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자궁경을 통한 점막하근종 절제술시 팽창배지에 의한 폐부종 1 예
이현주(HJ Lee),이무용(MY Lee),이승민(SM Lee),조치흠(CH Cho),윤성도(SD Yoon) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.1
A 45-Year-old para 1-0-1-1 had submucosal myoma diagnosed by ultrasonogram and hysteroscopic examination. During 60 minutes hysteroscopic myomectomy, 8,000 ml of sorbitol-mannitol distention medium was used and 6,500 ml collected, resulting in a deficit of 1,500 ml. The patient received Ringer`s lactate 1,000 ml intravenously. Her urine output was 400 ml. Blood loss was 40 ml. After operation, hyponatremia(115 mEq/L) was developed and pulmonary edema was also diagnosed clinically at that time and later confirmed by chest radiograph. The judicious administration of diuretics and normal saline fluid replacement to prevent overcorrection to hypernatremia resulted in return of serum electrolytes to normal level and resolution of the pulmonary edema by postoperative day 1. We have experienced a case of pulmonary edema during hysteroscopic myomectomy with sorbitol-mannitol distention medium, which is presented with a brief review of literatures.
이미나(MN Lee),이상원(SW Lee),황보호준(HJ Hwangbo),김종호(JH Kim),이영기(YK Lee),이태형(TH Lee),이승호(SH Lee) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.7
Department of Obstetrics and Grnecology,College of Medicine,Yeungnam University A postterm pregnancy is one sthat persists for 42 weeks or more from the onset of a menstrual peripd. The risks of postterm pregnancy on mother and fetus are greater than those of similar gestations completed at or mear term. An investigation was undertaken to determine that nipple stimulation and membrane stripping could safely reduce the postterm pregnancy. Delivery outcomes of spontaneous labor induced by nippled stimulation and membrane stripping were compared with control group of pregnant women above completely 38 weeks gestational age. The frequency of postterm pregnancy was significantly decreased in the group of nipple stimulation (4%) and membrane strippimg (8%) with control (17%) (p<0.05). The gestational age at delivery was significantly longer in the control group(41.2 weeks) with the nipple stimulation(40.2 weeks) and the membrane stripping(40.3 weeks). The meconium in the amniotic fluid was increased in the postterm pregnancy compared with term pregnancy from 7.7% to 62.1%. The ratio of the vacuum delivery and cesarean section was increased in the postterm pregnancy with term pregnancy(p<0.05). The nipple stimulation and membrane stripping were found to be an inexpensive, simple,noninvasive and effective methods for induction of labor and ripening of cervix.
양회경(HG Yang),이해혁(HH Lee),이정재(JJ Lee),이명환(MH Lee),구도형(DH Koo),전섭(S Jeon),최경훈(GH Choi),이항재(HJ Lee),신정옥(JO Shin),이임순(IS Lee),이권해(KH Lee) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.4
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 < 0.05 was considered significant. Results: The presence of cervical wedging and shorter cervical length were significantly associated with preterm delivery[p<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.