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조윤성 ( Yoon Sung Cho ),서경윤 ( Kyoung Yun Seo ),윤원식 ( Won Sik Yoon ),서경아 ( Kyoung A Seo ),김희영 ( Hee Young Kim ),정서호 ( Seo Ho Chung ),조현희 ( Hyun Hee Jo ),김진홍 ( Jin Hong Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.3
Objective : To evaluate the clinical course of the patient who had the gynecologic operation using minolaparotomy. Methods : We reviewed the chart of the patient who had the gynecologic operation using minilaparotomy in department of obstetrics and gyneco
조윤성 ( Yun Sung Jo ),고현선 ( Hyun Sun Ko ),장동규 ( Dong Gyu Jang ),최윤진 ( Youn Jin Choi ),손현주 ( Hyen Ju Son ),김사진 ( Sa Jin Kim ),신종철 ( Jong Chul Shin ),이귀세라 ( Guisera Lee ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.10
Objective: The purpose of this study was to determine the perinatal outcome in monoamniotic twin pregnancies and to review the recently published literature about the topic. Methods: This retrospective study examined the records of prenatally diagnosed monoamniotic twin pregnancy casese in our institution between January 1997 and April 2010. Results: Among 1,112 twin pregnancies, there were 15 (1.3%) monoamnionic twins, including 2 conjoined twin pregnancies. Twelve (80%), 9 (60%), 5 (33.3%), and 4 pregnancies (26.7%) delivered after 20, 30, 32, and 34 weeks, respectively. Among 12 pregnancies that continued after 20 weeks of gestation, three cases showed one-fetal death and one, both-fetal death. The perinatal mortality rate (from 20 weeks of gestation to 28 days after birth) was 37.5%. The incidence of lethal anomalies and congenital heart anomalies was 20% and 23.3%, respectively. The mean gestational age at delivery was 31.4±4.53 weeks; 16 of 18 neonates (84.2%) were admitted to the neonatal intensive care unit (NICU). Three neonates expired on the first day after birth. The mean duration of the NICU stays for 13 live neonates was 32.0±29.3 days (range, 3 to 114 days). The main causes of perinatal deaths were preterm birth, congenital anomalies, pregnancy loss before 20 weeks, and intrauterine fetal demise that might have resulted form cord entanglement. Conclusion: Perinatal mortality in monoamniotic twins was still very high and the survival rate after 32 weeks of gestation is approximately one-third. Further studies are needed to improve the perinatal mortality.
조윤성 ( Yun Sung Jo ),장동규 ( Dong Gyu Jang ),이귀세라 ( Gui Se Ra Lee ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.7
Objective: To evaluate placental causes of fetal death intrauterine (IUFD) bases on placental pathologic findings. Methods: Retrospective review of 123 placental pathological reports of singleton fetal deaths from 20 weeks of gestation to 41 weeks of gestation. Results: The incidences of maternal causes, fetal causes, inflammatory causes, miscellaneous and unremarkable findings were 45.5%, 28.4%, 16.2%, 23.5%, respectively. The incidence of fetal anomaly was 8.9%. Fetal anomalies were deeply related to fetal cause (P=0.000). Intrauterine growth restriction was significantly associated with maternal causes (P=0.038). Conclusion: No pathological guideline regarding placental examination of intrauterine fetal death exists. In future studies, a better definition of fetal death causes and associated placental pathological findings might aid clinicians in counseling, assessing the risk of recurrence and even preventing fetal death in subsequent pregnancies.
조윤성 ( Yun Sung Jo ),권지영 ( Ji Young Kwon ),임희순 ( Hee Sun Lim ),문영주 ( Young Joo Mun ),이상형 ( Sang Hyoung Lee ),제동성 ( Dong Sung Jae ),한구택 ( Gu Taek Han ),류기성 ( Ki Sung Ryu ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.12
Myoma is the most common tumor in gynecologic field. As ultrasonography because popular in antenatal care, the more cases of myoma and those adverse effects during pregnancy are more frequently detected. The management of myoma during pregnancy is conservative, but in rare circumstances, surgical intervention including myomectomy may be required. We have experienced a case of protruded subserosal myoma with the uterine cervix in midtrimester of pregnancy. The patient was managed surgically by transvaginal myomectomy and had successfully maintained pregnancy. We report a case of protruded subserosal myoma through pelvic floor in pregnancy with brief review of literatures.
지역사회 성인 여성의 요골에서의 골다공증 유병률과 갑상선기능이 미치는 영향
조윤성 ( Yun Sung Jo ),정현식 ( Hyun Sik Chung ),임선옥 ( Sun Oak Lim ),김장흡 ( Jang Heub Kim ) 대한폐경학회 2009 대한폐경학회지 Vol.15 No.1
연구목적: 골다공증은 가장 흔한 대사성 질환중의 하나로, 나이가 증가함에 따라 골량이 감소하고 골의 미세구조 변화로 인한 골의 강도가 약화되어 임상적으로 골절의 위험성이 증가되는 전신성 골격계 질환이다. 본 연구에서는 지역사회 여성에서의 연령에 따른 골다공증의 유병률을 파악하고 갑상선기능과 골밀도와의 상관관계를 비교분석하여 향후 노령화 사회에 도움이 되는 자료를 제시하고자 한다. 연구재료 및 방법: 2007년 5월부터 11월까지 원주시 보건소 건강검진센터의 수검자들 중 요골 골밀도와 갑상선 호르몬 (TSH, Free T4)을 측정한 30세 이상 여성 698명을 대상으로 하였다. 결과: 전체 폐경여성 중 56% (324명)는 골다공증이 있는 것으로 측정되었고 29.5% (171명)는 골감소증이 있는 것으로 나타났다. 51세 이상에서 골밀도와 TSH는 나이가 증가함에 따라서 같이 감소하며, Free T4와 골밀도는 모든 연령군에서 역의 상관관계를 보였다. Free T4의 농도가 증가할수록 골밀도는 감소하는 유의한 음의 상관관계 (r2=0.012, P<0.05)를 나타내었으나, 회기방정식으로 Free T4는 골밀도의 변화를 1.2%만 설명할 수 있었다. 반면 TSH와 골밀도간의 단순상관분석에서는 유의한 관계를 나타내지 않았다 (r2=0.003, P=0.153). 결론: 갑상선기능은 골밀도에 영향을 준다. 향후에 이 분야의 적극적 연구가 이루어진다면 적절한 갑상선기능 조절로 골소실을 줄이는데 도움을 줄 수 있지 않을까 생각한다. Objectives: This retrospective study was conducted to evaluate the the influence of thyroid function on the prevalence of osteoporosis in Korean women in a local community. Methods: Bone status and thyroid function were evaluated in 698 women (mean age, 57.9 years) who visited a public health center in Wonjusi between May and November. 2007. The bone mineral density of the radius was evaluated using dual energy X-ray absorptiometry (BHP-76-P, GE Lunar, USA). Patients were classified as normal, osteopenia, or osteoporosis based on T-scores. For thyroid function, they were classified as normal, hypothyroidism, or hyperthyroidism based on the free T4 level. Results: The prevalences of osteoporosis and osteopenia in menopausal women were 85.5% and 56%, respectively. We found a significant negative correlation between bone mineral density and thyroid hormone level (r=0.11, P<0.05). Conclusion: The prevalence of osteoporosis and osteopenia increased with increasing age. We found that thyroid hormone level, as well as physiological age, were important factors affecting the rate of bone loss in older women. Thus, thyroid function testing and proper thyroid treatment are helpful for the prevention and treatment of osteoporosis in menopausal women.