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RISS 인기검색어
- 검색키워드
- 저자 : 이동식(DS Lee) (검색결과 3 건)
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이영호(HY Lee),이동식(DS Lee),이국(K Lee) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.6
This study was undertaken for the clinical analysis and evaluation of the women with trophoblastic tumors who were admitted and treated at the Yonsei University Medical Center from Jan. 1,1961 to June 30, 1972. A total of 187 cases were seen with the following distribution: Hydatidiform mole 94, chorioadenoma destruens 17, and choriocarcinoma 76. The following features were the results of this study: 1. Hydatidiform mole occurred approximately once in every 186 pregnancies and 161 deliveries, chorioadenoma destruens once in every 1028 pregnancies and 889 deliveries, choriocarcinoma once in every 230 pregnancies and 199 deliveries, respectively. 2. While the rate of normal intrauterine pregnancy declines markedly after the age of 40, the occurrence of the trophoblastic tumor after this age become remarkably increased. It was noteworthy that the incidence of choriocarcinoma increased in proportion to the gravidity. 3. Among the patients with choriocarcinoma, 71 per cent of patient had lung metastasis, 21 per cent vagina, 8 per cent brain, and 4 per cent G-I tract. 4. In cases of choriocarcinoma, 33 per cent of cases occur after hydatidiform mole, 30 per cent after term pregnancies, 30 per cent after abortion. 5. Forty seven per cent of the patient with hydatidiform mole were managed by D & E, hysterectomy was done in 41 per cent of the patient with chorioadenoma destruens, and 53 per cent of the patient with choriocarcinoma were managed by chemotherapy with Methotrexate alone or Methotrexate and Actinomycin-D. 6. In the patient with chorioadenoma destruens, remission rate was 76 per cent. In patients with choriocarcinoma, remission rate was 51 per cent, mortality rate was 26 per cent and recurrence rate was 12 per cent respectively. In the cases of choriocarcinoma the earlier the treatment, the better the result. Among the patient with remission after chemotherapy, most of them had at least 3 kurs of therpapy, and the patient with multiple metastasis showed very poor remission rate compared with those without metastasis.
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문영기(YK Moon),이동식(DS Lee),오기석(KS Oh),김광숙(KS Kim) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.5
1961년 1월 1일부터 1971년 12월 31일까지 만 10년간 연세대학교 의과대학 산부인과에 입원 하여 1000gm 이상의 태아를 분만한 13,738예의 산모 가운데 1,121예의 제절예와 8쌍의 쌍태 아를 포함한 981예의 사산아 및 신생아를 대상으로 다음과 같은 결론을 얻었다. 1) 제절의 빈도는 8.1%였다. 2) 적응증은 반복제왕절개술이 32.8%로써 가장 많았고 아두골반 불균형이31.7%, 태위이상이 10.7% 등의 순위였다. 3) 제왕절개술식으로는 자궁협부 횡절개술이 92.7%였고 자궁체부 종절개술이 6.5%였다. 4) 제왕절개술과 동시에 시행된 수술은 난관결찰술이 20.3%로써 가장 많았다. 5) 마취방법으로는 전신마취가 76.9% 요추마취가 21.9%였다. 6) 모성사망율은 0.5%였고 모성이환율은 30.7%였다. 7) 파막된 시간별 모성이환율은 파막된 시간이 길수록 높았으며 파막 후 12시간 이상군이 이하군보다 현저히 높았다. 8) 주산기 사망의 백분율은 8.15%였다. The study was carried out retrospectively based on the clinical charts of 973 patients who had cesarean sections performed, and 981 newborns including 8 pairs of twins delivered at Dept. of Obst. & Gyn., College of Medicine, Yonsei University from January 1, 1961 to December 31, 1971. The result obtained were as follows : 1) Cesarean section rate was 8.1% for the period. 2) Among the indications for cesarean section, the previous cesarean section was the most prevalent (32.8%), and the others were cephalopelvic disproportion (31.7%), malpresentation (10.7%) in order. 3) In the types of operation, lower cervical transverse type was most common (92.7%) and classical type was only 6.5%. 4) Of 221 combined operations with cesarean section, tubal ligations were perfomed in 197 cases. 5) The general anesthesia was major type and its rate was 76.1%, and spinal anesthesia was 21.9% and so on. 6) It was found that meternal mortality was 0.5% and the morbidity was 30.7%. 7) Maternal morbidity rate was increased as the duration of rupture of membranes was extended. Particulary the group of more than 12 hours after rupture of membrane were higher greatly than the group of less than 12 hours. 8) Perinatal morbidity was 8.15%.
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김광숙(KS Kim),이동식(DS Lee),황민철(MC Whang),오기석(KS Oh),양영호(YH Yang) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.8
난소의 Krukenberg 종양 17예를 고찰하여 보고하는 바이다. We have observed 17 cases of Krukenberg tumor among 519 cases of ovarian tumor who were admitted operated and diagnosed at yonsei University medical center from January , 1961 to December 1973. The following were the result of this study 1. The incidence of Krukenberg tumor was 3.3% and the most frequent age incidence was from 40 to 49 years old. 2. Clinical symptoms and signs were abdominal distension, indigestion lower abdominal mass, abdominal pain ascites and menstrual disorder in order of frequency 3. The bilaterality was 76.0% and in the most cases the primary site was unknown. The associated sites of the tumor were stomach (5cases) breast (1 case) and colon (1case)
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