비장임신 1 예

조성남(SN Cho),이춘근(CK Lee),김종덕(JD Kim) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.7

Primary splenic pregnancy is the rarest form of extrauterine pregnancy. A case of this rare entity is presented in which a pregnancy was found to arise from the spleen, requiring splenctomy. In addition to the classic signs of a fulminant ruptured ectopic pregnancy, a history of upper abdominal pain was the only distinguishing feature. A case of splenic pregnancy was experienced in our hospital recently, is presented with a review of literatures.

외음에 발생한 거대 평활근종 1 례

조성남(SN Cho),안진섭(JS Ahn),김종덕(JD Kim) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.5

저자등은 아주 희귀하게 발생되는 외음 평활근종 1예를 41세 부인에서 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. The paucity of articles on benign tumors of the vulva in recent years attests to their rarity. Still rarer are cases of pure leiomyma of the vulva. A case report of a huge leiomyoma of the vulva which was experienced in our hospital recently, is presented with a review of literatures. This interest of this case repors lies in the initial dificult diagnosis and in the possible origin of the tumor.

Assessment of Pregnancy Outcome in IUGR Fetuses , Using the Doppler Flow Velocimetry of the Umbilical and Middle Cerebral Artery

조성남(SN Cho) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.8

Objectives:The purpose of this study in intrauterine growth retardation(IUGR) is to assess the relationship between the Doppler flow velocimetry and pregnancy outcome. Study design:356 normal and 159 growth retarded fetuses between 21 and 42 gestati- onal weeks were investigated retrospectively. All IUGR fetuses were divided into four gro- ups according to the results obtained by Doppler flow velocities as follows. 1) Group 1(n= 89):patients had normal umbilical artery resistance index ( Rlu ) and normal middle cerebral artery resistance index ( Rlmca ) 2 ) Group 2 ( n= 9 ):patients had normal Rlu and abnormal Rlmca 3 ) Group 3 ( n=25 ):patients had abnormal Rlu and normal Rlmca 4) Group 4 ( n=36 ): patients had abnormal Rlu and abnormal Rlmca. Results:We obtained normal values of RIu and RImca in oriental. Abnormal cardiotoc- ography(CTG) findings and operative delivery for fetal distress were significantly increased in group 2(p<0.05) and markedly increased in group 3 and 4 ( p<0.01 ) compared with group 1. Adverse neonatal outcome was significantly increased in group 3 and 4 compared with group 1. There is significant increase of adverse neonatal outcome in group 4 compared with group 3 ( p<0.05 ). Conclusions:We obtained the normal values of Rlu , Rlmca and cerebroplacental ratio ( CPR ) in oriental. Adverse neonatal outcome was significantly increased in group 2, 3 and 4 compared with group 1. There is significant increase of adverse neonatal outcome in gr- oup 4 compared with group 3. We also found a strong correlation between the CPR and adverse neonatal outcome in IUGR. In IUGR, centralization of the fetal circulation turned out to exist , resulting in a preferential shunting of blood flow to the fetal brain. Brain-sp- aring effect with Doppler flow velocimetry could be demonstrated by this result.

A survey of model-parallel techniques for deep learning models

김수정,전병곤 한국정보과학회 2018 한국정보과학회 학술발표논문집 Vol.2018 No.12

임신자궁의 염전 2예

박종덕(JD Park),조성남(SN Cho),김영인(YI Kim),변지수(JS Pyun) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.9

전북대학교 의과대학 산부인과학교실에서 기형인 쌍각자궁과 동복자궁의 한쪽이 임신중에 염전을 일으켜 태아는 모두 이미 자궁내에서 사망했고, 응급개복술을 요하는 상태로 내원한 두 환자를 치험하였기에 문헌 고찰과 더불어 보고하는 바이다. The cases of the torsion of the pregnant uterus are reported with the review of literature. Uterine torsion during pregnancy is very rare. In the two cases investigated, uterine apoplexy (Couvelaire uterus) and congestive edematous swelling of the affected adnexa were noticed. A brief summary of the uterine torsion in pregnancy and the congenital anomalies of the uterus were reviewed.

만삭산모에서 음향자극검사를 이용한 태아심음반응과 태아안녕의 평가

김종덕 ( JD Kim ),장은실 ( ES Chang ),조성남 ( SN Cho ),강경석 ( GS Kang ),정유석 ( YS Jeong ),엄철 ( C Um ) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.12

Objective clinical evaluation of fetal health is primary goal of obstetrics care. Fetal acoustic stimulation test(AST) has recently received much attention in the literature. To improve the predictive value and to decrease the length of nonstress testing, there has been a wide spread introduction of different acoustic stimulation tests combined with nonstress testing in the assessment of fetal health. This study was undertaken to assess the clinical efficacy of AST on 70 nonmal term pregnant women who are anatomically singleton fetus with vertex presentation and normal amnionic fluid volume from Sep. 1, 1990 to Dec 31, 1990 at the Department of Obstetrics and Gynecology, Chonbuk National University, Medical School. The results were as follows: 1. Fifty one (72.9%) fetuses had reactive fetal heart rate patterns during the control feriod but sixty three(90.0%) fetuses demonstrated reactive fetal heart patterns after vibratory acoustic stimulation. 2. Mean baseline fetal heart rate, mean frequency of accelerations > 15-beats/min, duration of 15-beat accelerations, precentage of acceleration time and mean frequency of fetal movement were significantly increased after vibratory acoustic stimulation(P<0.01). 3. Comparison of Perinatal outcome for reactive versus nonreactive acoustic stimulation showed significanly increases in the incidence of meconium staining of the amnionic flud, cesarean section for fetal indication, Apgar score<7 at 1, 5 minutes, umbilical artery pH<7.20(p<0.01) and newborn intense care unit admission(P<0.001) in the nonreactive group. 4. Predictive value of acoustic stimulation test in antepartum surveillance showed low prevalence rate (below 10%), high sensitivity and negative predictive value(above 90%) respectively. So acoustic stimulation test were considered as an excellent test than nonstress test for the evaluation of fetal well-being.

Nifedipine ( Adalat ) 과 Ritodrine Hydrochloride ( Yutopar ) 의 조기진통억제효과 및 안정성에 대한 비교연구

송완례(WR Song),서성진(SJ Seo),박종을(JE Park),조윤희(YH Cho),조성남(SN Cho),김종덕(JD Kim) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10

Preterm delivery of infants before 37 completed week of gestation complicates 8-10% of births and is a leading cause of neonatal morbidity and mortality. In an attempts to prevent the sequalae of premature delivery attention logically centered on effort to find safe and effective tocolytic drugs. The drug most commonly used in this country for the suppression of preterm labor is ritodrine hydrochloride and its efficacies were assessed by several means, but several randomized studies have confirmed higher failure rate of tocolysis from tachyphylaxis and serious maternal side effects. Calcium channel blockers and oxytocin antagonists are an attractive alternative to the current tocolytic drugs because of high specificity and lack of serious maternal, fetal or neonatal side effects. This study was undertaken to assess the clinical efficacies of nifedipine and ritodrine hydrochloride on 122 patients admitted with preterm labor from Jan. 1, 1994 to Dec. 31, 1995. The results were as follows: 1. The incidence of preterm labor was 8.6-10.1% of total number of delivery. 2. The risk factors of the preterm labor were premature rupture of membrane, incompetent cervix, placenta previa, previous preterm delivery, acute pyelonephritis, uterine myoma and uterine anomaly in order, but 40.2% of preterm labor had no apparent risk factors. 3. The days gain in uterus was no statistically different between the nifedipine group and the ritodrine group but markedly longer in the two groups than the control group(P

만삭임신 시 조기파수 환자에서 진통유발을 위한 Prostaglandin E2의 평가

조유진(YJ Jo),이종진(JJ Lee),문현창(HC Moon),서성진(SJ Seo),조성남(SN Cho) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.7

Objective: The management of premature rupture of the membranes in healthy pregnancy women at term without uterine activity is a matter of debate. A retrospective study comparing three management methods for patients at term with premature rupture of membranes was performed. Methods: This study was undertaken to compare the effectiveness of intravaginal prostaglandin E2 [PGE2] of term labor with oxytocin induction and expectant management in healthy 140 pregnant women with spontaneous rupture of membranes before the onset of labor from Jan. 1, 1996 to Dec. 31, 1997 at the Department of Obstetrics and Gynecology, Chonbuk National University, Medical School. Results: The time interval to delivery was shorter in prostaglandin and oxytocin groups versus control group with statistical significance[P<0.05]. The incidence of maternal infection was lowest in prostaglandin group versus oxytocin and control groups with statistical significance[P<0.05]. Overall cesarean section rate was low in prostaglandin group versus oxytocin and control groups without statistical significance. No adverse effects were observed in prostaglandin group. Conclusion: Vaginal PGE2 suppository can be used successfully to induce labor after premature rupture of membranes at term with greater ease of adminstration when compared with oxytocin.

Ritodrine Hydrochloride ( Yutopar ) 와 Magesium Sulfate ( Magrose ) 의 조기진통 및 부작용에 대한 비교탐구

김난경(NK Kim),유은영(EY Yoo),정영주(YJ Jung),송완례(WR Song),이호성(HS Lee),조성남(SN Cho) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.8

Prematurity, together with its complication, remains the most frequent preventable cause of neonatal loss. In an attempt to prevent the sequalae of premature delivery attention has logically centered on effort to find safe and effective tocolytic drugs. The drugs most commonly used in this country for the suppression of preterm labor are ritodrine hydrochloride and magestium sulfate and its efficacies were assessed by several means. This study was undertaken to assess the clinical efficacies of ritodrine hydrochloride and magesium sulfate on 78 patients admitted with preterm labor from Jan. 1, 1990 to Dec. 31, 1992. The results were as follows: 1. The incidence of preterm labor was 8.6-9.5% of total number of delivery. 2. The risk factors of the preterm labor were premature rupture of membrane, incompetent cervix, previous preterm delivery, placenta previa, chorioamnionitis, hydroamnios, twin pregnancy, pyelonephritis, and uterine myoma in order, but 37% of preterm labor had no apparent risk factors. 3. The days gain in uterus was no statistically difference between the ritodrine group and the magrose group but markedly longer in the two groups than the control group (p

경막외 마취에 의한 무통분만과 자연분만의 비교연구

조성남,조용현,이동복,유철희 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.3

1988년 1월 1일부터 1988년 6월 30일까지 만 6개월동안 전북대학교병원 산부인과에 입원한 산모중 지속적 경막외마취를 시행한 임산부 87예(초산부 69예, 경산부 18예)와 대조군 경막외마취를 시행하지 않은 87예를 비교분석하여 다음과 같은 결론을 얻었다. 1. 분만 제 1기의 시간은 초산부와 경산부에서 경막외마취를 시행한 군과 대조군이 유사하였고, 분만 제 2기의 시간은 초산부에서 경막외마취를 시행한 군이 대조군에 비해 현저히 증가(P$lt;0.01)하였고, 경산부에서도 경막외마취를 시행한 군이 대조군에 비해 증가하였으나 통계학적 의의는 없었다. 제왕절개율은 초산부에서 두 군간에 유의한 차이가 없었으며 경산부에서는 두 군 모두 질식분만을 하였다. 3. 신생아 Apgar점수와 체중은 두 군간에 유의한 차이가 없었다. 4. 합병증은 저혈압 9.2%, 전신전율 8.1%, 요통 5.8%, 오조 및 구토 4.6%, 소양증 1.5%로 경미했으며 척추마취는 신경증상은 없었다. 5. 무통효과는 초산부와 경산부에서 대부분 탁월한 만족도를 보였다. In a retrospective study, 87 women (primiparas 69 cases, multiparas 18 cases) who had continuous epidural nalgesia for pain relief during labor and delivery were matched by age, parity and obstetric history with 87 women who did not have epidural analgesia for delivery at Department of Obstetrics and Gynecology, Chonbuk National University Medical School during 6 months from Jan. 1, 1988 to Jun. 30, 1988. The results were as follows: 1. The duration of the first stage of labor was similar between the two groups (the epidural group and the control group) in primiparas and multiparas, and that of the second stage of labor was significantly longer in the primiparous epidural group than the primiparous control group (p $lt; 0.01), but did not differ significantly between the two groups in the multiparas. 2. The frequency of instrumental delivery was significantly increased int he primiparous epidural group than in the primiparous control group (p $lt; 0.01) and also increased in the multiparous epidural group than in the mulltiparous control group without stastical significance. Cearean section rate did not differ significantly between the two groups in the primiparas. All of the multiparas were delivered vaginally in both groups. 3. The Apgar score and birth weight of the newborns were similar between the two groups in theprimiparas and multiparas. 4. The frequency of complications of epidural analgesia was in order of hypotension (9.2 %), shivering (8.1 %), backache (5.8 %), nausea and vomiting (4.6 %), pruritus (1.5 %), respectively. 5. In view of satisfactory degree during labor after epidural analgesia, most of primiparas and multiparas were excellent and good (75.4 % versus 66.6 %, 17.4 % versus 22.2 %, respevtively).