제대허니아 및 심한 복수를 동반한 거대 자궁근종의 1 예

김동진(DJ Kim),신영관(YK Shin),이혜경(HK Lee),이재석(JS Lee),박범승(BS Park) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.6

The reported cases of huge uteine myoma with umbilical hernia and massive ascites are extremely rare. This case, 49-year old multipara, was referred to our hospital due to distended abdomen and umbilical hernia. After removal of the uterine myoma, ascites had been completely disappeared. Pathologically, a leiomyoma of the uterus was confirmed.

Meigs` syndorme 1 예

김동진(DJ Kim),김관옥(KO Kim),김규관(KG Kim),박복림(BR Park) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.7

저자들은 본병원 산부인과에서 양수와 양수를 동반한 Meigs` syndorme 1예를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. A relatively uncommon syndrome which mimics the terminal phase of a metastasizing malignant tumor, far advanced cirrhosis, or cardiac failure, but is curable by surgical treatment was first described by Meigs. The syndroms is a triad of ovarian fibroma, ascites and pleural effusion But the mechanism of this syndrome is not clear. Authors present a case of Meigs` syndrome associated with ovarian firbroma with the brief review of literatures.

자궁외임신의 임상적고찰

김동진(DJ Kim),박병삼(BS Park),강용필(YP Kang),이상범(SB Lee),임헌정(HJ lm) 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.10

This retrospective study was undertaken for the clinical evaluation and statistical analysis on the 760 caes of the ectopic pregnancies who were managed and confirmed histopathologically at the Department of Obstetrics and Gynecology, Kwang-Ju Christian Hospital during the period from January .1 1989 to December 31. 1994. The results obtained were as follows; 1. The incidence of ectopic pregnancy was 1 in 26.9 deliveries. 2. The most frequent age group was in 26-30 years of age. 3. Nullipara was 26.7% and the case who experienced artificial abortion was 74.1%. 4. According to past history of illness , laparoscopic tubal sterilzation was seen in 12.1%, PID in 7.2 %, repeated ectopic gestation in 3.4%. 5. On symptomatological analysis, lower abdominal pain was encountered in 95.6%, vaginal spotting in 62.1% and amenorrhea in 85.1%. 6. The most frequent missed period was 8th week in 22.6%. 7. Hemoglobin value over 10.0mg/dl was in 73.9% and below 8.0mg/dl in 5.6%. 8. Initial systolic pressure above 100mmHG was in 79.3% the mean value was 103.5mmHG. 9. Urine HCG test was positive in 91.5%, culdocentesis in 93.4%, USG finding in 84.3% and diagnostic laparoscopy in 95.8%. 10. As to implantation site, ampulla was in 83.6% fimbria in 6.6%, isthmus in 5.5%, interstitium in 2.1% ovary in 1.7%, cervix in 0.2% and abdomen in 0.3%. 11. Type of ectopic pregnancies was ruptured one in 52.3% and abortive one in 47.6%. 12. 52.0% of all cases received transfusion. 13. 88.2% of all cases was treated with salpingectomy 1.0% with total hysterectomy 1.0% with fimbrial evacuation, 0.6% with salpingectomy or salpingectomy 5.4% with laparoscopic operation 0.1% with local infiltration of methotrexate and 0.1% with foley catheterization into the cervical canal. 14. Of 760 cases , no death occured.

자궁탈에 관한 임상적 관찰

김태웅(TW Kim),이석환(SH Lee),김준길(JK Kim),차용재(YJ Cha),김준태(JT Kim),윤미림(MR Yoon),진건(K Jin),김동진(DJ Kim) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.10

This clinical and statistical study was attempted to analyze 168 cases of uterine prolapse(13 cases-not oeprated, 155 cases-operated) at the Department of Obstertrics and Gynecology, KangNamGeneral Hospital during the perilod from Jan 1981 to Dec. 1992. The results are as follows: 1. The incidence of the uterine prolapse found at the Department of Obstetrics and Gynecology during the past 12 years was 0.09% 2. The highest group of age distribution at the time of admission was 50 to 59 years(36.3%)and the mean age was 54.5 years old 3. The highest group of the degree of uterine prolapse was the 3 rd degree(48.8%) 4. The parity showed that 118 cases(70.3%) was over 4 and I case(0.6%)was nullipara 5. The delivery place was home in 151 cases(89.8%) and the urban area(89.3%)had a higher incidence than rural area(10.7%) 6.The age distribution at the time of development of uterine prolapse showed that 48 cases (28.5%) were 50 to 59years 33cases(19.6%) were 30 to 39years and mean age was 46.5years. 7. 96 cases(47.2%)was those cases who had suffered from the uterine prolapse for more than 10years and mean duration was 15.3years. 8. The feeling of a prolapsed mass was the most common symptom (95.25)and dysuria and urinary frequency were the next common symptoms(20.2%) 9. In 7 cases out of 168 cases(4.1%), previous treatment such as vaginal hysterectomy abdominal hysterectomy chemical cauterization was done 10. Out of 155 cases of uterine prolapse, 106 cases(68.4%)were treated by the vaginal hysterectomy with either anterior and posterior repair and/or posterior repair 11. Recurrence was 4 cases(2.5%) 12. The fever was the most common postoperative complication(6.4%)and urinary tract infection was the next common symptom(5.1%) 13 Pathologic findings were as follows: Chronic cervicitis 102 cases(65.8%) squamous metaplasisa of cervical gland 99 cases(63.8%), associated ovarian cyst 7 cases (4.4.%) Leiomyoma 5 cases (3.2%)etc.

Female Precocious Pseudopuberty를 동반한 난소과립막세포종의 1 례

김관옥(KO Kim),박봉림(BL Park),김규관(KG Kim),박건남(KN Park),김동진(DJ Kim) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.6

Female Precocious Pseudopuberty를 동반한 난소과립막세포종 Functional ovarian tumors is the rare disease among ovarian tumors and is considered from granulosa cell origin. It was usually diagnosed after menopause, but was diagnosed infrequently before puberty. We had experiencd one case of functional ovarian tumors in 3 and 11/12 year-old female child, surgicla removal was performed and proved the juvenile granulosa cell tumor. Now, we present it with the brief review of literatures.

Post-Transfusion Prupura 1 례

차용재(YJ Cha),김준길(JK Kim),김준태(JT Kim),김태수(TS Kim),신영관(YK Shin),김동진(DJ Kim) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.10

Post-transfusionpurpura(PTP) is believed to be a rare clinical syndrome characterized by the acute occurrence of severe purpura with thrombocytopenia approximately 1 week after blood transfusion. This syndrome occurs predominantly in patients who lack the platelet-specific alloantigen, and has been previously sensitized by prior transfusion or pregnancy. The typical patient is a middle-aged, multiparous white woman. Diagnosis may be suspected by normal clotting studies, bone marrow biopsy showing increased megakaryocytes, and demonstration of a potent antibody reactive against platelets by appropriate serologic tests. Treatment with corticosteroid and platelet transfusion is ineffective. Exchange trasfusion or plasmapheresis has led to improved survival in this disease. Recent reports indicate that IV IgG may become a effective treatment. We exprienced a case of PTP in a multiparous woman received first blood transfusion during Cesarean section. Here we report this case with brief review of literature.

Methotrexate로 치유한 자궁경관임신 1 례

김준길(JK Kim),차용재(YJ Cha),윤미림(MR Yoon),황호민(HM Hwang),김동진(DJ Kim) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.10

Cervical pregnancy is one of the most rare but life-threatening form of ectopic pregnancy. Most cervical pregnancies result in early spontaneous abortion, complicated by severe hemorrhage from the eroded blood vessels within the cervical tissue. Until recently they usually resuulted in abdominal hysterectomy as a life-saving procedure. But efforts for reserving childbearing capacity in the past decade have led to several successful attempts at conservative managements that include cervical cerclage, tamponade of the cervical canal, ligation of internal iliac arteries, insertion of Foley catheter into the cervical canal, and uterine artery embolization. We report a case in which a cervical pregnancy was diagnosed in a 6 weeks and in which the patient was successfully treated with methotrexate without surgical intervention.

폐경기후 여성의 난소에 발생한 평활근종 2 예

김준태(JT Kim),윤미림(MR Yoon),황호민(HM Hwang),진건(K Jin),김동진(DJ Kim) 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.2

Accounting for only 1% of benign ovarian tumors, leiomyoma of the ovary is rare benign neoplasm characterized by smooth muscle cell proliferation. Fewer than 50 cases have been described in the literature. This neoplasm is usually found incidentally on routine pelvic examination at surgery, or at biopsy. We present two cases of ovarian leiomyoma in 80-year-old and 81-year-old woman which have been experienced in our hospital with brief review of literature.

폐경기여성에서 에스트로젠 보충요법시 병행투여된 프로게스테론제제가 골밀도에 미치는 영향

김수련(SR Kim),박교만(GM Park),정을영(EY Jeong),민창수(CS Min),신용덕(YD Shin),진건(K Jin),김동진(DJ Kim) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.2

Estrogen replacement therapy is known to reduce the incidence of cardiovascular disease and osteoporosis in postmenopausal women. Estrogen has beneficial effect on bone density and adding progesterone to estrogen is known to have synergistic effect. However, the effect of progesterone on bone mineral density had not been precisely evaluated in Korean postmenopausal women. To evaluate the impacts of progesterone on bone mineral density during estrogen replacement therapy, we conducted the randomized 2-year trials of conjugated equine estrogen (Premarin 0.625 mg/day) with or without cyclic progesterone(medroxyprogesterone acetate : MPA 10 mg/day for 12 days) in 105 postmenopausal women. Bone mineral density was measured in the lumbar vertebrae(L2-L4) using dual energy X-ray absorptiometry(DEXA) at the beginning of the treatment, 6 onths, 12 months and 24 months later, respectively. In Premarin only group, bone mineral density at 6 months and 12 months after treatment did not show significant difference from baseline value. But bone mineral density on 24 months after treatment showed significantly increased value(p value<0.05) than that of initial. In Premarin plus MPA group, bone mineral density at 12 months and 24 months after treatment showed significantly increased than baseline(p value<0.05). And compared with Premarin only group, Premarin plus MPA group showed significant increase in spinal bone density after 2 years treatment(p value<0.05). These results suggest that the addition of MPA in estrogen replacement therapy appears to increase in bone mineral density more than unopposed estrogen. Thus combination of estrogen and progesterone appeared to be effective long-term prophylactic treatment regimen upon postmenopausal bone loss.

자궁내막간질육종의 1례

박영세(YS Park),김동진(DJ Kim),신순철(SC Shin),장윤석(YS Chang) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.1

A case of endometrial stromal sarcoma was described with its clinical and pathological findings. A brief review on the literatures was made in comment.