관동맥 스텐트 시술 후 발생한 스텐트 풍선도자 단락의 치험 예

양성식,문계혁,이기훈,김대혁,서정기,권 준,박금수,이우형 대한순환기학회 2001 Korean Circulation Journal Vol.31 No.6

퇴행성 경추 질환에서 Plate Cage System을 이용한 전방 융합술

양동훈,조기홍,정영선,안영환,윤수한,조경기 대한신경외과학회 2003 Journal of Korean neurosurgical society Vol.33 No.1

Fabrication of Spherical Hydroxyapatite Granules with Interconnected Pore Channels using Camphene by Emulsion Method

Yang JH,Kim KH,Kwon TY 대한치과재료학회 2011 대한치과기재학회 학술대회 Vol.2011 No.5

산후 심근증 1 례

양화윤,박철,이경훈,문태식,정승관,노정석,박준혁 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.3

Postpartum cardiomyopathy is defined as a syndrome of cardiac failure occurring in the latter part of pregnancy or in the puerperium, without obvous cause and without prior evidence of heart disease. It is important to recognize the association of cardiac failure and pregnancy as a separate syndrome so that, once identified, peripartum cardiomyopathy can be treated promptly and aggressively. We have experienced one case of dilated cardiomyopathy in preterm twin delivery at 36th gestational weeks, which are presented with a brief review of the literature.

골반경수술 100 예에 대한 고찰

송귀한(KH Song),유혜경(HK Yoo),백강주(KJ Baek),양거승(KS Yang),정호순(HS Chung) 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.1

저자들은 1993년 11월부터 1994년 8월 까지 본병원 산부인과에서 100예의 골반경수술을 시행하여 다음과 같은 결과를 얻었다. 1. 수술의 적응증은 총 100예중 자궁외임신이 43예, 난소낭종이 30예, 자궁근중이 13예였다. 2. 수술방법은 총 100예중 난관절제술이 39예, 난소난관절제술이 19예, 근종절제술이 12예였다. 3. 환자들의 연령분포는 20-39세가 83%였고, 평균나이는 30.4세였다. 4. 환자들의 평균출산력은 1.48였다. 5. 입원기간은 평균 3.5일이었다. 6. 가장 많은 합병증은 trocar site hemorrhage였다. One hundred cases of pelviscopic operation were preformed at Seoul Adventist Hospital from, November, 1993 to August 1994. The results of this study, were summarized as follows. 1. The common indications were ectopic pregnancy (43%), ovaria cyst(30%), myoma(13%). 2. The frequent types of surgery were salpingectomy(39%), salpingoophorectomy(19%), myomectomy(12%). 3. The mean age of the patients was 30.4 years. 4. The mean parity of the patients was 1.48. 5. The mean duration of hospitalization was 3.5 days. 6. The most common complications was hemorrhage at trocar site. In our conclusion, pelviscopic surgery makes minimal postoperative hemorrhage and postoperative discomfort, low complication, and short hospital stay. This type of surgery is simple and useful method of treatment in the community hospital.

조기진통 임신부의 경질초음파에 의한 자궁경부 평가

이권해,이임순,이해혁,이정재,신정옥,이명환,구도형,이항재,양회경,전섭,최경훈 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.4

목적: 경질초음파에 의해 평가된 자궁경부의 특징이 조기진통과 조기분만에 관련이 있다는 가설을 검증하는데 우리의 목적이 있었다. 방법: 조기진통이 있는 단태아 임신으로 입원한 51명의 임신부를 대상으로 치료를 시작하기 전 경질초음파를 시행하였다. 조기분만은 37주 이전에 분만된 경우로 정의하였다. 초음파 계수로 자궁경부 길이, 쇄기형[wedging]의 존재가 평가되었다. 자료분석은 student t test와 카이제곱검정법[chi-square test]을 이용하였다. P value가 0.05 미만일 때 유의성이 있는 것으로 하였다. 결과: 자궁경부에 쇄기형[wedging]이 존재하는 경우와 자궁경부 길이가 짧아져 있는 경우 조기분만과 상당히 관련이 있는 것으로 나타났다[p$lt;0.001]. 조기분만을 예측하는데 있어서 자궁경부 쇄기형[wedging]이 있는 경우 100%의 민감도, 81.6%의 특이도, 65%의 양성 예측도, 100%의 음성 예측도를 보였다. 조기분만을 예측하는데 있어서 자궁경부 길이가 29 mm 이하인 경우 100%의 민감도, 89.5%의 특이도, 76.2%의 양성 예측도, 100%의 음성 예측도를 보였다. 결론: 조기진통이 있는 산모에서 경질초음파에 의해 측정된 자궁경부의 쇄기형[wedging]의 존재와 짧아진 자궁경부 길이는 조기분만의 예측자로서 유용할 것으로 생각된다. Objective: Our purpose was to test the hypothesis that characteristics of the cervix evaluated by transvaginal ultrasonography are associated with preterm labor and preterm delivery. Methods: Fifty-one patients with preterm labor of singleton pregnancy admitted to the hospital were evaluated by transvaginal ultrasonography before institution of treatment. Preterm delivery was defined as any delivery before 37 weeks of gestation. The ultrasonographic parameters evaluated were cervical length and presence of wedging. Data analysis was performed by the student t test and chi-square test. The p value $lt; 0.05 was considered significant. Results: The presence of cervical wedging and shorter cervical length were significantly associated with preterm delivery[p$lt;0.001]. The presence of cervical wedging in the prediction of preterm delivery in this data set yielded a sensitivity of 100%, a specificity of 81.6%, a positive predictive value of 65%, and a negative predictive value of 100%. The cervical length ≤ 29mm in the prediction of preterm delivery in this data set yielded a sensitivity of 100%, a specificity of 89.5%, a positive predictive value of 76.2%, and a negative predictive value of 100%. Conclusion: The presence of cervical wedging and shorter cervical length in patients with preterm labor measured by transvaginal ultrasonography are useful as a predictor of preterm delivery.

乾癬으로 3개월 이상 한약을 복용한 환자 82명의 간수치 변화

양지은(Yang JI),이기훈(Lee KH),김양석(Kim YS),신민규(Shin MK),유진호(Yoo JH),장규태(Chang GT) 대한한의학회 2012 대한한의학회지 Vol.33 No.3

자궁경관임신 16례의 임상적 관찰

강경화(KH Kang),박숙현(SH Park),홍수명(SM Hong),양석기(SK Yang),민보은(BE Min) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.10

Cervical pregnancy is a rare from of ectopic pregnancy in which the fertilized ovum implants within the cervix. There is no distinctive presenting symptom as the chief complaint is painless vag inal bleeding which can also occur in other diseases. Cervical pregnancy carries a high mortality rate due to this heavy bleeding. During 10 year period from January 1, 1972 to December 31, 1981, 16 patients with cervical pregnancy were treated and a clinical review of these cases is presented. The results were as follows; 1) The incidence of cervical pregnancy was 1 in 3656 deliveries and 1 in 78 ectopic pregnancies. 2) Women over 30 years of age comprised 81.25% of the group compared to 20.28% for the same age group in the normal obstetric population. 3) Cervical pregnancy never occnrred in the first pregnancy and 75% of the women had had one or more induced abortions. 4) Gestation at termination of pregnancy ranged from 4 to 24 weeks with a mean 9.75 weeks. 5) The major presenting symptom was heavy vaginal bleeding in 11 cases, persistent spotting in 4 cases and epigastric pain, with vomiting, weight loss in 1 case. 6) The diagnosis at admission was cervical pregnancy (31.25%), incomplete abortion (31.25%), choricarcinoma(18.75%), inevitable abortion (12.5%) cervical myoma (6.25%). 7) Blood trsnsfusion was necessary in all patients ranging from 400cc to 3200cc with an average of 1600cc. 8) The majority of patients were treated by immediate hysterectomy in 6 cases but in 7 cases hysterectomy was only done after failure of conservative management. In 3 cases conservative management of dilatation and curettage and gauze packing was successful.

자궁근종의 임상적 및 병리학적 연구

배국환,김동옥,김용진,양화윤 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.11

1986년 1월 1일부터 1989년 12월 31일까지 4년간 본 메리놀병원 산부인과에서 입원하여 수술을 받고 자궁근종으로 확진된 313예를 대상으로 임상 및 병리학적으로 분석 조사하여 다음과 같은 결론을 얻었다. 1. 자궁근종이 발생빈도는 부인과 수술 1,328예중 23.6%이었다. 2. 연령별 분포는 40∼49세군이 56.6%로 가장 많았고, 평균연령은 43.6세이었다. 3. 임신의 경험이 전혀 없었던 경우가 7.0%이었고 , 평균 임신회수는 5.1회, 평균 분만회수는 2.7회이었다. 4. 자궁근종의 발생부위는 체부가 97.8%로 거의 대부분이었고 경부가 2.2%이었다. 근내형이 70.6%, 점막하근종이 13.1%, 혼재형이 10.5%, 장막하근종이 5.8%이었다. 5. 주 증상으로는 동통 및 압박증상이 86.6%로 가장 많았고, 이상자궁출혈이 58.1%, 골반강내 종양촉지가 19.4%의 순이었다. 6. 전체의 7.3%에서 불임을 호소하였으며 이 중 원발성불임은 7.0%, 속발성불임은 0.3%이었다. 7. 월경과다증이 체부근종 환자의 43.6%에서, 경부근종 환자의 50%에서 발견되어 서로 유의한 차이는 없었다. (p$gt;0.1). 한편 점막하근종 환자의 43.9%에서 월경과다증이 발생하였고, 혼재형근종 환자의 42.4%, 근내종환자의 39.8%, 장막하근종 환자의 22.2%에 비해 서로 유의한 차이는 없었다. (p$gt;0.1) 8. 월경 곤란증은 경부근종 환자의 62.5%에서 나타났으며 체부근종 환자의 22.3%에 비해 유의하게 높은 발현빈도를 보였다.(p$lt;0.005). 또한 근내근종 환자의 27.1%, 장막하근종 환자의 22.2%, 점막하근종 환자의 17.1%는 서로 각 군간의 유의한 차이는 없었으나 혼재형 근종 환자의 6.1%에 비해서는 상기 세균환자에서 높은 발현빈도를 보였다.(p$lt;0.05). 9. 입원시 혈색소 10.0m% 이하의 빈혈소견은 30.0%에서 나타났다. 10. 자궁근종과 동반된 병변으로는 자궁선종이 14.7%로 가장 많았다. 11. 수술방법은 97.4%가 복식자궁적출술을 시행하였으며, 자궁근종적출술은 1.3%, 질식자궁적출은 1.0%에서 시행되었다. Three hundred and thirteen cases of the uterine myoma were treated during 4 years period from January 1986 to December 1989, at department of obstetrics and gynecology, Maryknoll Hospital. The results were as follows; 1. The incidence of myoma among 1,328 cases of major gynecologic surgery during 4 years was 23.6%. 2. The frequence of myoma was most common in the age group 40∼49 years (56.6%). 3. The infertility was observed in 23 cases (73.3%), in which the primary infertility was in 22 cases (7.0%) and the secondary was in 1 case(0.3%). 4. The coporeal myoma was observed in 306 cases(97.8%), cervical in 7 cases(2.2%). 5. the most common symptoms of myoma was pain(86.6%), and the next abnormal uterine bleeding (58.1%), palpable mass(19.4%), and leukorrfea(15.7%), and general symptoms(12.1%). 6. The hypermenorrhea was observed in 137 cases (43.8%). 7. The dysmenorrhea was observed in 73 cases (23.3%). 8. The most frequently associated diseases in myoma were adenomyosis of the uterus (14.7%) and chronic cervicitis (12.1%), and ovarian cyst and tumor(6.3%). 9. Anemia (less than 10.0gm%) was found in 94 cases (30%). 10. Total abdominal hysterectomy was performed in 305 cases (97.4%), myomectomy in 4 cases (1.3%), and vaginal hysterectomy in 3 cases (1.0%).

임신 23 주의 흔적자궁 자연파열 1 예

배국환,김동옥,신근식,김용진,양화윤 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.4

저자들은 임신 23주의 흔적자궁 자연파열 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. A case of rupture of rudimentary uterine horn with 23 weeks gestation was experienced at the department of obstetrics and gynecology of Maryknoll hospital, is presented with a brief review about literature on the female genital anomalies.