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- 저자 : 이윤이 (검색결과 2,212 건)
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이윤이 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2
This study was undertaken for the clinical analysis and evaluation on 48 patients with incompetent internal os of the cervix. who were admitted and treated at the CNUH from August, 1991 to August, 1994 1. The incidence of incompetent internal os of the cervix is approximately once in every 67 deliveries and the most frequent age incidence was 30 to 34 age group 2. The most significant contributory factor in 21 of 48 cases was considered to be the previous history of the traumatic induced abortion 3. McDonald operation was performed in 48 cases and resulted in success rate of 70.8% 4. The mayor causes of perinatal loss were SPROM (64.3%) and preterm labor(28.6%) 5. The fetal salvage rate by suture material is 72.7% (mersilene tape) and 66.7% (silk). 6. The delivery methods after operation were via vaginal route in 35 cases (72.9%) and abdominal route in 13 cases.(27.1%)
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이윤이,김영범,노흥태 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.6
저자 등은 1992년 2월 25세 초산부에서 임신 23주에 천미골기형종을 진단하여 임신을 종결 시킨 경우를 1예 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Prenatal diagnosis of sacrococcygeal teratoma (SCT) is rare. The tumor most commonly is detected on routine examination of the neonate. However, large tumors may obstruct labor and be suspected on vaginal examination after delivery of the fetal head and upper body. We have met a case of large sacrococcygeal teratoma of fetal at pregnancy 23 weeks. So a case of sacrococcygeal teratoma with brief review is reported.
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이윤이,노흥태,손영선,이영일 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.8
1985년 7월 1일부터 1988년 12월 31일까지 42개월간 충남대학병원 산부인과에 입원하여 수술을 받고 자궁근종으로 확진된 205예를 대상으로 병록일지를 조사 분석하여 다음과 같은 결과를 얻었다. 1. 자궁근종의 발생빈도는 부인과 개복수술(제왕절개술 및 질식성형술은 제외) 환자의 16.9%였고, 연령분포는 40∼49세가 54.6%로 가장 많았으며, 평균 연령은 43.5세였다. 2. 초경의 평균연령은 16.5세였다. 3. 임신 경험이 한 번도 없었던 경우는 8.8%였으며, 평균임신 횟수는 5.4회, 평균분만 횟수는 3.0회였다. 4. 발생부위는 체부가 95.0%, 경부가 1.5%, 광인대내근종이 1.5%의 순이었으며, 발생형태는 근내형이 51.5%, 혼재형이 24.4%, 장막하형 13.2%, 점막하형이 11.2%였다. 5. 자궁근종의 주소는 이상자궁출혈인 경우가 49.3%, 종물촉지가 19.0%, 동통이 12.2%, 특별한 증상없이 우연히 발견된 경우가 10.7%의 순이었다. 6. 빈혈은 32.2%에서 나타났다. 7. 자궁근종결정이 1개인 경우가 63.9%로 가장 많았고, 자궁근종의 평균 무게는 498gm이었으며, 100gm이사는 단지 4예에서 있었다. 8. 자궁근종의 이차변성은 38.6%에서 있었으며, 그중 초자양변성이 31.2%로 제일 많았다. 9. 자궁근종과 병발한 병변들은 50.7%였으며, 그붕 자궁선근증이 25.4%, 골반염이 7.3%, endocervical polyp이 5.4%, 난소장액성낭종이 4.9%의 순이었고, 자궁경부암이 2.0%에서 발견되었다. 10. 월경과다증과 발생부위 상이에는 유의한 상관관계가 없었다(p$gt;0.1). 11. 월경과다증과 조직학적 발생부위 사이에는 유의한 상관관계가 있었으며, 점막하근종의 발생빈도가 현저히 높았다(p$lt;0.005). 12. 월경과다증과 자궁선근증 합병 유무와는 유의한 상관관계가 없었다(p$gt;0.1). 13. 월경곤란증과 발생부위 및 조직학적 발생부위 사이에는 유의한 상관관계가 없었다(p$gt;0.1). 14. 월경곤란증과 자궁선증 합병 유무와는 유의한 상관관계가 있었다 (P$lt;0.05). 15. 수술방법은 93.1%가 복식 전자궁적출술을, 0.5%가 질상부자궁적출술을, 5.4%가 자궁근종결절적출술을, 1.0%가 질식전자궁적출술을 각각 시행받았다. Two hundred and five cases of confirmed histopathologically uterine myoma were reviewing during 42 months period from July 1985 to December 1988, at Department of Obstetrics and Gynecology, Chung nam national University Hospital.
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이윤이 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2
The ultrasonographic evaluation of the cervix was perfomed by vaginal probe ( Aloka SSD 0620 with attached sector scanner using 3.5 MHz transducers ). The cervical length was defined as the distance from the lower edge of the fetal membranes to the edge of the portio vaginalis In the case of normal pregnancy, the cervcial length increases progressively up to 21 to 25 weeks' gestation and then decreases at 32 through 36 weeks' gestation. In the case of patients who delivered before 33 weeks of gestation, the cervcial length was less than - 1SD. The criteria of cervcial incompetency based on vaginal ultrasonographic findings are as follows 1) Bulging of the fetal membranes into the endocervcial canal 2) Shortening of the cervix a) The cervical length less than -1SD of the mean value b) Decrease cervcial length before 24 weeks' gestation This may aid early diagnosis of cervcial incompetency during pregnancy and evaluate the need for surgical correction.
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두정위 질식분만과 선택적재왕술을 시행한 정상만삭아의 제대혈의 산염기치
이윤이 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2
Analysis of umbilica cord arterial and venous blood for acid-base and blood gas parameters came be benefit in retrospectively assessing the intrapartum condition of the fetus and in evaluating obstetric techniques for the management of labor. Recent interest has focused, therefore, on umbilical cord blood pH as an index of intrapartum management and as a potential benchmark for neonatal outcome. Our purpose was to define normal values of pH, PCO_2, PO_2, and bicarbonate in umbilical arterial and venous blood in uncomplicated term vaginal vertex deliveries and elective cesarean section deliveries without labor. A segment of umbilical cord was doubly clamped immediately after delivery of the infant. A 2 mL sample of blood was drawn into a plastic syringe that has been flushed with 1,000 units/mL of heparin solution. The blood gas determinations were then performed on blood Gas Analyzer Stat Profile 4 within 5 minutes of collection. Umbilical arterial blood values ± SD for acid-base parameters were Group Ⅰ; pH 7.31± 0.05, PO_2 23.08±6.60, PCO_2 46.08±6.6, bicarbonate 23.5±3.24, Group Ⅱ; pH 7.32± 0.04, PO_2 25.19±6.40, PCO_2 49.01±3.40, bicarbonate 26.50±3.40. Umbilical venous were Group Ⅰ; pH 7.32±0.05, PO_2 31.06±9.1, PCO_2 40.72±6.15, bicarbonate 21.29±2.38, Group Ⅱ; pH 7.34±0.04, PO_2 33.31±9.36, PCO_2 40.50±7.18, bicarbonate 24.14±2.59. When the umbilical arterial and venous blood gases were compared, there was no difference in pH and significant increase of mean carbon dioxide tension and, bicarbonate concentration and significant decrease of mean O_2 tension in umbilical arterial blood. When group Ⅰ and Ⅱ were compared, there was no difference in umbilical cord acid-base and gas values. During normal labor the fetus maintains a stable acid-base balance.
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이윤이,노흥태,박현정,최송기 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.4
저자들은 1991년 8월에 충남대학교병원 산부인과에 입원하였던 자궁의 동정맥기형 1예를 지단, 치료한 바 증례보고와 함께 간단한 문헌고찰을 하였다. Arteriovenous malformations of the uterus are extremely rare and become one of the cause of severe, life-threatening uterine bleeding. The first case was reported in 1926 by Dubreuil and Loubat. Since then, only 38 cases have been reported in literature. This malformation may be congenital or acquired. The most common clinical presentation is abnormal uterine bleeding, which may be aggravated by therapeutic curettage. The diagnosis is usually made retrospectively after hysterectomy, but it may be also made by uterine angiography and ultrasonography. We have experienced one case of arteriovenous malformation of the uterus, which is presented with a brief review of the literatures.
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