http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
여성의 클라미디아 트라코마티스 감염에 대한 임상적 고찰
김종오(Jong Oh Kim),윤일영(Il Young Yun),정도영(Do Young Chung),조봉춘(Bong Choon Jo),송승규(Seung Kyu Song) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.10
Objective : Chlamydia trachomatis is one of the most common causative microorganisms in pelvic inflammatory disease. The symptom of Chlamydia infection is nearly absent or weak in many cases, but its complication is clinically very important because of tubal obstruction, infertility, tubal pregnancy, and recurrent pelvic inflammatory disease. This study was performed to investigate the prevalence rate and clinical characteristics of Chlamydia trachomatis. Methods : From May, 2001 to April, 2002, in Daerim St. Mary`s Hospital, OB-Gyn department, the 68 inpatients of pelvic inflammatory diseases and 607 outpatients of routine gynecologic examination were studied on history taking, physical examination, laboratory test, and polymerase chain reaction for the detection of Chlamydia trachomatis. Results : The prevalence rate of Chlamydia trachomatis was 20.6% (14/68) in pelvic inflammatory disease and 8.6% (51/593) in routine gynecologic examination. As regarding the age distribution of Chlamydia trachomatis positive group was the largest portion in the twenties, and symptom-free group was about 40%. Chlamydia infection was related to the history of artificial abortion, and showed no significant difference in parity. Most common site of infection was uterine cervix, and mixed infection rate with other bacteria was 43.1%. The treatments were given medically in 58 cases, surgically in 6 cases, and laparoscopy in 1 case were performed. Conclusion : Although the prevalence rate of Chlamydia infection is high in sexually active age group and Chlamydia infection has a serious bad effect on reproduction, the disease detection is difficult because symptom is weak or absent, but it reveals good cure rate. Therefore the screening and treatment of Chlamydia trachomatis are necessary to decrease the prevalence and prevention of complication.
최용석(Yong Seok Choi),김종오(Jong Oh Kim),이성림(Seong Lim Lee),송승규(Seung Kyu Song),조봉춘(Bong Choon Jo) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.10
Hyperemesis gravidarum is characterized by severe nausea, vomiting followed by weight loss, dehydration, electrolyte imbalance and acid-base derangements. Its treatment was composed of adequate fluid therapy, electrolyte replacement and nutrient supply. In severe case, it also leads to a variety of neurological symptoms including confusion, gait disturbance and nystagmus, possibly due to thiamine deficiency and may result in so called Wernicke's disease. We have experienced a case of Wernicke's encephalopathy associated with severe hyperemesis gravidarum and this case is presented with a brief review of literature.
보존적 요법으로 치유된 10주 및 8주의 자궁경부임신 2예
김성은(Seong Eun Kim),김명찬(Myoung Chan Kim),신세원(Se Won Shin),하상범(Sang Byum Ha),최용석(Yong seok Choi),조봉춘(Bong Choon Jo) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.9
Cervical pregnancy is a rare and dangerous form of ectopic pregnancy in which the blastocyst implants within the cervical canal below the internal os of the uterine cervix. The characteristic clinical sign is a severe asymptomatic uterine bleeding in early pregnancy or during curettage. Most cervical pregnancies result in early spontaneous abortion, complicated by severe hemorrhage from the eroded blood vessels within the cervical tissue. Because of uncontrolled profuse vaginal bleeding, total hysterectomy has been the mostly necessitated to control life-threatening bleeding. Transvaginal sonography allows early diagnosis, and conservative treatment (two-time treatment : first treatement with systemic or intraamnionic methotrexate, secondly with curettage or ligature of the uterine arteries) improves the patient's fertility. Successful treatment is defined as elimination of the cervical pregnancy with preservation of the uterus. We report two cases of cervical pregnancy managed, successfully with methotrexate, leucovorin and curettage.
김명찬(Myeong Chan Kim),하상범(Sang Bum Ha),최용석(Yong Suk Choi),김종오(Jong Oh Kim),이성림(Seong Lim Lee),이헌경(Hun Kyung Lee),송승규(Seung Kyu Song),조봉춘(Bong Choon Jo) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10
Objective : Ovarian hemorrhage in a woman of reproductive age is often confused with other surgical emergencies such as acute appendicitis and ectopic pregnancy because there are no typical symptoms and signs that will make definitive diagnosis possible. The authors analyzed 101 cases of ovarian hemorrhages with the purpose of obtaining rapid and precise diagnosis and appropriate treatment. Methods : We analyzed 101 cases of ovarian hemorrhages at the Department of Obstetrics and Gynecology at Dae Rim Saint Mary's Hospital from 1993 to 1999. This analysis includes 96 preexisting cases involving finalized successful surgical treatment and 5 inpatient cases involving conservative treatment. We examined age, parity, clinical features, elapsed days of cycle, histopathologic findings, and operative methods.Results : Mean age of occurrence was 26.3 years, and 57.4% of the cases occurred in nullipara. 64 cases involved the right ovary, and 18 cases were associated with paracoital injuries. The onset of symptoms occurred most frequently between the 20th and 30th days of the menstrual cycle. The histopathologic findings were corpus luteum cyst(30.7%), corpus luteum(24.8%), follicular cyst(14.9%), and ovarian pregnancy(8.9%). The most common type of operation is ovarian cystectomy or ovarian wedge resection(61.4%).Conclusion : Ovarian hemorrhage is a relatively common disease which is accompanied by severe abdominal pain and often life-threatening surgical conditions. Therefore, differential diagnosis should be performed rapidly and precisely from other acute abdomens in a woman of reproductive age. Surgical management should be performed rapidly if indicated. If ovarian hemorrhage is minimal, it can be managed by observation or conservative treatment.
채일현(Ill Hyoun Chae),김명찬(Myoung Chan Kim),신세원(Se Won Shin),이성림(Seong Lim Lee),김인선(In Sun Kim),김인배(In Bae Kim),조봉춘(Bong Choon Jo),최인철(In Cheol Choi),박종각(Jong Gak Park) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.8
Holoprosencephaly is a rare malformation complex or development defect including different degrees of incomplete cleavages of the embryonic prosencephalon and varying degrees of the midface defects, resulting from the defect of prechordal mesoderm, migrating forward into the area anterior to the notochord during the third week of fetal development. Early antenatal diagnosis of holoprosencephaly is important to find out its severity, to predict its prognosis, and to determine proper management according to its prognosis and severity. The possibility of early antenatal diagnosis of holoprosencephaly by ultrasound has been suggested, but occasionally missed and rarely confirmed. We present one case of lobar holoprosencephaly, diagnosed postnatally and one case of alobar holoprosencephaly, diagnosed antenatally in our hospitals.