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박찬무(CM Park),최근혜(GH Choi),조인제(IJ Cho) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.2
One hundred thirty patients with urinary fistulas had been admitted in the Gynecological Ward of the National Medical Center, Seoul, during 13 years, from the beginning of 1959 through the end of 1971, of which 109 patients were actually submitted to the surgical treatment. A review of these cases indicated that complete investigation of the urinary tract should precede repair, since these abnormal communications appeared in many varieties and might be multiple. Anatomic as well as etiologic considerations were important in diagnosis. The causes of these fistulas were analysed and methods of management were reivewed. Particular attention was paid to those patients in whom surgical repair of the fistula was undertaken and an attempt was made to evaluate the factors responsible for success of repair. The results of clinical observations were summarized as follows: 1. Seventy five out of 130 patients were obstetric fistula and more than half of them belonged to the second decade(50.7%), while in 55 of the non-obstetric fistula cases the greatest incidence was observed to be in the fourth decade(47.3%). 2. Presumed etiologic agents of the fistula showed 75 out of 130 patients were caused by various types of obstetric operation and large numbers were found in prolonged labor with or without forceps delivery and craniotomy. Etiologic agents of non-obstetric fistula could be divided into 26 of hysterectomy either simple or radical, 19 of chemical cauterization for total uterine prolapse with strong acid by laymen, 3 of genito-urinary tuberculosis, 2 of irradiation after hysterectomy due to ovarian cancer and 5 others. 3. The majority of patients, both obstetric and non-obstetric, belinged to vesicovaginal fistula, comprising 72.3%. As for the ureterovaginal variety, 17 patients consisted of 15 non-obstetric and only 2 obstetric. 4. The fistulas of less than 2cm in diameter could be found most frequently both obstetric and non-obstetric. It was our general concept that the size did not influence as much as the location of fistulas. 5. In 89 of 109 patients, various types of baginal approach were undertaken with 73(82%) patients of success. Twenty patiens, all of ureterovaginal variety as well as technically difficult patients were submitted to abdominal precedures with 18 patients(90%) of success. The combined, abdominal and vaginal approach was performed for 2 cases of complicated vesicovaginal variety with 2 patients of success. Six of 109 patients had to be resorted to various types of diversion with 5 patients of success. Nine of 130 fistulas healed spontaneously. All spontaneously healed fistulas occured as the results of surgical trauma, 3 of radical hysterectomy, 4 of abdominal total hysterectomy and 2 of subtotal hysterectomy. 6. In 109 patients operarive procedures were carried out on 137 occasions. Final cure rate of surgical repair was decreased by the number of surgical attempts made. But it seemed to be worthwhile to try repeated attempts, even more that 5 times in some selected cases, with patience and deliberated evaluation. 7. Obstetric fistulas were usually poor outcome(80.3%) than non-obstetric(89.5%), because most of them were so large and fibrosis were so extensive that it was impossible to make sufficient mobilization of the surrounding tissue to make suture without tension. In the present series, overall success was 91 of 109 patients, or 83.5% of the whole, during 13 years. 8. Genito-urinary infection was the most common complication and E. coli was the most common causative organism of urinary infection. 9. Unobstructed postoperative urinary catheter drainage was of primary importance.
장규윤 ( Kyu Yun Jang ),최근혜 ( Geun Hae Choi ),양선호 ( Sun Ho Yang ) 전북대학교 의과학연구소 2004 全北醫大論文集 Vol.28 No.2
자궁의 지방평활근종은 평활근과 함께 성숙한 지방세포가 섞여있는 매우 드문 중 간엽 종양으로 대부분 50-70 세의 폐경 후여성에서 발생하는 것으로 알려져 있다. 지방평활근종은 자궁 평활근종의 변형으로 알려져 있으며 치료에 있어서는 평활근종과 다르지 않다. 최근 저자들은 자궁에서 발생한 지방평활근종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 환자는54세 여자로 전자궁 적출술을 시행하였다. 육안소견상 자궁 체부의 근층에서 6.2×5cm 크기의 주변조직과 분명한 경계를 이루며 회백색 부위와 지방성의 황색 부위가 불규칙하게 섞여 있는 종괴가 관찰되었다. 조직학적 소견 상 종괴는 방추상의 평활근 세포와 지방 조직이 불규칙하게 섞여 있었다. 면역조직화학염색 소견상 방추상의 평 활근 세포는 smooth muscle actin에 양성이었고 지방 조직은 S-100 단백과 smooth muscle actin에는 양성이었다. Uterine lipoleiomyoma is a rare mesenchymal neoplasm consists of mixed smooth muscle and adipose tissue and tend to occur in middle-aged or elderly women. Lipoleiomyma mostly described as a variant of leiomyoma. We report a case of uterine lipoleiomyoma in a 54-year-old woman with a brief review of the literatures. The tumor measured 6.2×5 cm and was located in the corpus uteri, Grossly, the tumor was well circumscribed and showed white to bright yellow color and lobated with nodular whirling architecture. Histologically, mature adipose tissue intermingled with fibrous and smooth muscle components in an irregularly reticular pattern. Immunohistochemically, spindle shaped smooth muscle cells showed immunoreactivity for smooth muscle actin and adipose tissue showed immunoreactivity for S-100 protein and smooth muscle actin.
자궁에 발생한 혈관외피세포종 ( Hemangioangiopericytoma ) 의 1예
김서규(SK Kim),이홍균(HK Lee),최근혜(GH Choi) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.9
47세의 경산부에 발생한 자궁경부의 혈관외피세포종(hemangiopericytoma) 1례를 치험한 바 그 증례보고 및 간단한 문헌고찰을 실시하였다. A case of Uterine hemangiopericytoma is reported in a 47 year-old multiparous woman with a brief review of the literature.
이상우(Lee, Sangwoo),배효준(Bae, Hyojoon),최근혜(Choi, Keunhye),강진규(Kang, Jinkyu),이동하(Lee, Dongha) 한국태양에너지학회 2013 한국태양에너지학회 학술대회논문집 Vol.2013 No.4
In this paper, photovoltaic characteristics with change of insolation were investigated. also power characteristics of in-door line grid according to the load were experiment. the experimental results, power characteristics of photovoltaic are affected with change of insolation. photovoltaic power in case of non-load was reverse transfer to in-door line grid. photovoltaic power in case of load was energy consumption, dump energy was reverse transfer to in-door line grid.