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난소난관 절제술후 복벽수술 반흔에 발생한 자궁내막증 1예
이탁,서영욱,김택훈,곽주견 啓明大學校 醫科大學 1984 계명의대학술지 Vol.3 No.2
금번 계명대학교 의과대학 산부인과학교실에서 난소 난관절제수술후 수술반혼에 생긴 자궁내막증 1예를 치험하였기에 간단한 문헌적 고찰과 함께 이에 보고하는 바이다. Endometriosis of abdominal scar is a very rare case. We experienced a case of endometriosis of abdominal scar after salpingo-oophorectomy and present this case with a brief review of concerned literatures.
자궁경부상피내종양진단에 있어서 질확대경 조준하 원추형 생검의 효용성
곽주견,차순도,서영욱 啓明大學校 醫科大學 1987 계명의대학술지 Vol.6 No.1
Medical records of 154 patients who were diagnosed and treated as cervical intraepithelial neoplasia at the Department of Obstetrics and Gynecology, Dongsan Medical Center, Keimyung University during the period of January, 1982 to June, 1986 were reviewed, and many factors related to diagonosis were analyzed. The results were as follows: 1. Of the 71 patients who had a hysterectomy following a punch biopsy without intermediate cone biopsy, 48 cases (67.6%0 showed identical results with the initial diagnosis and 23 cases(32.4%0 were underdiagnosed. 2. Of the 45 cases of naked eye conization with hysterectomy, 42 cases(93.3%) showed accurate diagnosis and 3 cases (6.6%) were underdiagnosed. 3. 26 cases of colposcopically directed cone biopsy with hysterectomy showed identical results in all cases. 4. Of the 26 cases of colposcopically directed punch biopsy, 23 cases(88.5%) showed identical results and of the 22 cases of cervical intraepithelial neoplasia, 3 cases had microinvasion but no cases of invasive carcinoma were found. 5. Of the 139 cases of cervical intraepithelial neoplasia, 17 cases had false negative results in cytology. Above results indicated that colposcopically directed punch biopsy is needed for accurate diagnosis of cervical intraepithilial neoplasia. Performing conization, where colposcopy is used, the size of cone is adopted to the precision, so cases of residual tumor could be minimized . On the other hand, colposcopically directed punch biopsy could reduce the incidence of conization.