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임신 제2분기 및 만삭의 정상임신 태반에서 세포고사의 변화
홍달수 ( Dal Soo Hong ),이윤이 ( Yun Ee Rhee ),노흥태 ( Heung Tae Noh ),강길전 ( Kil Chun Kang ),이계용 ( Kye Yong Lee ),송규상 ( Kyu Sang Song ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.1
Objective : The study aims were to demonstrate apoptosis in the placenta of normal pregnancy, and to identify its change and quantify its incidence by gestational age. Methods : Placenta samples were collected from 25 normal full-term pregnancies and 20 s
임신 34주전에 제대동맥혈류속도파형이 소실되거나 역전된 경우의 임상적 영향
이윤이(Yun Ee Rhee),홍달수(Dal Soo Hong) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.5
Objective : To investigate the clinical impact of absent or reversed end-diastolic (ARED) umbilical artery flow detected before the 34th week of pregnancy in high-risk pregnancies. Methods : Fifty-eight singleton pregnant women with high-risk factors were included in this retrospective study. Based on the umbilical artery Doppler finding, pregnant women were divided into 3 groups: group 1 (12 subjects) with normal Doppler systolic/diastolic (S/D) ratios; group 2 (30 subjects) with significant abnormal umbilical artery S/D ratios, and group 3 (16 subjects) with ARED flow in the umbilical artery between the 25+0 and 33+6 gestational weeks. Incidence of intrauterine growth retardation (IUGR) and pregnancy-induced hypertension, detection week, diagnosis-to-delivery interval, birth weight and gestational ages at delivery, Apgar scores, emergency cesarean section, neonatal intensive care unit (NICU) admission, admission-to-discharge interval, perinatal mortality (PNM) and morbidity, and neonatal morbidity were registered. Perinatal outcomes were assessed. The data was analyzed using the Mann-Whitney U-test and X-square test. A significant difference was considered present if p was<0.05. Results : The PNM in group 3 in the study was 25% (4/16). Sixteen had ARED flow. Our study shows that fetuses with ARED flow tend to be more severely growth-retarded. Our results also show ARED flow to be associated with poor perinatal outcome. There was a higher incidence of cesarean section for fetal distress, neonatal intensive care unit admission, and lower Apgar scores. Birth weight and gestational age at delivery were lower. The diagnosis-to-delivery interval was shorter. The admission-to-discharge interval was longer. Conclusion : An early ARED finding before the 34th week in the umbilical artery is a very serious sign of likely fetal compromise. The perinatal mortality and morbidity rate were high, and there was evidence of acute or chronic hypoxia in most fetuses. It is an indication that extremely careful surveillance should be followed but not necessarily an indication for an emergency delivery.
골반내 악성종양과 유사한 만성 골반염에 합병된 결합조직염 1 예
노흥태(Heung Tae Noh),홍달수(Dal Soo Hong),이윤이(Yun Ee Rhee),서광선(Kwang Sun Suh) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.2
Pelvic inflammatory disease(PID) is a common disease associated with gynecologic infection, occurring mainly in fertile women. We report a case of phlegmon caused by chronic PID mimicking pelvic malignancy in a 39-year-old woman. The patient suffered from chronic pelvic pain, intermittent fever, and dysuria. A palpable lower abdominal mass was associated with progressive weight loss. A pelvic MRI revealed a 9×8×7cm sized, ill-defined soft tissue mass in the right pelvic cavity. On exploratory laparotomy, the pelvic mass was severly adhesed to the small intestine, mesentery, and urinary bladder. An incisional biopsy of the pelvic mass was performed. Histologically, the pelvic mass was composed of inflammed fibrous tissue with granulation tissue proliferation. The patient was treated with metronidazole and ciprofloxacin for two weeks. Fever and abdominal pain were relived. On a follow up abdomino-pelvic CT, the pelvic mass was not visible. Awareness of such an unusual case of chronic PID mimicking pelvic malignancy will facilitate a more accurate diagnostic approach for a variety of pelvic mass lesion.
한국 여성에서 임신 중 및 산후 골대사 생화학지표와 골밀도의 변화
이시원 ( Si Won Lee ),양재혁 ( Jae Hyug Yang ),홍달수 ( Dal Soo Hong ),김문영 ( Moon Young Kim ),정진훈 ( Jin Hoon Chung ),한기옥 ( Ki Ok Han ),조동희 ( Dong Hee Cho ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.2
Objective: To show the patterns of changes in biochemical markers of bone turnover and ultrasound bone mineral density (BMD) during pregnancy and postpartum in Korean women. Methods: We conducted a prospective study between February 2004 and February 2005. Forty-one healthy singleton pregnant women were included. We used quantitative ultrasonography for BMD measurement which is advantageous to pregnant women because it is radiation-free and it provides very accurate BMD that correlates highly with BMD measured by conventional dual energy x-ray absorptiometry. We measured marker of bone resorption (β-Crosslaps), bone formation [total alkaline phosphatase (ALP), osteocalcin (OC)], total calcium, phosphorus and parathyroid hormone (PTH) during and after pregnancy. Results: During pregnancy, BMD slightly decreased in the third trimester. Bone resorption marker (β-Crosslaps) increased steadily during pregnancy and immediate postpartum. Markers of bone formation (ALP, osteocalcin) increased from late pregnancy. Total calcium decreased slightly as bone resorption peaks in second trimester. PTH and phosphorus increased steadily throughout pregnancy and postpartum. Conclusion: Pregnancy is characterized by high bone turnover in Korean women with resorption preceding formation.