임신중 고혈압성 질환의 역학

권장연(JY Kwon),이영진(YJ Lee),차동수(DS Cha),황영규(YK Hwang),김대현(TH Kim) 대한산부인과학회 1989 Obstetrics & Gynecology Science Vol.32 No.1

연세대학교 원주의과대학 원주기독병원에서 1982년 3월부터 1986년 2월까지 만 4년간 입원 한 임신중 고혈압성 질환환자 891예중 기록이 충실하였던 647명을 대상으로 임상적 및 통계 학적으로 조사 분석하여 다음과 같은 결론은 얻었다. 1. 총분만수에 대한 임신중 고혈압성 질환의 발생은 8.7%였다. 2. 분류에 의하면 경자간전증이 38.16%(340예), 자간이 16.56%(103예), 중독증이 동반된 만성 고혈압성 혈관 질환이 0.5%(5예) 중독증을 동반하지 않은 만성 고혈압성 혈관 질환이 1.4%(13예) 미분류군이 1.0%(9예)였다. 3. 연령별 발생빈도는 24-29세군에서 52.9%로 가장 높았으며 young age or old age에서 정 상산모보다 높았다. 4. 경산 회수별 발생빈도는 초산부에서 현저히 높았다. 5. 계절별 발생빈도는 춘계에서 높은 빈도를 보였다. 6. 모체혈핵형별로 발생빈도는 A형에서 36.6%로 가장 많았다. 7. 동반된 질환은 빈혈이 54.2%로 제일 많았다. 이상과 같은 임신중 고혈압성 질환에 영향을 미칠수 있다고 생각되는 역학적 제인자를 앎으 로써 임신중 고혈압성 질환발생을 감소시킬 수 있을 것으로 사료된다. An epidemiologic study was undertaken on 647 cases associated with hypertensive disorders in pregnancy, who were admitted to Department of Obsterics and Gyunecology, Yonsei University between March 1982 and February 1986. The results were as follows; 1. The incindence of hypertensive disorder in pregnancy was 8.7% of total delivery. 2. Using the classification of American Committee on Maternal Welfare in the incindence of hypertensive disorders in pregnancy was as follows; preeclampsia, mild ; 47.25%. preeclampsia, severe; 38.16%. Eclampsia ; 11.56% chronic hypertensive vascular disease with preeclampsia ; 0.5% chronic hypertensive vascular disease without preeclampsia ; 1.4% Unclassified ; 10 %, respectively 3. 52.9% of the patients were in the age 25-29 which was most prevalent childbirth group . 4. According to parity, 56.9% of the patients were primigravidas. 5. Among four seasons, 34.5% of the patients occured in winter which was followed by spring autumn, summer in order. 6. Among four blood type 36.6% of the patients occured in blood type A which was followed by blood type O,B, AB in orders. 7. Among the associated diseases with hypertensive disorder in pregnancy the incindence of anemia was the highest.

질에 발생한 평활근종 1 예

김동빈(DB Kim),권장연(JY Kwon),이혜경(HK Lee),엄기명(KM Um),정인배(IB Chung),김대현(TH Kim),송재만(JM Song) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.1

Leiomyomas of the vagina are extremely uncommon tumors. Because majority of these tumors occur in midline of anterior vaginal wall, urinary tract origin is commonly suspected. Recently we experienced a case of vaginal leiomyoma arising in anterior vaginal wall, thus it is presented with a brief review of the case and its literatures.

일측성 질폐쇄 및 신장무형성을 동반한 중복자궁 1 례

김현규(HG Kim),권장연(JY Kwon),김영국(YK Kim),이영진(YJ Lee),차동수(DS Cha) 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.6

Uterus didelphys with unilateral hematometra, hemicolpos, and ipsilateral renal agenesis is a rare mullerian duct malformation. Uterus didelphys with an abstructed hemivagina is frequency associated with renal agenesis, mostly ipsilateral to the blind vaginal pouch. We are presented with brief review of the literature and report a case of uterus didelphys with unilateral imperforate vagina and ipsilateral renal agenesis.

자가절단된 난소 기형종 2 례

김정현(JH Kim),권장연(JY Kwon),전혜선(HS Jeon),한상원(SW Han),차동수(DS Cha) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.6

Torsion of uterine adnexa usually causes pain and is treated as an acute surgical emergency. Adnexal torsion seen in adult life is usually associated with some abnormality such as ovarian cyst. Asymptomatic torsion, necrosis, and amputation of adnexa may explain their unilateral absence without other genitourinary abnormality. If a total embryonic error or selective dysgenesis of the urogenital ridge occurs, ipsilateral anomalies usually involves adjacent structures of both the urinary and genital system. However, no anomalies of the uterus and urinary structures appeared evident in any reviewed case. Therefore, adnexal torsion with subsequent infarction, necrosis and autoamputation represents the most likely explanation for this phenomenon. We have experienced two cases of autoamputated ovarian cyst and report with brief review of literatures.

자궁근종의 임상병리학적 연구 자궁근종의 임상병리학적 연구

이동연(DY Lee),권장연(JY Kwon),정인배(IB Chung),한상원(SW Han),이영진(YJ Lee),차동수(DS Cha),김대현(TH Kim) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.11

Uterine myomas, which occur in one of every four to five women in reproductiv life, and the most common solid pelvic tumors in women. Nevertheless, etiology ad symptomatology remain poorly understood, and mangement are inconsisten .In an effort to improve understandin of these aspects of uterine myoma, we have reviewed and analysed the data results obtained from myoma patients at Wonju Christian Hospital during the years 1987 to 1990 During the period the incidence of myoma among 4,514 cases of major gynecologic surgery was 8.1%. The frequency of myoma was the highest in age group of 40-49 years The most frequent location and type were corpus(96.2%) and intramural (48.8)myoma respectively Abnormal electrocardiographic manifestations were noted in 11.2% The symptoms commonly found in decreasing order were pain or pressure symptoms(60.2%) abnormal uterine bleeding(59.9%)and palpable mass(11.9%). Hypermenorrhea was most frequently the primary infertility was 2.7% and secondary infertility was 4.1% And the subserosal and submucous type revealed relatively high incidence of infertility, 18.2% and 10.2% respectively. Mean hemoglobin level were 10.1% g/이 and less than 10g/이 was forund in 44.4% The most frequently associated diseases in myoma were chronic cervicitis (15.0%) ovarian cyst (14.2%) and pelvic inflammatory disease(11.4%) The majority of myomas were treated by the total abdominal hysterectomy (96.5%)

강원지역에서의 질 Trichomonas Vaginalis 유병률

최교선(KS Choi),권장연(JY Kwon),어영(Y Uh),구재석(JS Koo),차동수(DS Cha),김명철(MC Kim) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.7

Since Donne`s description of the Trichomonas vaginalis in 1836, the reports of numerous observers have emphasized its very frequent occurrence in women and its being a cause of purulent vaginal discharge of women with severe vaginitis. And it was well-known that trichomoniasis has been emerged as the most common sexually transmitted disease of parasitic origin. In the recent years, Trichomonas vaginalis has been implicated in the pathogenesis of preterm labor, premature rupture of the membranes, and upper reproductive tract postsurgical infections. So, to compare and evaluate distribution and prevalence of Trichomonas vaginalis in kangwon area, we analyzed the papancolaou smear and direct wet smear results during the years 1988 to 1993. The results were as follows. 1) The prevalence of Trichomonas vaginalis by papanicolaou smear and direct wet smear were 8.1% and 6.5%, respectively. 2) In geographic distribution of Trichomonas vaginalis in kangwon area by papanicolaou smear and direct wet smear, the prevalence of urban area were 14.3 and 24.1%, rural area were 6.2 and 4.0%, respectively. 3) The prevalence of Trichomonas vaginalis showed increasing trend as the gravida and parity were increasing. 4) No close relation were found between gynecological diseases or surgical past history and the prevalence of Trichomonas vaginalis. In Conclusion, we recommed that screening tests of T. vaginalis are performed to high risk women of trichomoniasis and think that studies on accurate and rapid diagnostic tests to find out women carrying Trichomonas vaginalis are required.

척추마취 후 제왕절개술 시행한 산모에 합병된 페전색 1 례

송종민(JM Song),권장연(JY Kwon),박금수(KS Park),이주용(JY Lee) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.8

The maternal mortality rate continued to decline since 1940. However, pulmonary thromboembolism, first identified as the leading cause of maternal death in 1970s, continues to account for an increasing proportion of maternal deaths. The main or major cause of maternal deaths were pulmonary thromboembolism, heamorrhage, ectopic pregnancy, pregnancy induced hypertension complication and infection. Recently, deaths by pulmonary thromboembolism may be becoming more importent as a cause of maternal death. We present a cause of fatal pulmonary emblosim, which was diagnosed by lung-perfusion scan and pulmonary angiography on the postoperative 2 day after cesarean section for which the patient was given a spinal anaesthesia. In our knowledge, we belive it to be the first time this problem case following spinal anesthesia for casarean section has been reported in Korea.

난구를 형성하고 있는 과립성세포 ( 난구세포 ) 가 생쥐배아 난할율에 미치는 영향

한혁동(HD Han),권장연(JY Kwon),한상원(SW Han),이영진(YJ Lee),차동수(DS Cha),김대현(TH Kim) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.4

To study the effect of cumulus cells on the development of mouse embryos, one cell stage zygotes with cumulus cells(one cell stage zygotes-cumulus mass) and one cell stage zygotes without cumulus cells, which were treated with hyaluronidase, were cultured in Ham`s F-10 and Ham`s F-10 with 10% cord serum. Development of the blastocyst of one cell stage zygotes with cumulus cells was significantly higher than development of the blastocyst of one cell stage zygotoes without cumulus cells in Ham`s F-10 and Ham`s F-10 with 10% cord serum(P<0.05, P<0.017). In our results, cumulus cells which surround one cell zygotes promote the development of embryos.

분만 제 3 기의 Oxytocin 정맥주입에 따른 효과

이성림(SL Lee),조윤상(YS Jo),권장연(JY Kwon),정인배(IB Chung),한상원(SW Han),한혁동(HD Han),차동수(DS Cha) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.4

The authors analysed the effect of the intravenous oxytocin induced third stage of laobr in a controlled trial. Pregnant women were randomized to receive intravenous oxytocin after the delivery of the placenta(Group 1, n=608) or receive intravenous oxytocin immediately after the delivery of the baby(Group2, n=516). There was no significant difference between two groups in postpartum bleeding. But those sho received intravenous oxytocin immediately after the delevery of the baby had a lower incidence of postpartum hemorrhage(2.6% versus 4.0%). Intravenous oxytocin immediately after delivery of the baby appears to be a useful alternative to traditional management of the third stage of labor.

임신중독증 환자의 뇨칼슘에 관한 연구

김경률(KL Kim),이영진(YJ Lee),권장연(JY Kwon),차동수(DS Cha) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.1

We studied the urinary calcium excretion in 93 patients in the third trimester of pregnancy. Among all deliveries, 38 women who were diagnosed for preeclampsia were selected for the study group and 55 women were selected for the control group. The 24-hrs albuminuria, total serum calcium, 24-hrs urinary calcium excretion, serum creatinine, FEca, creatinine clearance and serum uric acid were measured and the results are as follows. 1. The 24-hrs albuminuria value was 87.12+-72.36 mg/24hr in the control group, 996.43+-1089.94 mg/24hr in the mild preeclampsia group and 2040.52+-2189.36 mg/24hr in the severe preeclampsia group, showing a significant increase in the both groups(p