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임신 중기 태아 맥락총 낭종 119예의 추적 조사: - 18번 삼염색체증과의 연관성 여부를 중심으로 -
이은혜(Eun Hye Lee),이유미(You Me Lee),신명철(Myung Choel Shin),민유선(Yu Seon Min),이상희(Sang Hee Lee),김현철(Hyeon Chul Kim),김종욱(Jong Wook Kim),이숙환(Sook Hwan Lee),이위현(Wee Hyun Lee),조진호(Jin Ho Cho),이정노(Chung No Lee) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.7
Objective: To evaluate the clinical significance of fetal choroid plexus cysts (CPCs) in the second trimester, especially an association with trisomy 18. Methods: From March 1998 through June 1999, second trimester screening ultrasonography was performed on 4,948 unselected single-ton pregnancies. CPCs were noted in 132 fetuses. Among them, detailed ultrasonography and follow-up was possible in 119 cases and they were recruited into the study. There were 91 cases of isolated CPCs and 28 cases of CPCs in high-risk population. Isolated CPCs were defined as: mother did not have any risk factors requiring amniocentesis and there were no other sonographic abnormalities on detailed ultrasound. CPCs in high-risk population were defined as: mother had any risk factor requiring karyotyping or there were any other sonographic abnormalities although she was general population. Amniocentesis was performed in 39 cases. We compared gestational age at time of detection, size, bilaterally, multiplicity, and complexity of CPCs in the group of isolated CPCs and CPCs in high-risk population (t-test, chi-square test; p<0.05). We evaluated the findings of detailed and follow-up ultrasonography, karyotypes, and final outcomes of pregnancy.Results: Gestational age at time of detection was not different in both groups of isolated CPCs and CPCs in high-risk population (19±2 vs 18±1 wk, p>0.05). Mean size (6.4 vs 6.2 mm), bilaterality (60% vs 57%), multiplicity (66% vs 57%), and complexity (8% vs 14%) of CPCs were also similar. All CPCs were disappeared irrespective of size and mean time of disappearance was 25±3 and 26±3 week, respectively (p>0.05). All cases of isolated CPCs resulted in phenotypically-normal neonates. It was confirmed by either amniocentesis or postnatal examination by the pediatrician. Among fetuses having CPCs in high-risk population, two trisomy 18 and one trisomy 21 were detected. All of them had positive result of maternal serum marker test and/or sonographic abnormalities. Remaining cases were proved normal.Conclusion: The risk of chromosome abnormalities is very high when CPCs are associated with other abnormalities on detailed ultrasound, indicating a clear need to offering genetic amniocentesis. As contrast, the risk of chromosome abnormalities for a case of isolated CPCs is very low, and in this series there was no trisomy 18. Therefore isolated CPCs should be considered as the indication of detailed ultrasound examination, but not routine karyotyping.
자궁내 정자주입술로 임신한 미세천공을 동반한 횡경질중격 1 예
남윤성(Yoon Sung Nam),김남근(Nam Keun Kim),김종욱(Jong Wook Kim),이정노(Chung No Lee),차광열(Kwang Yul Cha) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
The mullerian ducts join the sinovaginal bulb at a point known as the mullerian tubercle. Canalization of the mullerian tubercle and sinovaginal bulb is necessary to give a normal vaginal lumen. If the area of junction between these structures is not completely canalized, a transverse vaginal septum will occur. This may be partial or complete and generally lies at the junction of the upper third and lower two thirds of the vagina. It occurs in about 1 per 75,000 females. Partial transverse vaginal septa have been reported in diethylstilbestrol (DES)-exposed females. In the prepubertal state, diagnosis is generally not made unless there is the development of a mucocolpos or mucometrium behind the septum. At puberty, however, if the septum is complete, hematocolpos and hematometrium may occur in a fashion similar to that seen in the imperforate hymen, except that there is no bulging at the introitus. The patient with an incomplete transverse septum may bleed somewhat but will still develop hematocolpos and hematometrium over time and may also complain of foul smelling vaginal discharge.
여성 복압성 요실금의 수술시 transobturator tape 술식에서 outside-in (TOT) 수술법과 inside-out (TVT-O) 수술법의 비교 연구
김영상 ( Young Sang Kim ),조진호 ( Jin Ho Cho ),장성운 ( Sung Woon Chang ),김현철 ( Hyun Chul Kim ),이정노 ( Chung No Lee ),신지은 ( Ji Eun Shin ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.6
Objective: To compare the outcomes of the ``outside-in`` (TOT) and ``inside-out`` (TVT-O) transobturator tape procedures for surgical treatment of female urinary incontinence. Methods: We enrolled 320 stress urinary incontinence women who could be followed-up and they underwent the TOT procedure (N=184) and TVT-O procedure (N=136) from January 1, 2003 to June 30, 2006. The preoperative evaluation included a history taking, physical examination, residual urine check, pad test, Q-tip test and urodynamic test. And we investigated the patients` characteristics, success rates, operation times, concomitant surgeries, hospital days, hemoglobin changes and complications. Results: There were no statistically significant differences in patients` characteristics and urodynamic tests except the intrinsic sphincter deficiency rate (ISD: 5.6% vs. 30.6%, p=0.000). The success rates were similar in both groups (98.4% vs. 97.8%). Most common complication of TOT group is operation site erosion (2.1%), and TVT-O group is thigh or vaginal pain (3.6%). There were noted other complications, such as postoperative urinary retention, de novo urgency and urinary tract infection. Total complication rates of both groups were not statistically different (7.6% vs. 9.5%, p=0.415). There were no statistic differences in the postoperative complication rates of between only TOT group and TOT with colporrhaphy group (p=0.371), also between only TVT-O group and TVT-O with colporrhaphy group (p=0.692). There were no correlation with ISD and postoperative complications in TOT (p=0.373) and TVT-O group (p=0.082). Conclusions: The two procedures of transobturator tape procedure for female stress urinary incontinence appear to be equally effective and safe. However, long-term follow-up, surgeons` learning course, skill and experience for transobturator tape procedures should be evaluated at further studies.
원발성 무월경에서 발견된 46XX 순수 생식선 이상발생으로 인한 조기난소부전 1례
이숙환,윤태기,차광열,남윤성,이정노,장성운 대한폐경학회 1999 대한폐경학회지 Vol.5 No.1
Premature ovarian failure is a condition causing amenorrhea, hypoestrogenism, and elevated gonadotropins in women younger than 40 years. Although chomosomal and genetic abnormalities, enzymatic defects and iatrogenic agents, including cytotoxic drugs, pelvic irradiation and ovariectomy, have been cited as causes of premature ovarian failure, the most common cause is autoimmunity. Individuals with pure gonadal dysgenesis usually demonstrate primary amenorrhea, infantile secondary sex characteristics, and normal stature. Secondary sex characteristics and a history of a few episodes of spontaneous uterine bleeding at the time of puberty have been reported, however. These women most likely had a few primordial follicles that responded to gonadotropic stimulation, resulting in some ovarian estrogen production. The somatic abnormalities associated with Turner syndrome are usually absent in individuals with pure gonadal dysgenesis. This disorder is probably genetic in origin, as it has been reported to affect siblings. We have experienced a case of premature ovarian failure due to 46XX pure gonadal dysgenesis which was found in primary amenorrhea. So we report this case with a brief review of literatures.