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      • KCI등재

        외음부에 발생한 Paget씨 병의 1예

        김순애(SA Kim),최근해(GH Choi),박인서(IS Park) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.6

        Anogenital(extramammary) Pagets disease is less frequent but far more controversial than in the mammary lesion. The clinical and pathological features of Pagets disease of the breast are generally accepted, but no uniform agreement is accorded the features of Pagets disease of the anogenital area. The total number of reported cases of Pagets disease of the vulva is approximated about 100. No any one case is reported in Korea until now. Authors report a case of Pagets disease of vulva with a brief review of literatures.

      • KCI등재

        충양돌기 자궁내막증의 1예

        김순애(SA Kim),김영선(YS Kim),이동훈(DH Lee) 대한산부인과학회 1964 Obstetrics & Gynecology Science Vol.7 No.2

        23세의 기혼미임여자에서 타장기자궁내막증 합병없이 단독히 충양돌기에 발생한 자궁내막증의 1예를 보고한다.

      • KCI등재

        쌍태임신에 관한 임상적 고찰

        김성심(SS Kim),김현찬(HC Kim),배평원(PW Bae),김순애(SA Kim),박영주(YJ Park),박인재(IS Park),박찬무(CM Park) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.5

        A clinical review of 239 twin deliveries at National Medical Center for 15 years from 1959 to 1973 was presented . 1. The frequency of twin birth was one in 71 births. 2. The youngest was twenty-one year old woman and the oldest was forty eight year old one in twin delivery, Average age was twenty-nine years. And in primipara 31.8 percent of twin delivery occured. 3. Delivery after 37th week of gestation occured in 76.5% and the babies weighting over 2500 gm. revealed 47.7% . And Apgar socre 7-10 was shown in 88% of the first twin and in 87.0% of the second. 4. In presentation cephalic presentation of the first twin revealed 75.8% and in approximately 70 % of vertex-breech combinations ,the first twin presented by the vertex. 5. Diagnosis of twin pregnancy before labor was made in 71.6% of 239 twin delivery 6. Sponaneous delivery of both babies occurred in 55.6% and operative delivery was performed in 44.4%. 7. Twenty four cases of cesarean section 10.0 % was encounted its main indication being such as repeat cesarean sections, fetal distress secondary inertia and eclampsia. 8. In 15.5% of the cases manual removal of the plaenta was perfomred. 9. About 1% of congenital anomaly was seen 10. Two cases of maternal deaths were encountered.

      • KCI등재

        임신중 난소종양의 임상적 고찰

        김현찬(HC Kim),김순애(SA Kim),이명근(MK Lee),유석권(SK Yoo) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.12

        국립의료원 산부인과에서 1960년 1월초부터 1976년 7월말까지 경험한 임신중 난소종양 66예 에 대한 임상적 고찰을 하여 다음과 같은 결론을 얻었다. 1. 양성난소종양의 임신 및 분만에 대한 빈도는 각각 1:353, 1:312 이었으며 악성종양의 경우 는 각각 1:7771, 1:6546이었다. 2. 양성난소종양의 7.8%, 악성난소종양의 2.0%가 임신과 합병되었다. 3. 평균 연령은 30세이었으며 연령폭은 21-43세이었다. 4. 평균임신회수는 2.9회(1-21회) 평균 분만수는 1.8회(0-7회)이었다. 5. 병리조직학적 소견에서 양성낭성기형종이 제일 많아 32예(48.5%) 이었으며 장액성낭선종 10예(15.2%), 점액성낭선종 9예(13.6%) 단순낭종 5예(7.6%) 난포막황체낭종 4례(6.1%) 의 순위 이었고, 난소갑상선종, 양성간충조직종, 황체낭포가 각각 1례(1.5%)이었다. 악성종양 으로서 는 위암에서 전이한 Krunkenberg 종양, 장액성낭선암, 악성기형종이 각각 1례있었다. 6. 종양의 발생부위는 우측이 약간 많아 34례(51.5%) 좌측이 25례(37.9%)이었으며 7례(10.6%) 에서 양측성 이었으며 이중 4례의 양성낭성기형종, 2례의 난포막 황체낭종, 1례의 이차성 Krukneberg 종양이 있었다. 7. 초진시 주소, 증상 및 증후로는 하복통이 27례(40.9%)로 제일많았고, 부속기종양 18례 (27.3%), 질출혈 7례(10.6%) 압박증상 5례(7.6%) 하복보 불괘감과 진통이 각각 4례(6.1%) 위장 장애와 복부팽만이 각각 3예(4.5%) 의 순위었으며 증상 및 증후가 없었던 14례(21.2%)는 산 전관호시 진단되었다. 8. 총 66례중 50례(75.6%)에서 수술전 혹은 분만전에 정확히 진단되었다. 9. 임신초기에 30례(45.5%) 증기에 20예(30.3%) 말기 또는 만삭시에 12예(18.2%) 산욕기에 4 례(6%)수술을 시행하였다. 1. The incidence of benign tumors in pregnancy was 1 in 353 pregnancy and 312 delivery. Malignant tumors was 1 in 7771 pregnancy and 6546 delivery 2. Benign tumors complicating pregnancy was found in 7.8% among all operated benign tumors and the malignancy was in 2.0% among all malignant tumors operated. 3. Mean age was 30 years old and the range was 21-43 years old 4. Mean gravidity was 2.9 (1-21) and mean parity was 1.8 (0-7) 5. According to the histopatholgical type, benign cystic teratoma was found in 32cases (48.5%) serous cystadenoma in 10 cases (15.2%) mucinous cystadenoma in 9 caes (13.6%) simple cyst in 5 cases (7.6%) theca lutein cyst in 4 cases (6.1%) and 1 cases (1.5%) of struma ovarii benign mesenchymal tumor and corpus leteum cyst were found the malignant tumors were 1 case of metastatic krukenberg tumor serous cystadenocarcinoma and malignant teretoma. 6. The right side tumor was more common being 34 cases (51.5%) and the left was in 25 cases (37.9%) 4 cases of benign cystic teratoma 2 cases of theca lutein cyst and 1 case metastatic Krukenberg tumor were bilateral. 7. As to the initial chief complaints or the mode of presentation low abdominal pain was found in 27 cases (40.9%) adnexal mass in 18cases (27.3%) vaginal spotting or bleeding in 7 cases (10.6%) pressure symptoms in 5 cases (7.6%) abdominal discomrfort in 4 cases (6.1%) labor pain 4 cases (6.1%) gastroinitestinal troubles in 3 cases (4.5%) and abdominal distension in 3 cases (4.5%) etc. the fourteen cases (21.2%) free of symptoms or signs, were detected at anetnatal care. 8. Among the 66 cases 50 cases (75.6%) were correctly diagnosed before operation or delivery. 9. Thirty cases (45.5%) were operated in the first trimester, 20 cases (30.3%) in the second trimeseter 12 cases (18.2%) in the third trimester and 4 cases (6.01%) in the puerperium.

      • KCI등재

        뇌수종에 의한 자궁파열의 2예

        박영주(YJ Park),김순애(SA Kim),김현찬(HC Kim) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.4

        최근 경산부에서 발생한 뇌수종에 의한 자궁파열 2례를 경험하였기에 간단한 문헌고찰과 더불어 증례를 보고하였다. Hydrocephalus, although infrequently seen by the obsterician is a potentially dangerous condition in which the out-come at times is unfavorable. In such cases, the physician must have an organized plan of management, especially where the hydrocephaly is first diagnosed intrapartum. Authors report two cases of hydrocephalus of fetus complicated by uterine rupture with a brief review of literature concerned.

      • KCI등재

        출산 후 삽입한 자궁내장치에 관한 임상적관찰

        이홍균(HK Lee),김순애(SA Kim),강옥희(OK Kang),박찬무(CM Park) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.3

        1973년 6월초부터 1974년 5월 말까지 약 1년간 국립의료원 산과에 입원 질식 정상분만을 하였던 환자 86례에 Lippes loop D를 분만후 제 2일 또는 제 3일에 삽입하여 관찰한 바 다음과 같은 결과를 얻었다. Immediate postpartum insertion of IUD was carried out in 86 acceptors from June 1, 1973 to May 31, 1974 at National Medical Center and the following results were observed. 1. Age distribution showed the highest incidence in the age group of 25-29. 2. Over two third (76.8%) of the acceptors had the parity of 2-3. 3. The percentage of sponatneous expulsion at 12 moths was 31.4 4. Duration of wearing in 7-12 months and less than 6 months were 58.1% and 31.4% respectively. 5. Side-effects were leukorrhea, bleeding and lumbago etc.

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