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심재학 ( Jae Hag Sim ),정강우 ( Kang Woo Jung ),박재철 ( Jae Cheal Park ),김용필 ( Yang Pil Kim ) 대한주산의학회 2007 Perinatology Vol.18 No.3
Moyamoya disease is a rare progressive cerebrovascular disorder caused by blocked arteries at the base of the brain in an area called the basal ganglia. The etiology and pathogenesis are unknown Clinically, this disease is found with a higher incidence in young female, but there are few cases of moyamoya disease in pregnancy. The disease primarily affects children, but it can also occur in adults. in children. The first symptom of moyamoya disease is often stroke, or recurrent transient ischemic attack, frequently accompanied by muscular weakness or paralysis affecting one side of the body, or seizures. Adults most often experience a hemorrhagic stroke due to recurring blood clots in the affected brain vessels. The diagnosis of moyamoya disease is made on the basis of angiographic findings and threatment of Moyamoya disease is surgery, or conservative management. We report a case of moyamoya disease that presented as intracerebral hemorrhage and intraventricular hemorrhage during pregnancy complicating severe preeclampsia.
오은성 ( Eun Sung Oh ),심재학 ( Jae Hag Sim ),서철원 ( Cheol Won Seo ),박재철 ( Jae Cheol Park ),정강우 ( Kang Woo Jung ),김용필 ( Yong Pil Kim ) 대한주산의학회 2005 Perinatology Vol.16 No.4
Separation of symphysis pubis during vaginal delivery is rare condition with incidence ranging from 1/500 to 1/30000 deliveries. The injury is caused by fetal head exerting pressure on pelvic ligaments that have been relaxed by progesterone and relaxin. The separation might be associated with considerable pain, swelling and tenderness over the pubic area. Diagnosis is based on clinical findings and X-ray findings. The condition is treated conservatively with bed rest, analgesics and physical therapy. Prognosis is exellent. We experienced 3cases of separation of symphysis pubis during vaginal delivery and report these cases with a brief review of literature.
자궁선근증에서 혈청 CA-125치와 월경곤란증 정도의 병변 깊이와의 관계
장석현 ( Seog Hyun Jang ),안태순 ( Tae Soon Ann ),오은성 ( En Sung Oh ),심재학 ( Jae Hag Sim ),백애란 ( Ae Lan Paik ),원종천 ( Jong Cheon Weon ),정강우 ( Kang Woo Jung ),김용필 ( Yong Pil Kim ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.12
목적 : 본 연구는 자궁선근증에서 월경곤란증 정도와 수술 전 혈청 CA-125 수치의 침윤 깊이와의 관계를 알아보고자 한다. 연구 방법 : 전자궁절제술을 시행하고 조직병리학적으로 다른 병변이 포함되지 않고 자궁선근증만을 진단 받은 68명의 여성을 대상으로 후향적 조사를 하였다. 자궁 조직을 자궁선근증의 침윤 깊이에 따라 4군, A군은 자궁선근증이 자궁 근층의 25%까지 침범한 조직들로 구성하고, B군은 26-50%, C군 51-75%, D군>75%으로 Objective : To evaluate the association of level of CA-125 and severity of dysmenorrhea with lesion depth in adenomyosis. Methods : Sixty-eight women who had undergone hysterectomy and were found to have pure adenomyosis on histopathologic examination wer
Sturmdorf봉합법을 사용한 한랭식 원추절제술의 합병증
안태순 ( Tae Soon An ),장석현 ( Seog Hyun Jang ),오은성 ( Eun Sung Oh ),심재학 ( Jae Hag Sim ),정강우 ( Kang Woo Jung ),원종천 ( Jong Cheon Weon ),김용필 ( Yong Pil Kim ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.10
목적 : 한랭식 원추절제술은 그동안 수술 후 출혈의 빈도가 높다고 여겨져 왔으며 출혈을 감소하기 위해 여러 방법이 제시되어 왔다. 본 연구의 목적은 Sturmdorf봉합법을 사용한 한랭식 원추절제술의 합병증을 조사하고 출혈을 감소하기 위해 사용한 여러 가지 방법을 알아보고자 함이다. 연구 방법 : 1997년 8월부터 2003년 7월까지 자궁경부 상피내종양을 진단 또는 치료하기 위해 한랭식 원추절제술을 시행 받은 85명의 환자의 결과를 조사하였다. 결과 Objective : It has been recognized that cold knife conization has higher incidence of postoperative hemorrhage and many techniques have been developed in an attempt to control hemorrhage. The aim of this study was to evaluate complications of Sturmdorf`s