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RISS 인기검색어
- 검색키워드
- 저자 : Kim JD (검색결과 99 건)
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차경연(KY Cha),양재이(JI Yang),류철희(CH Rhyu),두재균(JK Doo),김종덕(JD Kim) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.6
For evaluation of factors that influence the success rate of tubal reversal, 116 cases of microsurgical reversal were investigated, which were performed at the infertility clinic in the Department of Obstetrics and Gynecology, Chonbuk National University Hospital from March 1982 to February 1990. 106 cases were able to follow up more than 6 months among these 116 cases of tubal reversal patients. The results were as follows; 1. The pregnancy rate was 84.9%(90 patients) in 106 cases of tubal reversal. 2. The most common incentive was the loss of their children(75.5%), but since 1987 remarriage(24.6%) and change of marital attitude(20.0%) were increasing steadily. 3. After tubal reversal, the mean age of pregnant patients was 28.5 years and that of non-pregnant patients was 30.3 years(p<0.05). 4. The time interval between the sterilization and the tubal reversal was 35.5 months in pregnancy groups, 42.4 months in non-pregnancy groups(p<0.05). 5. The mean length of reconstructed tube was 8.3 cm in pregnancy patients, 6.8 cm in non-pregnant patients(p<0.05). 6. Referring to the sterilization types, the pregnancy rate was higher and the length of reconstructed tube was longer in those who underwent tubal ligation with Falope ring. 7. Referring to the site of anastomosis, the pregnancy rate was higher in ampulloampullar, cornu-ampullary, isthmo-isthmic anastomosis than other group(p<0.05). 8. The pregnancy rate within the first year after tubal reversal was 95.5%, but no case after 2 years was noted. 9. Postoperative tubal pregnancy developed in one case(0.9%) after tubal reversal. 10. Kim`s clamp and Doo`s microirrigator were considered to be valuable instruments in tubal surgery.
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김태실(TS Kim),김난경(NK Kim),조한구(HG Cho),김관식(KS Kim),류철희(CH Rhyu),김종덕(JD Kim) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10
Uterine myoma is the one of the most common tumor of female genital tract. It causes infertility and many other complications associated with pregnancy. This study was undertaken to evaluate the efficacy of transabdominal myomectomy on 48 patients who suffered from infertility and hibitual abortion at the Department of Obstetricas and Gynecology in Chonbuk National Uniersity Hospital from 1985 to 1994. The results are as follos: 1. Average age of patients was 32.2. The number of nulligravida patients was 17 and infertility duration raged from 12 months to 156 months. 2. Twenty two out of 48 women(45.8%) were conceived. 3. Pregnancy rate after myomectomy showed some difference dependign on surgical indication. In case, the uterine myoma was the only surgical indication, the pregnancy rate was 68.8%, while the rate was 26.7% when other factors of infertility were combined with uterine myoma. 4. The average time period from operation to conception was 13.8 months. Fifteen of the 22(68.2%) conceived in the first year after operation and 19(80.4%) conceived within two years. 5. Pregnancy rate also depended on the age of patients. Forteen out of 21 patients of under 30th conceived, while only 18 out of 72 patients above 30th conceived and there was no pregnancy over 36 years of age. 6. Finally pregnancy rate according to the size and number of myoma was studies. Fifty percent of solitary myoma patients conceived, while only 35.7% of multiple myoma patients conceived. Pregnancy rate of the patient of solitary myoma with diffrent size was similar, indicating moma size was not an influencing factor to the pregnancy rate. In conclusion myomectomy can be strongly recommended with good success expectation for the infertile women if uterine myoma be considered as the main cause of infertility while other causes are not clear, particularly below 35 years of age.
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Prostaglandin F2α 의 양막외주입에 의한 중기임신중절
김종덕(JD Kim),노효섭(HS Ro),배남규(NK Bae) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.9
The consciously unwanted pregnancy is a complex medical-psycological-social condition. Various methods of termination at midtrimester pregnancy were individually used up to the date. It is well known that prostaglandin E and F are effective in uterine contraction in both pregnant and non-pregnant uterus. The instillation of prostaglandin F2α through Foleys catheter into extraovular uterine cavity has been shown to be effective for terminating pregnancy at midtrimester. The terminations at midtrimester were carried out by extrovular infusion of prostaglandin F2αin 22 patients between 16 and 30 gestational weeks and this method has been proved to be a safe and effective mean of terminating pregnancies at midtrimester. The results were as follows: 1. The psychological-social problems were indicated in most cases. 2. Nullipara were 12 below 25 years of age and multiparar had 2 more children, 6 cases 4 or more children. 3. The mean abortion time from initial infusion to the abortion of fetus was 25.26 hours and the mean dosage of infused prostaglandin F2α was 7.284ug. The mean abortion time and mean dosage of the prostaglandin decreased disproportionately to the increase of gestational week from 16 up to 26. 4. The initial uterine contraction was noted around 10.28 minutes and Foleys catheter was expelled between 15 and 16 hours in most cases after first infusion of prostaglandin. 5. The mean time of oxytocin augmentation after expulsion of Foleys catheter as supporting aid was 5.08 hours. 6. The most common side effects consisted of face flush, nausea, and vomiting, which disappeared spontaneously after the expulsion of Foleys catheter without specific treatment. 7. The success rate of termination in 22 patients was 95% and 3 patients were complicated by incomplete abortion.
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김종덕(JD Kim),이종수(JS Lee),박찬영(CY Park) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.11
A case of ovarian pregnancy associated with lithopedion and fulfilled Spiegelburg`s criteria in a 38 year old woman is presented.
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김종덕(JD Kim) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.11
1. 80% of cases were under 34 years of age and youngest 23 years oldest 42 years. 2. Number of living children was 2-4 persons in 86.4% 3. Ratio of male to female of offspring was 2 to 1 in most cases. 4. Cases never experienced artificial abertion were 57.6%, 37 cases (62.6%) had been performed artificial abortion with tubal sterilization together. But no difference was noted in time of operation and complication compared with non pregnant cases. 5. Tubal sterilization was performed from 1 years to 3 years after last delivery in 61%. 6. Motive of tubal sterilization was her will and doctor`s advice after counsel in 67.7%. 7. Cases wanted only tubal sterilization had been performed under local anesthesia except extreme anxiety. 8. The operation was finished within 20 Min. in 73% After using of Bai`s 17 elevator the time of operation was shorted for facilitated elevation and rotation of uterus. 9. Cases discharged within 12 hours were 64.3% and most of them after 6-8 hours. 10. camplication were encountered in 2 cases, ie hemorrhage due to laceration of mesosalpinx during manipulation and mild inflammation around stitches. 11. No failure was noted.
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미세수술을 이용한 가토난관 복원술시 사용된 봉합사 및 복강내 첨가물이 난관조직에 미치는 영향
김종덕(JD Kim),두재균(JK Doo) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.4
미세수술을 이용한 난관 문합술시 봉합사, 복강내첨가물, 수술 후 경과기간별로 난관조직의 유착정도, 봉합사의 흡수유무, 복수존재유무, 난관유통검사, 조직학적 소견을 관찰하여 다음과 같은 결과를 얻었다 1 난관정도의 유착정도는 vicryl군과 nylon군이 dexon군에 비하여 약간 적었으나 유의한 차이는 없었고(P=0 1504), macrodex군이 생리적 식염수군과 대조군보다 비교적 적었으나 유의한 차이는 없었다(P=0 8325) 2, 봉합사별 흡수유무는 수술 후 60일에서 vicryl군은 완전흡수, dexon군은 1마리(16 7%)에서 부분흡수, nylon군은 전혀 흡수되지 않았다(P=0 0002) 3 난관유통성 검사결과는 vicryl군과 nylon군이 dexon군에 비해서 약간 우수하였으나 유의한 차이는 없었고(P=0 6218) macrodex군이 생리적 식염수군과 대조군에 비하여 우수하였다(P=0 048) 4 복수는 수술 후 60일에 macrodex군의 50%(3/6)에서 존재하였으나 생리적 식염수군과 대조군에서는 없었다 수술 후 60일과 90일의 경과기간에 따른 차이는 없었다(P=0 2059) 5 조직구와 다핵거대세포의 침윤에 의한 조직 반응과 섬유화는 vicryl군과 macrodex군이 각각의 비교군보다 적었다 이상과 같은 결과로 봉합사로는 vicryl과 nylon을 사용하고 복강내 첨가물로는 6% dexon을 주입하였을 때 조직의 유착이 적고 난관의 유통성이 우수하며 조직반응 및 섬유화가 가장 적어 난관의 미세복원수술에 이들의 사용이 좋을 것으로 사료되었다 Tubal sterilization has been increased progressively in young reproductive women and it has made tubal reversal using microsurgery increase consistently Pregnancy success rate by tubal reanastomosis using microsurgery has been reported approximately two times higher than the previous operation methods Microsurgical tubal reanastomoses were performed on bilateral fallopian tubes of 18 female rabbits using different suture materials and adjuvants Adhesions, absorption of suture materials, tubal patency, and presence of ascites were compared and tissue responsiveness was evaluated by histologic examinations of the restored tubes, and the results were as follows: 1 There was no difference in the degree of adhesion of the restored tubal tissue when the groups were compared according to the suture materials(P=0 1504) and the adjuvants(P=0 8325) 2 Absorption of suture material was marked in the vicryl and the dexon groups compared to the nylon(P=0 0002) 3 There was no difference in tubal patency between the vicryl, dexon, and nylon groups(P=0 6218), but more cases with free flow were found in the macrodex group compared to the normal saline and the control(P=0 048) 4 Ascites were observed in 50%(3/6) in the macrodex group on the 60th day after reanastomosis, whereas none was found in the normal saline and the control(P=0 0735) No difference was noted in the frequency of ascites between the 60 days and 90 days groups(P=0 2059) 5 Tissue responsiveness assessed by infiltrations of histiocytes and multinucleated giant cells, and fibrosis in histologic examination was less marked in the vicryl and the macrodex groups compared to corresponding group
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