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복강경하 양측 자궁 동맥 결찰술을 이용한 자궁 근종 치료 후 발생한 자궁내 임신의
민주영 ( Joo Young Min ),송승훈 ( Seung Hun Song ),이경주 ( Kyeung Ju Lee ),이재관 ( Jae Kwan Lee ),오민정 ( Min Jung Oh ),서호석 ( Ho Suk Saw ),박용균 ( Yong Kyun Park ),조수용 ( Soo Young Chough ),허준용 ( Jun Young Hur ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.6
Uterine artery ligation or embolization is a minimally invasive alternative for treatment of symptomatic leiomyoma. However, the experience with pregnancy management and outcome after ablating uterine blood flow is still unknown. We have recently experien
자연 폐경 및 수술적 폐경 여성에서 티볼론이 지질대사에 미치는 영향
허준용 ( Jun Young Hur ),정유아 ( Yu A Jeong ),송승훈 ( Seung Hun Song ),이재관 ( Jae Kwan Lee ),오민정 ( Min Jeong Oh ),서호석 ( Ho Suk Saw ),박용균 ( Yong Kyun Park ),조수용 ( Soo Yong Chough ) 대한폐경학회 2003 대한폐경학회지 Vol.9 No.4
연구목적: 자연 폐경 및 수술적 폐경 여성에서 티블론이 지질대사에 미치는 영향을 알아보기 위한 연구이다. 연구 방법: 폐경 증상의 치료를 위해서 내원하여 1년간 티블론을 투여받은 25명의 자연 폐경 여성과 20명의 수술적 폐경 여성을 대상으로 후향적 연구를 시행하였다. 연구 결과: 티블론을 1년간 투여한 후 혈중 중성지방과 총 콜레스테롤, 저밀도 지단백 콜레스테롤 농도는 각각 22.72%, 10.37%, 19.68% 감소하여 통계적으로 유의한 감소를 보였고, 저밀도 지단백 콜레스테롤은 8.57% 증가하였으나 통계적으로 유의한 변화를 보이지 않았다. 자연 폐경 여성과 수술적 폐경 여성에서의 변화를 비교한 결과 자연 폐경 여성에서, 총 콜레스테롤 농도가 통계적으로 유의하게 더 많이 감소하였고, 중성 지방과 저밀도 지단백 콜레스테롤, 고밀도 지단백 콜레스테롤 농도는 통계적 의의는 없었으나 더 많이 감소하는 양상을 보였다. 결론: 1년간의 티블론 치료는 자연 및 폐경 여성에서 지질대사에 영향을 미치며, 이러한 변화는 자연 폐경 여성에서 수술적 폐경 여성에서보다 뚜렷하였다. 이러한 변화가 실제로 심혈관 질환의 일차 또는 이차 예방 효과가 있는지는 향후 연구를 통해서 밝혀져야 할 것이다. Objective: To evaluate the effects of tibolone on the lipid metabolism in natural and surgical menopausal women. Methods: In a retrospective study by the medical record review, the effects of tibolone 2.5 mg/day(N=45) for a 12 month period on lipid profiles between natural and surgical(oophorectomized)menopausal women were compared. Results : women treated with tibolone for 12 months experienced the decreases in TG(triglycerides), TC(total cholesterol), and HDL-C(high density lipoprotein-cholesterol) levels by 22.72%, 10.67%, and 19.68%, respectively, compared with baseline level, but no significant increase in LDL-C(low density lipoprotein-cholesterol) level. Between natural and surgical menopausal women, there was statistically significant difference in change of total cholesterol level, whereas no marked difference in changes of HDL-C, LDL-C and triglyceride levels. conclusion: Tibone treatment for 12 months is associated with a marked and significant decrease in triglyceride, total cholesterol and HDL-C level and significant difference in change of total cholesterol level between natural and surgical menopausal women, Clearly, further studies are necessary to establish the definite risk/benefit ratio of tibolone with respect to its overall effect on lipid metabolism.
고도로 상승된 혈중 CA - 125 를 보이는 비파열 자궁내막종 1 예
오희숙(Hee Suk Oh),조수용(Soo Yong Chough),박용균(Yong Kyun Park),서호석(Ho Suk Saw),김철환(Chul Hwan Kim),허준용(Jun Young Hur) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.2
CA-125 is an antigenic determinant expressed by more than 80% epithelial ovarian cancer. Although developed for use in the diagnosis and monitoring of epithelial ovarian cancer, elevations of CA-125 concentrations can also be associated with some normal physiologic conditions, various other malignancies and benign conditions. Adnexal cysts are frequently encountered during the reproductive years. 10 to 35% of benign cystic adnexal masses may be an endometrioma. Because endometriomas are not likely to resolve spontaneously, and may enlarge or rupture during period of observation, a test to detect an endometrioma would assist in the evaluation and management of adnexal cysts. Serum CA-125 concentration is seldom >100 U/ml in endometriosis. We reported a patient with endometrioma presenting with a very high CA-125 concentration, which may confuse diagnosis with ovarian cancer.
도플러 초음파를 이용한 제대동맥 및 하강흉부 대동맥 혈류속도 파형에 따른 주산기 합병율 고찰
이재관(Jae Kwan Lee),허준용(Jun Young Hur),서호석(Ho Suk Saw),박용균(Yong Kyun Park),조수용(Soo Yong Chough) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.10
Objectives: Early diagnosis of intrauterine growth retardation is important to ensure optimal monitoring and delivery with the introduction of real-time and Doppler ultrasound systems, a noninvasive method of measuring human fetal blood flow has become available. The aim of this study is to compare blood flow velocity waveforms at the fetal descending aorta and umbilical artery in normal and in patients with pregnancy induced hypertension. Methods: Using a combination of linear array real-time and pulsed Doppler ultrasound, blood flow velocity measurements were carried out at the fetal descending aorta and umbilical artery in 35 normal pregnancies and 18 cases of pregnancy induced hypertensive patients. Results: The mean systolic/diastolic ratio of umbilical artery and aorta was significantly higher in PIH patients than in normal pregnancies(3.8 ± 0.81 versus 2.97 ± 0.52, p<0.05) and to predict perinatal morbidity, umbilical velocimetry is more sensitive than that of descending thoracic aorta. Conclusion: This study suggests that umbilical artery velocimetry could be used as a marker to predict adverse perinatal outcome.
Epithelioid Trophoblastic Tumor
신정호 ( Jung Ho Shin ),오희숙 ( Hee Suk Oh ),조수용 ( Soo Yong Chough ),서호석 ( Ho Suk Saw ),허준용 ( Jun Young Hur ),김철환 ( Chul Hwan Kim ),송승훈 ( Seung Hun Song ),김육재 ( Yuk Jae Kim ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.7
Epithelioid trophoblastic tumor (EIT) is an unusual variant of gestational trophoblastic tumor that is closely related to choriocarcinoma and placental site trophoblastic tumor (PSTT) but shows different morphologic, immunohistochemical features. EIT grows in a nodular pattern compared with the infiltrative pattern of PSlT. Histologically the tumor is characterized by uniform population of mononucleate intermediate trophoblastic cells that resemble the trophoblastic cells in the chorionic laeve, so we called them chorionic-type intermediate trophoblast. Immunohistochemically ETT was positive for cytokeratin, epithelial membrane antigen(EMA) and staining for human placental lactogen (hPL) and human chorionic gonadotrophin (hCG) was generally patchy, focal or negative whereas PSlT contained more hPL-positive cells than hCG-positive cells. EIT can behave in a malignant fashion such as distant metastasis. We experienced a case of E1T by clinical result, pathologic finding, so we report a case with brief literature review.
지현준(Hyun Jun Jee),정화경(Hwa Kyung Jung),조수용(Soo Yong Chough),박용균(Yong Kyun Park),서호석(Ho Suk Saw),오민정(Min Jeong Oh),허준용(Jun Young Hur) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.10
Clear cell carcinoma of the endometrium is a relatively rare malignancy that is considered to be one of the most aggressive types of endometrial carcinoma. It is an infrequent variant sharing a common Mullerian origin, accounting for 1 to 5 percent of all endometrial cancers. Histologically, these tumors consists of hobnail cells which have translucent or slightly eosinophilic cytoplasm and protrude to lumen of gland. These tumors occur predominantly in postmenopausal women and carry a relatively unfavorable prognosis comparing with other histologic types of endometrial cancer. We experienced a case of clear cell carcinoma of endometrium in a 81-year old women and this case is presented with a brief review of the literaturs.
지현준(Hyun Jun Jee),정화경(Hwa Kyung Jung),조수용(Soo Yong Chough),박용균(Yong Kyun Park),서호석(Ho Suk Saw),오민정(Min Jeong Oh),허준용(Jun Young Hur) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.10
Objective : This study was designed to evaluate the patterns of menstruation including menorrhagia using menstrual index, to find out correlations between patient`s own judgement and actual patterns of menstruation in Korean women, and to develop the menstrual diary using menstrual index as a screening of menstrual disorders. Methods : Seventy-seven women teachers of elementary school undergoing routine health screening test were asked to complete a pictorial blood loss assessment chart and a set of interview sheets regarding menstrual history and their subjective judgement on their amount of menstruation. Spearman correlation test was used to assess the correlation between menstrual index which was obtained from pictorial chart and serum hemoglobin concentration. Results : The mean menstrual intervals were 29.8 days (SD±5.1), the mean menstrual duration was 5.6 days (SD±1.3), the mean value of menstrual index was 170.3 (SD±89.2) which varied from 12 to 411, the mean serum hemoglobin concentration was 12.3 g/dL. Significant correlation was found between the serum hemoglobin concentration and the menstrual index (r=-0.29, p=0.01). Seventeen of 20 women who had anemia (serum hemoglobin concentration below 12.0 g/dL) and 25 of 26 women who had menorrhagia (menstrual index above 200) considered her menstruation as `normal`. Conclusion : Many women who have anemia due to menorrhagia are not aware of the serious consequences of menorrhagia. Writing a ‘menstrual diary` using menstrual index would be easier and more practical method in predicting menorrhagia.
호르몬 대체요법을 받고있는 폐경 후 여성에서 부정기 질 출혈과 동반된 부인과적 처치 : 주기적 호르몬 대체요법과 지속적 병합 호르몬 대체요법의 비교
이미정(Mi Jung Lee),나정아(Jeong A Na),김인호(In Ho Kim),허준용(Jun Young Hur),박용균(Yong Kyun Park),주갑순(Kap Soon Ju),서호석(Ho Suk Saw),조수용(Soo Yong Chough) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.2
Objective: To measure gynecologic resources required to care for women who have unscheduled vaginal bleeding while using hormone replacement therapy. Materials and Methods: Between January 1996 to December 1998, women presenting with abnormal withdrawal bleeding on HRT were identified and associated clinic visits and gynecologic procedures were recorded during a mean follow-up of 2 years. Results: Among women using cyclic HRT, 28.9% had≥1 visit for unscheduled vaginal bleeding 8.7% had≥1 endometrial biopsy. Among women using continuous combined HRT, 19.3% had≥1 visit for unscheduled vaginal bleeding and 6.4% had≥1 endometrial biopsy. The gynecologic procedures used in women using cyclic HRT were 20% of reassurance, 50% of ultrasonograpy, 30% of endometrial biopsy and in women using continuous combined HRT were 50% of reassurance, 16.6% of ultrasonograpy, 33.3% of endometrial biopsy. The results of endometrial biopsy were reported all the benign condition. Conclusion(s): Unscheduled vaginal bleeding markedly decreased after 12 months of therapy in women using continuous combined HRT but did not decline among those using cyclic HRT.
부인과 악성종양 환자에서 복합 항암화학요법에 따른 세포독성에 대한 Amifostine 의 임상효과에 관한 연구
이린화(Lynn Hwa Lee),지현준(Hyun Jun Jee),정화경(Hwa Kyung Jung),정유아(Yu A Jung),신정호(Jung Ho Shin),오희숙(Hee Suk Oh),박용균(Yong Kyun Park),허준용(Jun Young Hur),조수용(Soo Yong Chough),서호석(Ho Suk Saw) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
Objective : Amifostine (Ethyol(R)), an organic thiophosphate, has shown the ability to protect normal, but not neoplastic, tissues from the damaging effects of chemotherapy and radiotherapy in various kinds of cancers. This study was designed to determine ifostine could reduce the serious hematologic and nephrologic toxicities associated with cisplatin based combination chemotherapy in gynecologic cancer patients. Patients and Methods : Forty patients who received cisplatin-based combination chemotherapy were randomized into two groups. They received chemotherapy with or without pretreatment of amifostine before each course. The occurrence of hematologic and renal toxicities were evaluated. Stastical analysis was done by independent t-test and Chi-square test. Results : Hematologic toxicity was evaluated with nadir count of neutrophil and platelet. The nadir count of neutrophil was 2034.2±1199.20/μl in group with pretreatment using amifostine vs 1070.85±472.66/μl in control group (p<0.01). Platelet count was not statistically different. (p<0.16) Grade 3 neutropenia was observed in nine (45%) patients in pretreatment group vs four (20%) patients with control group (p<0.09). Grade 4 neutropenia occurred in one patient only in control group. Renal toxicity was evaluated by serum creatinine and creatinine clearance. Protracted serum creatinine elevation was not significant in both groups. (p<0.14) Reduction of creatinine clearance was less in patients with pretreatment (p<0.01). There were no significant side reactions in subjects using amifostine. Conclusion : Pretreatment with amifostine reduces the neutropenia and nephrotoxicity associated with cisplatin-based combination chemotherapy with gynecologic cancer patients.