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- 저자 : 김철수(CS Kim) (검색결과 5 건)
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김철수(CS Kim),이장환(JW Lee),이태호(TH Lee) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.8
During a period from July 1 1969 to July 31 1976, a total number of 61,460 women who lived in Taegu city and rural area of Kyungpook province were surveied by both stationary and mobile cervical ca detection teams. The results summarized were as follows. The number of cases of classes Ⅰ and Ⅱ, in other words negative smear were 60,614 or 98.6%; suspicious 398 or 0.65% : and class Ⅳ and Ⅴ, positive 448 or 0.73%. The highest incidence was noted in the age group of both 40-44 and 45-49. Of all the women examined, 28,350 were by the stationary team and 33,110 by the mobile team. Suspicious and positive rate detected were 1.24% and 1.46% in stationary team, where as 0.14% and 0.10% in mobile team, revealed marked difference among the two teams. A positive correlation between positive rate and increase of age was found. Positive correlation also noted between positive rate and lower socioeconomic standing and poor educational back ground. The positive rate became higher with iecreasing number of partiy which however, no correlation with the number of abortions, either spontaneous or induced.
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김석중(SJ Kim),김문종(MJ Kim),김재욱(JU Kim),김철수(CS Kim),곽현모(HM Kwak) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.1
1965년부터 1985년까지 5년간격으로(1965, 1970, 1975, 1980, 1985) 연세대학교 의과대학 세브란스병원에서 분만한 체중 501gm이상의 총 출산아 9,303예를 분석하여 다음과 같은 결론을 얻었다. 1. 혼혈아를 제외한 한국인의 평균 제왕분만율은 18.8%로 1965년 6.9%에서 1985년 25.8%로 증가하였으며, perinatal period II rate는 평균 47.8로 연도간 변화는 파동적으로 약간 감소하는 듯 하였으나 그 통계학적 의의는 없었다. 2. 1965년부터 1985년까지 만 21년동안 체중 1,001gm이상의 39,181예의 분만을 대상으로 조사한 연도별 제왕분만율과 perinatal period I rate의 상관계수는 -0.25로 역상관관계를 보였고 특히 신생아사망율은 -0.36으로 통계학적 의의가 있는 역상관관계를 보였다. 3. 모체연령의 분포는 고위험 임신군인 19세 이하와 48세 이상에서 현저한 감소를 보였으나 perinatal period II rate에는 5.6%의 감소효과밖에 보여주지 않았다. 4. 임신회수와 반만회수의 분포는 각각 4회이상, 3회이상에서 현저한 감소를 보였으나 perinatal oeriod II rate에는 각각 9.9%, 10.0%의 감소효과밖에 보여주지 않았다. 5. 제태연령의 분포는 42주 이상의 의의있는 감소에도 불구하고 20∼24주에서 현저한 증가를 보여서 perinatal period II rate에 35.6%의 악화요인이 되었다. 6. 출산체중의 분포는 비교적 안정되어 있었으나 501∼1,000gm에서만 의의있는 증가를 보여서 perinatal period II rate에 30.4%의 악화요인이 되었다. 7. 태위의 분포는 둔위만 의의있게 증가하였으나 둔위시 제왕분만율이 도리어 높아서 1.9%의 perinatal period II rate 감소효과를 보엿다. 8. 제왕분만 적응증의 연도별 변화는 둔위의 경우만 의의있게 증가하였다. 9. 혼혈아는 한국인에 비하여 모체연령이 젊고, 임신회수가 많은 반면 분만회수는 적으며, 저체중아가 적고 제왕분만율은 다소 높아 평균 perinatal period II rate는 현저히 낮았다. During the past few decades, the incidence of cesarean section had steadily increased with the developments of advanced surgical techniques. Increased rates of cesarean birth partly due to broadened fetal indications coincided with the improvement in perinatal survival. Perinatal mortality is influenced by numerous factors such as socioeconomic class, cultural and geographic characteristics as well as accessibility of sophisticated materno-fetal medicine, and obstetrical and neonatal care. Therefore, whether or not the increase in cesarean section has contributed significantly to reducing perinatal mortality in recent years remains controversial. Based on these, a total of 9,303 cases of birth with birth weights more than 500 grams which were delivered from 1965 to 1985 in 5-year interval at Yonsei University College of Medicine, Severance Hospital and obtained the following results. 1. From 9,302 cases of total births, we excluded the babies of mixed race and selected 8,719 cases. Total cesarean births were 1,635 and the overall cesarean birth rate was 18.8%; the rate rose gradually from 6.9% in 1965 to 22.5% in 1985, and the highest was achieved in 1980 with 28.6%. 2. Perinatal mortality was resulted in 417 cases and the overall perinatal mortality rate was 47.8%, including 190 cases of fetal death and 227 cases of neonatal death. There were no significant differences in the quinquennial perinatal mortality rate. By another analysis based on perinatal period I rate, there were marked decreases in perinatal mortality from 50.7 in 1965 and 34.1 in 1975 to 25.5 in 1985. The correlation of cesarean birth rate with perinatal mortality rate and with neonatal mortality rate showed inverse relationship. Pearson correlation coefficients were -0.24 and -0.36 repectively; the former was statistically not significant(p=0.15), but the latter was significant(p=0.60).
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이장환(JW Lee),김철수(CS Kim),이승호(SH Lee),안종호(JH Ahn),이태호(TH Lee) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.6
희귀한 난소임신 1예를 보고하였고 아울러 이의 문헌고찰을 겸하였다. A ovarian pregnancy, which is extremely rare type of ectopic pregnancy was presented, and a brief review of literature was added.
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이태호(TH Lee),김철수(CS Kim),이장환(JW Lee) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.1
Analysis was made various aspects on 712 Pap class Ⅲ vaginal smears, which were screened during July 1 1969 to January 31 1978, at female ca. detection center Kyungpook National University Hospital. The results summarized were as follows. Among the 66.751 patients screened 712 revealed class Ⅲ vaginal smears or 1.1% and 398 were being biopsied, the rate showed 55.9%. The results of biopsy were normal in 11.3%, dysplasia varing degrees 33.9%, ca. in situ 36.7% and invasive ca 18.1% respectively. Occurance rate of dyskaryotic cells originated surperficial, intermediate and parabasal layer dominance in class Ⅲ vaginal smears were 82 or 20.6%, 78 or 19.6% and 238 or 59.6%, therefore parabasal dyskaryosis showed the highest rate. The biopsy results on group of parabasal cell dyskaryosis revealed nomal in 3.8% dyakaryosis slight, moderate, severe 0.8%, 2.9%, 8.4% in order, totaled 12.1% and the rest were ca. in situ 55.5% and invasive ca. 28.6%. The most frequent marital age group was 18 to 19 and revealed rate of 30.4%. In order of next were 20 to 21 21.6% 16 to 17 19.6%, 22 to 23 17.8% respectively. Gross findings of uterine cervix in class Ⅲ vaginal smear were normal in 34.9%, cervical erosion varing degrees 58.3% whereas suspicious erosion only 6.8%.
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