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- 저자 : 김종식(JS Kim) (검색결과 3 건)
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김종식(JS Kim),이종태(JT Lee),이동수(DS Lee),김동성(DS Kim) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.2
대구 파티마병원 산부인과에서 1973년 1월 1일부터 1977년 12월 31일까지 만 5년간 본원에서 분만을 취급한 총 분만수 7,029명중 96예의 쌍태임신에 대한 임상통계학적 고찰을 통해 다음과 같은 결과를 얻었다. 1. 쌍태분만의 단태분만에 대한 비율은 1:73이었다. 2. 연령분포는 최소연령은 21세, 최고연령은 40세이었으며, 평균연령은 28세이었다. 쌍태분만중 초산부가 45.8%를 차지하였다. 3. 임신기간은 37주 이상이 81.6%이었고, 태아의 체중이 2,500gm 이상은 제1아는 60.4%, 제2아는 46.8%이었다. Apgar score가 1분 이내에 7∼10인 경우는 제1아에서 85.4%, 제2아에서 80.1%이었다. 4. 분만방법으로는 제1아는 흡인분만 54.2%, 자연분만 22.9%, 제왕절개술 7.3%, 그리고 제2아는 흡인분만 49.0%, 둔위만출술 15.6%, 제왕절개술 7.3%이었으며, 수술 적응증으로는 전치태반, 협골반과 자궁기능부전에 각각 2예로 가장 많았다. 6. 쌍태의 분만지속기간은 평균 11시간 8분이었고, 제1아 만출로부터 제2아 만출까지의 소요시간은 평균 8분이었다. 7. 태반분만은 13.5%에서 용수박리를 시행하였다. 8. 성별로는 양측 남성이 39예로 40.6%, 양측여성이 34예로 35.4%, 남녀 이성이 23예로 24.0%이었으며, 태반은 약 반수에서 단일융모막 및 이중양막(monochorionic & diamniotic membrane)을 보였다. 9. 합병증으로는 임신중독증이 56예로 40.9%로서 가장 많았고, 모성빈혈이 52예로 38.0%, 산후출혈이 28예로 42.4%이었다. 10. 주산기사망은 11예로서 그 사망률은 57.3%에 해당하였고, 그 원인은 미숙아가 364%로 가장 많았고 모체사망은 한 예도 없었다. A clinical review of 96 twin deliveries at the Dept. of Obstet. & Gynecol., Taegu Fatima Hospital for 5 years from Jan., I 1973 to Dec., 31, 1977 was presented. 1) The frequency of twin birth was one in 73 births. 2) The youngest was twenty-one year old woman and the oldest was forty year old one in twin deliveries. Average age was twenty-eight years. And in primipara 45.8 per cent of twin delivery occurred. 3) Delivery after 37th week of gestation occurred in 81.6 per cent and the babies weighing over 2,500gm. Revealed 60.4 percent. In the first twin and 46.8 per cent. In the second twin. Apgar score 7∼10 was shown in 85.4 per cent, and cephaliic-breech combination was 28.1 per cent. 5) The mode of delivery in twin pregnancy, the first twin baby was 54.2 percent in vaccum delivery, 22.9 per cent in spontaneous delivery and 7.3 percent in cesarean section and the second twin baby was 49.0 per cent in vaccum delivery, 15.6 per cent in breech extraction and 7.3 percent in cesarean section. 7 cases of cesarean section, 7.3 per cent was encountered, it`s main indication being such as placenta previa, contracted pelvis and uterine dysfunction. 6) In 13.5 per cent of the cases manual removal of the placenta was performed. 7) There were 39 cases of both males, 40.6%, 34 cases of both famales, 35.4%, and 23 cases of opposite sex, 24.0%, and in about half of the cases, the placenta with monochorionic and diamniotic membranes were seen. 8) As maternal complication of twin pregnancy, 40.9 per cent of toxemia, anemia in 38.0 per cent, postpartum hemorrhage in 42.4 per cent were noted. 9) There were 11 perinatal deaths, it revealing 57.3 of perinatal mortality rate of twins.
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3차원 입체조형치료시 Auto Contouring tool의 유용성 평가
최지민,주상규,박주영,박영환,김종식,Choi, JM,Ju, SG,Park, JY,Park, YH,Kim, JS 대한방사선치료학회 2002 大韓放射線治療技術學會誌 Vol.14 No.1
Introduction : It is essential to input patients external contour in 3D treatment plan. We would like to see changes in depth and dose when 3D RTP is operating auto contouring when windows value (Width/Level) differs in this process. Material & Methode : We have analyzed the results with 3D RTP after CT Scanning with round CT Phantom. We have compared and analyzed MU values according to depth changes to Isocenter changing external contour and inputting random Window value. We have watched change values according to dose optimization in 4 directions(LAO, LPO, RAO, RPO), We plan 100 case for exact analyzation. We have results changing window value random to each beam in 100 cans. Result : It showed change between minimum and maximum value in 4 beam is Depth 0.26mm, MU $1.2\%$ in LAO. It showed LPO-Depth 0.13mm, MU $0.9\%$, RAO-Depth 0.2mm MU $0.8\%$, RPO-Depth 0.27mm, MU $1.1\%$ Conclusion : Maximum change in depth 0.27 mm, MU error rate is $0.12\%$ according to Window change. As we can see in these results, it seems Window value change doesn't effect in treatment. However, it seems there needs to select appropriate Window value in precise treatment.
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박노선(NS Park),이병찬(BC Rhee),김종식(JS Kim),안진상(CS Ahn),이후영(HY Lee) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.7
Congenital anomalies of the uterus are so infrequently encountered. Uterus anomalies are associated with an increase in cases of breech presentation, premature labor, abnormal presentation with dystocia, and the necessith for cesarean section. Each cases of rudimentary uterine horn pregnancy with uterus unicornus and blind uterine horn pregnancy has been presented with a brief review of literature about anomaly of the female genital tract.
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