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조기 양막파열 임신부에서 산전 부신피질호르몬 다회 요법의 영향에 대한 비교연구
양순하 ( Yang Sun Ha ),최수란 ( Choe Su Lan ),최석주 ( Choe Seog Ju ),이지수 ( Lee Ji Su ),서용수 ( Seo Yong Su ),김종화 ( Kim Jong Hwa ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
Objective : This study was performed to determine the benefits and risks of multiple courses of corticosteroids in patients with preterm premature rupture of membranes (PPROM). Methods : We retrospectively evaluated the pregnancy and neonatal outcomes for women of singleton pregnancy with PPROM admitted at 24-32 weeks of gestation. Patients were categorized into 3 groups according to antenatal corticosteroids exposure : (1) non-user group, (2) single-course group, (3) multiple-course group. Chi-square test, analysis of variances, Kruskal-Wallis test, and multiple logistic regression analysis were used for statistical analyses. Results : A total of 170 patients were included, with 50 in non-use group, 76 in single-course group, and 44 in multiple-course group. Univariate analyses showed that clinical chorioamnionitis occurred in the highest incidence in multiple-course group (X²= 6.20, p<0.05) and the decreased incidence of RDS in multiple-course goup (X²=10.0, p<0.01). Multiple logistic regression analyses demonstrated that no significant association was found after adjustment of confounding variables (odds ratio=0.28, p=0.063) whereas multiple courses of corticosteroids were independently associated with clinical chorioamnionitis (odds ratio=13.15, p=0.025). Conclusion : Multiple courses of antenatal corticosteroids therapy did not reduce the incidence of RDS in neonates and were associated with increased risk of clinical chorioamnionitis in patients with PPROM.
조기진통 임신부에서 조기분만의 예측에 있어 질식초음파를 이용하여 측정한 자궁경부길이의 유용성
최수란 ( Choe Su Lan ),양순하 ( Yang Sun Ha ),이지수 ( Lee Ji Su ),서용수 ( Seo Yong Su ),김종화 ( Kim Jong Hwa ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.11
Objective : The aim of this study is to evaluate the value of vaginal ultrasonographic cervical length in prediction of preterm delivery in patients with preterm labor. Methods : One-hundred twenty-nine women in preterm labor at 24-34 weeks of gestation w
노재홍 ( Jae Hong Noh ),이선주 ( Sun Joo Lee ),노정래 ( Cheong Rae Roh ),서용수 ( Yong Soo Seo ),황종대 ( Jong Dae Whang ),김영아 ( Young A Kim ),양순하 ( Soon Ha Yang ),김종화 ( Jong Hwa Kim ) 대한주산의학회 2002 大韓周産醫學會雜誌 Vol.13 No.1
Objective:To evaluate the causes, methods of delivery, and maternal complications in cases of fetal death in utero(FDIU) at Samsung Medical Center. Methods:There were 92 cases of FDIU among 25,195 deliveries at Samsung Medical Center during 7 years from 1994 to 2001. In these cases, perinatal autopsy and placental biopsy was performed in 35 and 71 cases, respectively. All the clinical informations were obtained by reviewing medical records retrospectively. Results:The overall incidence of FDIU was 0.37%. Most of FDIU occurred in 25 to 29 years old group(43.5%). Recurrence rate of FDIU was 3.3%. Most of FDIU were low birth weight(79.3%) and preterm(79.6%). The modes of delivery were induced labor(68.5%), laparotomy(18.5%), and the spontaneous delivery(13.0%). The causes of FDIU were chorioamnionitis(15.2%), placental abruption(14.1%), severe preeclampsia(11.9%), congenital and chromosomal anomaly(6.5%), but it was unexplained in 27.2%. There were 25 cases with maternal complications and the most common complications were intra-/postpartum fever(18.5%), postpartum hemorrhage(8.7%) and DIC(8.7%). Conclusion:The causes of FDIU could not be determined in only about 1/4 cases at Samsung Medical Center. Since FDIU recurred in 3.3%, thorough studies including perinatal autopsy and chromosomal study must be made on stillborn infants and placenta to determine the recurrent causes.
만삭 임신 수태 조직에서 유도체에 따른 Nuclear Factor Kappa B의 활성화 양상
김종화 ( Kim Jong Hwa ),김영아 ( Kim Yeong A ),양순하 ( Yang Sun Ha ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.9
Objective : Nuclear factor kappa B (NF-B) is a transcriptional factor in the expression of cyclooxygenase 2 (COX-2), the key enzyme in production of prostaglandins. The purpose of this study was to investigate the activation of NF- B in human gestational
하행 대동맥류 파열 산모에서 응급 제왕절개술과 병행된 대동맥류 교정술
최철훈 ( Choe Cheol Hun ),김영아 ( Kim Yeong A ),서용수 ( Seo Yong Su ),최성진 ( Choe Seong Jin ),양순하 ( Yang Sun Ha ),김종화 ( Kim Jong Hwa ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.9
Aortic aneurysms are extremely uncommon in women under age 40 and are rarely encountered by obstetricians. Various physiologic changes of pregnancy appear to make pregnancy a risky situation of rupture of an aortic aneurysm and pregnancy is discouraged in
이수호 ( Lee Su Ho ),이지수 ( Lee Ji Su ),최수란 ( Choe Su Lan ),서용수 ( Seo Yong Su ),양순하 ( Yang Sun Ha ),김종화 ( Kim Jong Hwa ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5
With the introduction of assisted reproductive technologies, the incidence of multifetal pregnancies has significantly increased. In vaginal delivery for multifetal pregnancy, the delivery of the second fetus usually follows the first in few minutes. However in rare circumstances, the delivery is delayed for days due to disappearance of uterine contraction after delivery of the first fetus. Successful prolongation of the interdelivery time may improve the neonatal outcomes of the remaining fetus (es), particularly in the cases of extremely premature gestation. We present a case of a delayed delivery of second twin with an interval of 48 days.
50-g 경구 당부하 검사의 결과와 임신성 당뇨와의 상관관계에 관한 연구
김종화 ( Kim Jong Hwa ),서용수 ( Seo Yong Su ),최성진 ( Choe Seong Jin ),김영아 ( Kim Yeong A ),노정래 ( No Jeong Lae ),양순하 ( Yang Sun Ha ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.11
Objective : To evaluate the relationship between results of 50-g one-hour glucose screening test (50 GTT) and gestational diabetes and to find cut-off result value of 50 g GTT which can diagnosis the gestational diabetes without other confirmative tests.
골반내 악성종양의 치료에 있어서 골반장기 적출술의 의의
김종훈,송용상,강순범,이효표,백승규,양순하,전혜원 대한부인종양 콜포스코피학회 1993 Journal of Gynecologic Oncology Vol.4 No.2
Treatment of pelvic malignancy persistent or recurrent after surgery, radiation therapy or chemot-herapy presents a difficult therayeutie challenge. Those patients with central recurrence can be considered as candidate for radical resection. However we must consider many factors for the choice of treatment modality for advanced or recurrent pelvic rnalignancy as follows; the size and location of the recurrent cancer, dose of radiation therapy given, general conditions of the patient and the experience of the surgeon. Pelvie exenteration, when appropriate, is successful treatment for recurrent or persistent pelvic malignancy; 5-year survival has been reported to be as high as 50%. We experienced seven cases of pelvic exenteration for pelvic malignancy between Mar. 1990 and Feb. 1993. Accordingly we present the cases with a brief review of the literatures.