여성 성기결핵의 임상병리학적 관찰

최응환(EW Choe),박찬동(CD Park) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.5

1. Among 68 cases, 40 cases were proved histologically with biopsies from surgical specimns and 27 cases were proved with endometrial curettings, and one case was proved by H.S.G at O.P.D there was no mean annual patients increment or decrement in this study. 2. 604 curettings were examined, and tuberculosis of the endometrium was found in 4.4% The incidence of tuberculosis of the endometrium in infertility was 9.9% in 280 cases. 3. The most frequent site of tuberculous lesion in surgical specimens was in tubes (22cases) ovary (10cases) and uterus (3 cases). 4. Age distribution of female genital tuberculosis showed the highest frequency between 26-30 years group. 5. The history of previous lung tuberculosis was obtined in 25 cases and pleurisy in 19 cases among 68 cases. However 32 cases showed radiological evidence of tuberculous lung condition and 15 cases evidence of pleural affection in the past. The history of previous peritonitis was obtained in 15 cases. 6. of 66 married cases. only 25 cases gave a history of previous pregnancy and 41 cases were infertilty in 60%, abdominal or pelvic pain in 51% intermenstrual bleeding in 32% and amenorrhea in 16%. 7. On pelvic examination adnexal enlargement and irregular mass could be found most frequently in 55% and adnexal tenderness was 4.4% 8. Among 68 cases 40 patients were treated with surgical operation and 28 patients were treated with chemotherapy.

연골세포 발육 부전증의 1례

정희자(HJ Chung),최응환(EW Choe),이숙인(SI Lee),이재현(JH Lee) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.11

A case of achondroplasia is experienced at the department of Obstetric & Gynecology, St. Paul`s hospital, catholic medical college and reviewed briefy references concerned. This is the generalized symmetrical disease of the skeleton in which endochondral osteogenesis is retared. The incidence of fetal achondroplasia is very rare and its cause is unknown.

Paragonimus Westermani의 이소기생의 1례

박경희(KH Park),이정기(JG Rhee),최응환(EW Choe),문영회(YH Moon) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.1

We are going to report a rare case that Paragonimus Westermani involved the female internal genital orgens, such as bilateral adnexae and overiea. At first, We were impressed it as the pelvic tuberculosis at laparotomy showing marked adhesion to greater omentum and small sized multiple nodular appearance. Therefore its defenition, frequency, clinical findings, symptoms and treatments were briefly discussed.

만삭정상 및 발육지체아의 태반계측상의 비교

이숙인(SI Lee),최진주(JJ Choi),최응환(EW Choe),현춘(C Hyun) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.7

The authors observed the placental dimensions in 162 cases of term deliveries during the period from April 1969 to June 1969 at the department of Obst. & Gynec. St. Mary`s Hospital. Based on the intrauterine weight chart of Lubchenco, it was found that 146 infants(90%) were normal term infants(N.T.I.) and 16(10%) were intrauterine growth-retarded infants(I.U.G.R.I.) The purpose of this investigation was to compare N.T.I. with I.U.G.R.I. in various placental measeurements(placental weight, volume, decidual area, thinkness and density, umbilical cord length and diametar, umbilical vein diametal), placental coefficients, feto-placental weight rations, and the relations of some of these data ti infant weight. And in addition was made histopathological examination of the placenta in 69 cases out of the 162. The results and conclusion were as follow: 1. Fetal body weight and length: 1) The mean birth weight of N.T.I. was 3,326gm and it was significantly larger than 2,475gm in I.U.G.R.I.(P<0.001). 2) The mean body length of N.T.I was 50.1㎝ and was significantly larger than 47.1㎝ in I.U.G.R.I.(P<0.001) 2. Placenta and cord: 1) Placental weight, volume, decidual area, thinkness, and density: (1) The mean weight of placenta in N.T.I. was 464gm and it was heaveier than 386gm in I.U.G.R.I.(P<0.001). (2) The mean placental volume of the I.U.G.R.I., 386㎤, was significantly smaller than 462㎤ in N.T.I.(P<0.001). (3) The mean decidule area of the placenta of I.U.G.R.I., 268㎠, was significantly smaller than 305㎠ in N.T.I.(P<0.025). (4) The mean placental thickness in N.T.I., was 1.49㎝. The difference in the mean placental thinkness between N.T.I. and I.U.G.R.I., was not statistically significant. (5) in both the groups of the infants, the placental volume in cubic centimeter was numerically similar to the weight in gram. Density was therefore unity. 2) Cord length and diameter, umbilical vein diameter: (1) The mean length of umbilical cord of N.T.I., 54㎝, was significantly larger than 50㎝ in I.U.G.R.I.(P<0.025). (2) The mean cord diameter of the umbilical vein in N.T.I., and I.U.G.R.I. were each 12.3㎝, and 11.7㎝. There was no significant difference between the two groups. (3) The diameter of the umbilical vein in N.T.I., and in I.U.G.R.I., were 7.74mm and 7.21 mm respectively. The former was significantly larger than the letter.(P<0.05). 3. Fetal weight placental weight: 1) The mean value of the placental coefficient in N.T.I. was 0.140, which was significantly smaller than in the I.U.G.R.I., 0.156(P<0.001). 2) The mean ratio of the birth weight to the placental weight in N.T.I. was 7.09, being significantly higher than in the I.U.G.R.I., 6.43.(P<0.001). 4. Correlation between the fetus and the placenta: 1) In N.T.I. the birth weight was directly related to placental weight, volume, decidual area, cord diameter and umbilical vein diameter, And no relation between birth weight and placental thinkness could be found. 2) In I.U.G.R.I., the birth weight was directly related to placental volume, decidual area, and weight. It was not related to cord diameter, umbilical vein diameter. 3) Several cases of I.U.G.R.I. associated with severe toxemia of pregnancy had extremely small birth weight in spite of the placenta of absolutely normal dimensions. The histopathological examination of these placentas revealed numerous pathological changes(Fig1~6). It suggests that the placental dysfunction due to toxemia of pregnancy may be one of influencing factors of fetal growth.

한국여성의 월경주기에 관한 관찰

박병후(BH Park),나종구(Rha CG),최응환(EW Choe),김승조(SJ Kim) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.1

1975년 3월 15일부터 4월 15일까지 1개월간에 걸쳐서 서울, 수원, 대전, 부평 지역의 학생 공장직공, 직장여성 및 일반여성 3,887명을 대상으로 하여 월경에 관한 조사를 실시하여 다음과 같은 결론을 얻었다. 1. 초, 중, 고, 학생 및 대학생의 초조경험률 국민학교 4학년생 1.4%, 5학년생 5.9%, 6학년생 10.9%, 국민학교 전체적으로 6.5%이며, 중학교 1학년생 13.2%, 2학년생 49.2%, 3학년생 72.8%, 중학교 전체적으로 42.3%였으며 고등학교 1학년생 98.5%, 2학년생 99.4%, 3학년생 98.3%로서 고등학교 전체적으로는 98.7%였고, 대학생은 100%였다. 2. 초조연령 a) 전체적으로는 14.3세, 초, 중학생이 13.5세로 가장 빨랐고, 고등, 대학생 14.0세, 공장직공 13.9세, 직장여성 14.0세, 일반여성이 14.9세로 가장 늦었다. b) 전체적으로 가장 빠른 초조연령이 10세이고 가장 늦은 연령이 22세이다. 3. 월경지속일수 초중학생 4.4일, 고등 대학생 4.4일, 공장직공 4.5일, 직장여성 4.6일, 일반여성 4.7일, 전체적으로 4.5일이다. 4. 월경량 초, 중학생 6.4개, 고등 대학생 7.1개, 공장직공 7.4개, 직장여성 7.4개, 일반여성 6.1개로 전체평균은 6.9개이다. 5. 월경시의 자각증상 전체적으로 없다고 한 경우가 22.4%, 하복통이 30.3%로 가장 많고, 하복부불쾌감이 16.5%, 요통 8.2%, 신경성 12.3%, 우울증 6.6%, 두통 2.4%, 악심이 0.28%로 가장 적으며 기타가 1%이다. 6. 월경주기의 규칙성 a) 전체적으로 규칙적인 경우가 15.3%, 불규칙한 경우가 26.4%, 빨라지는 경우가 31.8%, 늦어지는 경우가 26.6%이다. b) 규칙적인 사람과 1, 2, 3일씩 빨라지거나 늦어지는 사람을 합한 비교적 규칙적인 사람의 비율은 초, 중학생 58.1% 고등, 대학생 56.5%, 공장직공 52.5%, 직장여성 54.9%, 일반여성 58.9%, 전체적으로 56.0%로 과반수 이상을 차지한다. 7. 월경의 주기 a) 초, 중학생의 평균주기는 31.2일, 고등, 대학생 28.9일, 공장직공 29.5일, 직장여성 28.8일, 일반여성 28.7일, 전체적으로 29.3일이다. b) 27-29일형이 가장 많으며, 27~32일 범위내에 드는 경우가 71.1%로 거의 3/4을 차지한다. 8. 월경주기의 변동 각 주기형에서 전번 주기형과 이번 주기형이 같은 경우가 14.1%, 1일씩 차이나는 경우가 26.6%, 2일씩 차이나는 경우가 20.8%, 3일씩 차이나는 경우가 19.5%, 4일씩 차이나는 경우가 11.2%, 5일씩 차이나는 경우가 7.8%이다. * 본 논문의 요지는 제 36차 대한산부인과 학술대회에서 초록 발표되었음. * 본 연구는 1977년도 중앙의료원 임상의학 연구비의 보조로 이루어졌음. ** Chairman of Dept. of Ob. & Gyn. St. Marys Hospital, Catholic Medical College, Seoul, Kor ea The following conclusions were obtained from the detailed survey of 3,887 women experiencing menstruation, who are school girls, industrial workers, office girls, and women in general. This survey was connucted in the areas of Seoul, Suwon, Taejeon, and Bupyong, for the basic study of natural rhythm method of contraception. 1. Experience of Menarche 1) Primary school girls 4th grade: 1.4%, 5th grade: 5.9% 6th grade: 10.9%, subtotal average:6.5% 2) Middle school girls 1st grade:13.2%, 2nd grade:49.2% 3rd grade:72.8%, subtotal average: 42.3% 3) High school girls 1st grade: 98.5%, 2nd grade: 99.4% 3rd grade:98.3%, subtotal average: 98.7% 4) College girls: 100% 2. Age of Menarche a) Average age was 14.3 and the earliest average age was found among primary-middle school girls with 13.5 and the latest was found among women in general with 14.9. Among the high school-college girls, the age of menarch was 14.0, the industrial workers 13.9, and the office girls 14.0. b) Range of menarche was 10 to 22. 3. Duration of menstruation Duration in the primary-middle school girls was 4.4 days, high school-college girls 4.4 days, industrial workers 4.5 days, office girls 4.6 days, women in general 4.7 days, and total average duration was 4.5 days. Among the total numbers, 21.9% of them was occupied in 3 days-group, 30.4% in 4 days-group, and 25.2% in 5 days-group. 4. Amount of menstruation Individual amount of menstruation was 6.4 pads in primary-middle school girls, 7.1 pads in high school-college girls, 7.4 pads in industrial workers, 7.4 pads in office girls, 6.1 pads in women in general, and total average amount of menstruation was 6.9 pads. 5. Symptoms accompanied by menstruation Out of total 77.6% women had some symptoms, while 22.4% had no symptoms. Among the symptoms, lower abdominal pain was the common ones with 30.5%, where as nausea was the smallest in number with 0.28%, lower abdominal discomfort 16.5%, lumbago 8.2%, nervousness 12.3%, depression 6.6%, headache 2.4% and others 1%. 6. Regularity of menstrual cycle a)