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정학영(HY Chung) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.2
국립의료원 산부인과에서 1959년 1월초부터 1972년 12월말까지 약 14년간 자궁적출술을 시 행한 총 1,442예 중 자궁선근증 242예에 대하여 임상 및 병리학적으로 관찰하였던 바, 다음 과 같은 결론을 얻었다. 1) 자궁선근증의 발생빈도는 16.8%였다. 2) 연령은 40∼50세가 58.7%로 가장 많았고 평균연령은 45.1세였다. 3) 분만회수별 빈도는 경산부가 비경산부보다 3배 이상 많았다. 4) 증상 중 월경과다 및 불순이 63.3%로 가장 많았고, 월경통이 30.7%로 그 다음이었으며, 증상의 지속 기간은 10개월 미만이 가장 많았다. 5) 합병질환 중 자궁근종이 33.9%로 가장 많았다. 6) 자궁선근증에 비하여 골반내막증은 대단히 희귀하였다. 7) 자궁내막소견은 분필기가 48.8%로 가장 많았고, 과도내막증식증은 30.6%였다. 8) 자궁선근종과 제와절개술 간에는 관련성이 희박하였으나, 소파수술과는 관련이 있는 것 같았다. 9) 자궁선근증의 임상증상이 내막조직의 근층내진입 정도에 따라 경중으로 나타나는 경향을 보았다. 10) 자궁선근증의 합병군과 비합병군 간에는 임상증상과 그 지속기간 이외에 다른 주목할만 한 차이점을 발견할 수 없었다. Two hundred and fourty two patients with adenomyosis were studied clinically and pathologically among 1,442 hysterectomy in the gynecologic ward of the National Medical Center, Seoul, during 14 years, from Jan. 1, 1959 to Dec. 31, 1972. The results were summarized as follows : 1) 242 instances of adenomyosis were found in 1,442 uteri, an incidence of 16.8 percent. 2) Age incidence was highest in 41 to 50 years of age group, an incidence of 58.7 percent. 3) Adenomyosis was much more frequently noted in parous woman than non-parous woman, such as 76.9 percent, and 23.1 percent respectively. 4) Menometrorrhagia was the most common symptom of adenomyosis, more than a half of all cases. 5) Myoma was the most frequent combined disease in adenomyosis, an incidence of 33.9 percent. 6) Pelvec endometriosis was rarely noted in this study, an incidence of 4.9 percent. 7) Endometrial findings of adenomyosis showed secretory endometrium in the highest incidence, a half of all cases. 8) There was no relationship between the incidence of adenomyosis and previous laparotomy, including cesarean section. 9) The degree of extent of the lesion tends to affect reverity of the symtoms and signs. 10) No remarkable difference of clinical and pathological findings were found except for clinical symtoms and it`s furation between two groups of adenomyosis, combined with or without other pelvic lesion.
정학영(HY Chung),조인제(IJ Cho),박홍균(HK Park) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.3
양성 난소 점액낭종 파열에 의한 복막점액종의 1 예를 보고하는 바이다. Myxoma peritonei is defined by Willis (1952) as a condition of massive gelatinous accumulation in the peritoneal cavity and gelatinous infiltration of the serous tissue resulting from perforation of mucinous cystoma of the ovary. Although mucinous peritonei is usually of ovarian origin a similar condition results from rupture of a mucocele of the appendix. A case of pseudomyxoma peritonei originated from benign mucinous cystadenoma of the ovary is repotred with a brief review of the literature.
조인철(IJ Cho),정학영(HY Chung),김선동(SD Kim),박인제(IS Park) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.9
A case of cervico-vaginal endometriosis is presented, which was impressed as a papilloma before biopsy was done. The sites and histogenesis of endometriosis are reviewed from textbooks and medical journals which have been interesting, even controversial for many years.
양석기(SK Yang),주영철(YC Joo),정학영(HY Chung) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.10
난관결찰술후 발생한 자궁외임신 2 예를 보고하는 바이다. Two cases of failed tubal ligation followed by ectopic pregnancy are presented with a brief review of literature.