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거대아(≥4,500g): 분만방법에 따른 271예의 임상적 연구
김민정 ( Min Joung Kim ),한찬희 ( Chan Hee Han ),안현영 ( Hyun Young Ahn ),박인양 ( In Yang Park ),허수영 ( Soo Young Hur ),이귀세라 ( Gui Se Ra Lee ),신종철 ( Jong Chul Shin ),김수평 ( Soo Pyung Kim ),김사진 ( Sa Jin Kim ) 대한주산의학회 2005 Perinatology Vol.16 No.4
목적 : 4,500g 이상의 거대아에 있어 분만방법에 따른 산과적 영향을 알아보고자 하였다. 방법 : 11년 동안(1993-2003) 4,500g 이상의 거대아와 산모를 후향적으로 조사하였다. 산모와 신생아의 산과적 영향을 분만방법에 따라 비교하였다. 결과 : 4,500g 이상의 거대아의 빈도는 0.38%이었다. 질식 분만이 78/271(28.8%)예에서 진행되었으며, 제왕절개술이 71.2%에서 시행되었다. 분만력과 비교한 거대아의 빈도는 미분만부는 33.9% (92 cases), 다분만부에서 66.9% (179 cases)로 조사되었다. 분만방법에 따른 조사에서는 제왕절개수술이 가장 많은 부분을 차지하였다. 제왕절개수술 군에서는 높은 신체비만치수(>25kg/m2)를 보였다. 당뇨, 고혈압의 빈도, 낮은 1분, 5분 Apgar 점수에서 두 군간 차이는 없었다. 결론 : 거대아로 인한 여러 문제를 피하기 위해 거대아에 대한 정확한 진단과 적절한 분만방법을 선택해야 한다. 산모의 키, 몸무게, 신체비만지수가 신생아 체중과 분만방법과 관련이 있었다. Objective : To determine obstetric outcome in infants ≥4,500 g according to delivery mode. Methods : Records of 271 mothers and infants weighing ≥4,500 g over a 11-year period (1993~2003) were retrospectively reviewed. Maternal and perinatal outcomes were compared in relation to delivery mode. Results : The frequency of macrosomia ranged 0.38% in 4,500 g or more. Vaginal delivery was achievable in 78/271 (28.8%) of women allowed to labor, of which 71.2% were operative. In macrosomia frequency correlations to parity showed 33.9% (92 cases) in primiparous women, 66.9% (179 cases) in multiparous women. According to the type of delivery, cesarean section has proven to be the most popular mode. The cesarean section group had a higher incidence of maternal BMI (>25 kg/m2). The frequency of diabetes, hypertension, low Apgar score at 5 and 10 minutes was similar in both groups. Conclusion : It would be appropriate to have definite diagnostic schemes and adequate choice of delivery method for macrosomia. Maternal height, weight, BMI (body mass index) may associated with fetal body weight and delivery mode.
김민정 ( Min Joung Kim ),이연정 ( Youn Jeoung Lee ),권인 ( In Kwen ),허수영 ( Soo Young Hur ),이귀세라 ( Gui Sera Lee ),신종철 ( Jong Chul Shin ),김은중 ( Eun Joung Kim ),임현욱 ( Hyun Wook Lim ),김사진 ( Sa Jin Kim ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.9
Objective : The purpose of this study was to identify retrospectively the different computed tomography markers and sonography in a series of surgically and pathologically proven cases of tubo-ovarian abscesses in order to achieve correct preoperative dia
김사진(Sa Jin Kim),김수평(Soo Pyung Kim),김민정(Min Joung Kim),이상호(Sang Ho Lee),이희중(Hee Joong Lee),문희봉(Hee Bong Moon),이지현(Jee Hyun Lee),박철훈(Chul Hun Park),이귀세라(Gui Se Ra Lee),신종철(Joung Chul Shin) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3
Cloacal anomalies are very rare congenital malformations with the incidence of 1/50,000-250,000 births. Hydrocolpos involves the dilatation of the vagina due to obstruction of the genital tract, leading to accumulation of secretions. Because of wide spectrum of abnormal anatomy involving urogenital and gastrointestinal systems, prenatal diagnosis is difficult. As ultrasound becomes more and more reliable, prenatal diagnosis is possible as early as in the second trimester. The presence of prenatally detected hydro (metro) colpos warrants a systematic evaluation of fetal and neonatal anatomy to rule out a large variety of possibly associated malformations or syndromes. We present a case of urogenital sinus maldevelopment which was initially presented as a fetal ascites.
이상호(Sang Ho Lee),김사진(Sa Jin Kim),김진아(Jin A Kim),권인(In Kweon),허수영(Su Young Heo),신종철(Joung Chul Shin),김민정(Min Joung Kim),김은중(En Jung Kim),이귀세라(Gui Se Ra Lee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.1
Vulvar ateriovenous hemangioma is a rare pathologic lesion, encountered in Bartholin's glands of vulva. Little has previously described in the litherature. A painless vulvar mass occurred accidently in a healthy women after cesarean delivery. There was no obvious lesion on the skin. Excisional biopsy revealed a vascular lesion in the subcutaneous layer, consistent with arterio-venous hemangioma. The mass was sucessfully treated by excision, and the patients was asymptomatic for five months later. So, we report this case with a brief review of literatures.
남선영 ( Sun Young Nam ),김민정 ( Min Jeong Kim ),박인양 ( In Yang Park ),김효진 ( Hyo Jin Kim ),허수영 ( Soo Young Hur ),신종철 ( Joung Chul Shin ),김사진 ( Sa Jin Kim ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.12
Choledocal cyst are cystic dilatations of the biliary tree varying in location from the ampulla of vater to the intrahepatic bile ducts. The majority of the cases are diagnosed during the first decade of the life but in 20% of patients with choledochal cysts, the diagnosis is not made until adulthood. Although these cysts occur frequently in females, presentation in pregnancy or the postpartum period is rare. Choledochal cysts presenting during pregnancy an increased risk to both the mother and developing fetus. The clinical presentation is often nonspecific, and physical and radiologic examination are limited during pregnancy because of the presence of the gravid uterus. We experienced one case of choledochal cyst during pregnancy and report our experience.