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      • KCI등재

        소아 및 청소년기에서 난소종물에 대한 임상병리학적경험

        최병철(Byoung Cheol Choi),임승욱(Seung Ug Lim),엄기남(Gi Nam Eom),송경철(Gyung Chel Song),이종민(Jong Min Lee),김광준(Gwang Jun Kim),김석영(Suk Young Kim),이순표(Soon Pyo Lee),이지성(Ji Sung Lee),황병철(Byung Cheul Hwang),박찬용(Chan 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.4

        N/A Objective : The purpose of this study was to review the incidence, clinicopathological feature, treatment, outcome in the series of childhood and adolescence with ovarian mass. Patients and Methods : Retrospective reviews of the medical recordings for 116 patients with ovarian mass under the age of twenty years old who were admitted, operated and confirmed with histopatholgical study at the department of obstetric and gynecology, Gachon medical school, Inchon, Korea for 8 years from Jan. 1993 till Dec. 2000. Results : Of 116 the patients who underwent surgical treatment, the incidence of malignant ovarian tumors was 15 cases(12.9%). If ovarian neoplasm alone are considered, the rate of malignancy increases to 17.6%. The frequency of ovarian malignancies correlated inverㅎsely with patient age. In the 0-10 age group ,40% had malignancies, as compared with 20.3% in the 11-15 age group and 15.3% in the 16-20 age group. On histopathological classification, the tumors originated from germ cell tumors were 55.2%, epithelial cell tumors were 40%, and sex-cord stromal tumors were 4.7%. According to FIGO classification of malignant ovarian tumor, stage I(80%) was most common, followed stage IV(13.3%), stage II(6.6%) and III(0%). 13 of the 15 malignant ovarian tumors, unilateral salpingoophorectomy was done in an attempt for reproductive organ conservation; 2 cases of stage IV disease were treated with hystrectomy, bilateral salpingoophorectomy and omentectomy. On follow up, only two ovarian malignancy stage IV died within 3 months and another is well. Conclusion : The frequency with which ovarian meoplasms malignancy in the under 20 age group is 17.6%. Because of their malignant potential in young girl, prompt evaluation and treatment is imperative.

      • KCI등재

        자연분만일 예측에 있어서 초음파측정법과 최종생리일 산출법의 비교

        김석영(Suk Young Kim),임승욱(Seung Ug Lim),김광준(Gwang Jun Kim),이지성(Ji Sung Lee),황병철(Byung Cheul Hwang),최유덕(Yu Duk Choi) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.5

        N/A Objectives : To evaluate whether the day of delivery for women with regular menstrual history was predicted best from the last menstrual period (LMP), crown rump length (CRL) and or biparietal diameter (BPD). Methods : All of 561 women had estimated the day of delivery by LMP, CRL in the first trimester (In case of 217 women, it was available) and BPD in the second trimester. The accuracy of each method in predicting the day of delivery was determined. Those who were delivered after the spontaneous onset of labor were included. Differences among these methods were evaluated with nonparametric tests. Results : The percentage of women who delivered within 3 days of the estimated day of delivery was 254(45.3%) and 216(38.5%) of the women with pregnancies by BPD and LMP, respectively. And within 7days of the estimated day were 408(72.7%), 390(69.5%) of the women from BPD and the LMP. In the women, the BPD estimate was significantly better predictor within the 7days of the day of delivery than LMP estimate (p=0.027). Compared to LMP estimate, CRL and BPD estimates seemed to be advanced the day of delivery about 2.6 days in CRL, and 0.9 days in BPD (p=0.004, p=0.034). But we could not find any advantage of the CRL measurement in first trimester than single BPD measurement in the second trimester for the predictor of the day of delivery. Conclusions : When the difference between the methods in predicting the day of delivery was less than 7 days, the BPD measurement was better than the last menstrual period.

      • KCI등재

        원발성 난관암 7 예에서의 임상적 경험

        엄기남(Ki Nam Eom),임승욱(Seung Ug Lim),노영수(Young Su Rho),송경철(Kyung Chul Song),이종민(Jong Min Lee),이지성(Jee Sung Lee),박찬용(Chan Yong Park),이의돈(Eui Don Lee),최유덕(Yu Duk Choi),하승연(Seung Yeon Ha) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.10

        N/A Objective : The aim of this study was to evaluate the clinical experiences of patients with the primary tubal cancer diagnosed and treated in the Department of Obstetrics and Gynecology, Gacheon Medical School from January 1996 to December 2000. Methods : Age, symptoms, Pap smear, CA-125, preoperative diagnosis, mode of surgery, stage, additional pathologic finding, mode of adjuvant therapy and survival periods of patients were reviewed retrospectively. Results : The mean age of patients was 57.4 years. The symptoms were vaginal spotting, leukorrhea and pelvic mass. Three patients were treated by simple hysterectomy and both salpingoophorectomy. Staging laparotomy was done in 4 patients. Three patients were in stage I, 2 patients were in stage II and 2 patients were in stage III. Endometrial adenocarcinoma was present in 1 patient and endometrial hyperplasia was present in 1 patient. The mean follow-up period of five patients were 25.4 months and 2 patients were lost for follow-up. Conclusions : The primary tubal cancer was rare gynecologic malignancy and the preoperative diagnosis was difficult due to non-specific symptoms and signs. Staging laparotomy and adjuvant chemotherapy should be done like in ovarian cancer. More studies may be needed for the associated endometiral diseases.

      • KCI등재

        임신중기 원인불명의 융모성 성선자극호르몬 상승과 임신예후와의 연관성

        송경철(Kyung Chul Song),이지성(Ji Sung Lee),임승욱(Seung Ug Lim),엄기남(Gi Nam Eom),강철규(Cheol Gyu Kang),최유덕(Yu Duk Choi),김석영(Sug Young Kim),황병철(Byoung Chul Hwang),김광준(Kwang Jun Kim),이의돈(Eui Don Lee),박찬용(Chan Yong 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8

        N/A Objective : The purpose of this study was to compare the neonatal and maternal infectious morbidity between single and multiple courses of antenatal betamethasone treatment in patients with preterm premature rupture of membranes. Methods : One hundred seventy patients who delivered neonates between 28 and 34 weeks' gestation after preterm premature rupture of membranes from January 1992 to July 2000 were reviewed retrospectively. Patients were divided into 3 groups on the basis of the following betamethasone exposures: (1) none (control subjects), (2) betamethasone 4 mg IM, IV simultaneously and then 4 mg IV q 8 hours for 24 hours (single course) and (3) weekly administration after initial single course (multiple courses). All included patients received prophylactic antibiotics for group B streptococci. The statistical analyses were done using χ2 test, Fisher's exact test and one way analysis of variance (ANOVA). Multiple logistic regression analysis was performed to determine the confounding effect of the multiple variables those were considered as risk factors for neonatal sepsis. Results : This study included 67 patients in the control group, 60 patients in the single course group, and 43 patients in the multiple courses group. The latency (p=.0001) was significantly longer in the patients exposed to multiple course than the patients in the control group and those in the single course group. No significant difference was demonstrated in the incidence of neonatal sepsis (p=.881) and postpartum endometritis (p=.619) among the three groups. Neonatal sepsis was significantly associated with clinical chorioamnionitis (p=.022). Conclusion : According to our data, multiple courses of antenatal betamethasone treatment in patients with preterm premature rupture of membranes was not associated with the increased incidence of neonatal sepsis and postpartum endometritis.

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