2004 Yeungnam University Journal of Medicine Vol.21 No.2
Background: Secretory phospholipase A2 (sPLA2) are a group of extracellular enzymes that release fatty acids at the sn-2 position of phospholipids. Group IIA sPLA2 (sPLA2-IIA) has been detected in the inflammatory fluids, and its plasma level increases in the inflammatory disease. This study examined the effect of sPLA2-IIA on mouse macropahges in order to investigate the potential mechanism of sPLA2-induced inflammation. Materials and Methods: Wild type PLA2 and mutant H48Q PLA2 were purified from HEK293 cells transfected with the corresponding plasmids, and the PLA2 activities were measured using 1-palmitoyl-2-[1-14C]linoleoyl-3-phosphatidylethanolamine as substrates. The TNF-α and IL-6 released in the supernatants were determined by ELISA. In addition, the TNF-α and IL-6 mRNA were analyzed by RT-PCR. Results: sPLA2-IIA stimulated the production of TNF-α and IL-6 in a dose- and time-dependent manner. In addition, the effect of sPLA2-IIA on cytokine production from the macrophage was found to be associated with the accumulation of their specific mRNA. The mRNA levels of TNF-α and IL-6 peaked at 2 and 6 hours in a time-dependent manner, respectively. Conclusion: In conclusion, the production of proinflammatory cytokine might be mediated by the binding of sPLA2-IIA to the receptors.