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임신 19 주에 선천성 후부 요도 판막 증후군 태아에서 시행된 방광 - 양막강 문합술 1 예
노정훈(Jeong Hoon Rho),박미혜(Mi Hye Park),임진섭(Jin Seob Lim),하중규(Joong Gyu Ha),오관영(Kwan Young Oh),양윤석(Yun Seok Yang),황인택(In Taek Hwang),정지학(Ji Hak Jeong),박준숙(Jun Sook Park) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
An ultrasonographic examination revealed increased fetal bladder size and decreased AFI as well as fetal bilateral hydronephrosis at 173 weeks` gestation. Diagnosis of the fetal posterior urethral valve syndrome was made. Percutaneous fetal bladder puncture with aspiration and amniocentesis was performed. The fetus was normal male karyotype and with a predicted good renal function(sodium concentration, chloride concentration, and osmolarity at 74 mEq/L, 60 mEq/L, and 148 mOsm, respectively). So, the fetus underwent amnioinfusion and vesico-amniotic shunting procedure (VASP) using a double-basket catheter at 194 weeks` gestation in order to prevent development of dysplastic kidneys and hypoplastic lungs. The healthy male baby was delivered at 384 weeks` gestation and had normally functioning kidney. Cutaneous vesicostomy was performed for the newborn since the urethral orifice was small. The one year old infant is now well and waiting for urethroscopic valve ablation procedure.
서정욱(Jeong Wook Seo),노정훈(Jeong Hoon Rho),오관영(Kwan Young Oh),박미혜(Mi Hye Park),김은경(Eun Kyung Kim),양윤석(Yun Seok Yang),황인택(In Taek Hwang),정지학(Ji Hak Jung),박준숙(Joon Sook Park) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
Objective : Our purpose was to evaluate the clinical appearance and outcome of pregnancy associated with ovarian tumors. Methods : A review was performed of patients who were seen with an ovarian tumor in pregnancy from January 1995 to December 1999. We excluded ovarian tumors that resolved spontaneously and were found simultaneously with ectopic pregnancy. Results : 1. The incidence of ovarian tumors in pregnancy was 69 in 10,550 deliveries.(1:153) One case of mucinous borderline malignancy was found. 2. The ovarian tumors occuring in pregnancy were the most common at 25 to 29 years old-pregnant women(42.0%) and more common in nulliparous pregnant women(59.4%) than in multiparous women.(40.6%) 3. The most common complication of ovarian tumors in pregnancy was torsion which is 10 cases(14.6%) 4. Pre-operative diagnosis of ovarian tumors was made in the first trimester(53.6%), second trimester(14.5%), and third trimester(31.9%) 5. Excluding the 20 cases of cesarean section, operation was performed at first trimester in 25cases(67.6%), at second trimester in 9 cases (24.3%), at third trimester in 3 cases (8.1%). 6. The surgical management was performed from 18 women and the conservative therapy was done at 6 cases. 7. According to the outcome of pregnancy, among 18 cases in which the ovarian tumor was removed, vaginal delivery occurred at term in 12 cases (66.7%), cesarean section in 5 cases(27.8%) and premature delivery in 1 case. Among the other cases in which conservative management was performed, term vaginal deliveries were done in 1 case(16.7%), cesarean section in 4 cases(67.0%) and premature delivery in 1 case(16.7%). 8. The histologic features of the exised ovarian tumors were benign cystic teratoma 25 cases (35.7%), mucinous cystadenoma 16 cases(22.9%), serous cystadenoma 10 cases(14.3%) and simple cyst 10 case(14.3%) 9. The cesarean section was performed in 32 cases including emergency operation. In 25 cases, common cause was due to obstetrical problem( elective repeat cesarean section, fetal malpresentation, labor disorder) and in the rest 7 cases was due to adnexal masses. Conclusion : Although the incidence of ovarian cancer in pregnancy is low, the incidental finding of an adnexal mass in pregnancy is more common. Because complications of surgery are increased in pregnancy, operative management needs to be considered. Our data was consistent with what has been reported clinical study to determine optimal management of an ovarian tumor in pregnancy.
근치적 자궁절제술을 시행받은 자궁경부암 환자의 임상적 고찰
정성운(Seong Un Jeong),조성중(Sung Joong Cho),김장환(Jang Hwan Kim),이남우(Nam Woo Lee),김경진(Kyung Jin Kim),박미혜(Mi Hae Park),황인택(In Tak Hwang),정지학(Ji Hak Jung) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.8
Objective: The purpose of this study was to analyze the clinical study for patients with cervical cancer who had undergone radical hysterectomy. Method: The subjects of this study were one hundred and sixty two patients with cervical cancer who had undergone radical hysterectomy at Eulji Medical College Hospital, Taejon, Korea, from January 1983 to December 1992. We reviewed the medical record retrospectively and analyzed the data. Result: The distribution of patients by age was found in the order of 50 decade and 60 decade, 40 decade. Those by the clinical stages were as follows: Stage Ia, 12 cases(7.4%); Stage Ib, 84 cases(51.9%); Stage IIa, 39 cases(24.1%); Stage IIb 27 cases(16.7%). The results of histopathologic type were distributed as follows: squamous cell carcinoma was 91.9%, adenocarcinoma was 4.9% and adenosquamous cell carcinoma was 3.1%. The histologic subtypes of squamous cell carcinoma(149 cases) were as follows: Large cell non-keratinizing type was 75.9%, large cell keratinizing type was 14.8% and small cell type was 1.2%. The frequancy of lymph node metastasis was 22.9% in stage I and 31.8% in stage II. The overall incidence of lymph node metastasis was 26.4%. The frequency of external radiation therapy done after radical hysterectomy was 63.5% in stage I and 75.8% in stage II. The 5-year survival rate was as follows: The Ia was 100%; Stage Ib, 95.2%(4cases); Stage IIa, 87.2%(5cases); Stage IIb, 77.8%(6cases). The incidence of recurrence was 7.4% and recurrent sites were vaginal stump , rectum and pelvic wall. Conclusion: The highest incidence of cervix cancer in age distribution was 50 decade(30.9%) and 60 decade(30.9%). The most common clinical stage was Ib(51.9%) and most frequent pathologic type was squamous cell carcinoma(91.9%). The overall incidence of lymph node metastasis was 26.4% and The most common site of recurrence was vaginal stump. The 5-year survival rate was 100% in the stage Ia, 95.2% in the stage Ib, 87.2% in the stage IIa, 77.8% in the stage IIb.
CGH를 이용한 한국인 자궁경부 편평상피세포암 세포주의 염색체 DNA 변이 분석
오관영 ( Kwan Young Oh ),박수연 ( Soo Yun Park ),정지학 ( Ji Hak Jeong ),황인택 ( In Taek Hwang ),박준숙 ( Joon Sook Park ),박미혜 ( Mi Hye Park ),전선희 ( Shun Hee Chun ),김승철 ( Seung Chul Kim ),김종일 ( Jong Il Kim ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.3
Objective: Comparative genomic hybridization (CGH) is a new fluorescence in situ hybridization (FISH) technique to identify genomic aberrations in cancers. The purpose of this study was to analyze non-random chromosomal DNA aberrations involved in cervica
Methotrexate를 이용한 보존적 치료로 성공한 유착태반
이병관 ( Byung Kwan Lee ),강경화 ( Kyung Hwa Kang ),노정훈 ( Jeong Hoon Rho ),오관영 ( Kwan Young Oh ),양윤석 ( Yoon Seok Yang ),황인택 ( In Taek Hwang ),정지학 ( Ji Hak Jung ),박준숙 ( Joon Suk Park ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.2
Placenta accreta is a rare condition and is associated with considerable maternal morbidity and mortality. Though hysterectomy is a definitive therapy, there are some occasions that conservation of the uterus is desired by the patient and bleeding is not
조동식 ( Dong Sig Cho ),이관구 ( Kwan Koo Lee ),김경진 ( Kyung Jin Kim ),황인택 ( In Taek Hwang ),정지학 ( Ji Hak Jeong ) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.12
Leiomyomas of the vulva are uncommonly reported. These tumor appear as a solitary firm mass varying in size. As a rule, Leiomyoma arise from the smooth muscle of the erectile tissue in the vulva, although they also arise from the round ligament of the uterus. We experienced a case of leiomyoma in vulva, and present it with a brief review of the literatures.
임신중 철분제제 투여가 임산부 혈색소치와 신생아 체중에 미치는 영향
황인택 ( In Taek Hwang ),박미혜 ( Mi Hye Park ),양윤석 ( Yun Seok Yang ),오관영 ( Kwoan Young Oh ),정지학 ( Ji Hak Jeong ),박준숙 ( Joon Suk Park ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.7
Objective :This study was performed to evaluate the effects of oral administration of iron supplements during pregnancy on maternal hemoglobin concentrations and birth weights. Method: Data from clinical records of 141 pregnant women and their babies were analysed. Studied mothers were classified to 3 groups such as non iron supplement group (group I ), 2-3 months supplement group (group II), and over 4 months supplement group (group III) by the duration (months) of oral supplement prescribed. Results : There was positive correlation between hemoglobin levels and iron supplement duration. Proportions of anemia showed decreasing basis with the increasing iron supplement duration. The maternal hemoglobin levels showed decreasing basis with the increasing birth weight. There was positive correlation between iron supplement duration and maternal hemoglobin levels, but there was no significant correlation between iron supplement duration and birth weight. For the group I (non-supplement group), maternal hemoglobin levels were decreased with the increasing birth weight but there was no significant correlations between hemoglobin levels and birth weights with increased iron supplement duration. Conclusion :There was a significant inverse correlation between matemal hemoglobin levels and birth weight in non-iron supplement group but there was no significant correlations between hemoglobin levels and birth weights with increased iron supplement duration.
폐경후 여성에서 척추 골밀도 변화에 대한 다변량 회귀분석
양윤석 ( Yun Seok Yang ),오관영 ( Kwoan Young Oh ),박미혜 ( Mi Hye Park ),황인택 ( In Taek Hwang ),정지학 ( Ji Hak Jeong ),박준숙 ( Joon Suk Park ) 대한폐경학회 2001 대한폐경학회지 Vol.7 No.1
N/A Objective : Using multiple linear regression models, We have determined the relationship between the dependent variables, spinal bone mineral density(BMD) and easily obtained biometrical variables in 250 postmenopausal women Method : The main outcome measures were patient`s age, menstrual and menopausal factors (age at menarche, age at menopause, duration after menopause), anthrophometric factors(height, weight, BMI), obstetric history(number of delivery, abortion and feeding). Dual energy X-ray absorptiometry(DXEA) was performed at L2-4 region of Lumbar spine in 250 postmenopausal women during the 2 year from June 1998 to June 2000. these data were analyzed using SPSSWIN 9.0 statistic program. Results : After stepwise multiple regression analysis, spinal BMD in postmenopausal women is 0.563-0.0077(duration of menopause, year)+0.0054(body weight, ㎏)(p<0.001, R2=0.30) Conclusion : This study suggests that multiple regression models examining determinants of bone density at the lumbar regions showed that prolonged duration of menopause and decreased body weight in postmenopausal women were statically significant predictors of bone demineralization.