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- 저자 : 김현영(Houn Young Kim) (검색결과 2 건)
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접촉성 Nd-YAG 레이져와 봉합사를 이용한 토끼의 미세난관 문합술에서 난관의 소통성과 임신율 비교
김진홍(Jin Hong Kim),류순원(Sun Won Yoo),조현희(Hyun Hee Jo),김현영(Houn Young Kim),김미란(Mi Ran Kim),권동진(Dong Jin Kwan),임용택(Yong Taik Lim),김장흡(Jang Heub Kim),이진우(Jin Woo Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.3
N/A Objective : Many different methods have been undertaken to increase the success rate of tuboplasty. The development of a new generation of surgical lasers has offered a possibility for the practical use of the laser technique in microsurgical fields. In gynecology, the laser beam has been reported to be a precise instrument for successful tubal surgery with minimal bleeding and postoperative reaction. The authors studied the effect of the infrared laser beam in the area of tubal reanastomosis. Methods : To compare tubal patency, pregnancy rate, and histologic difference in site of anastomosis, total 120 tubes of 60 rabbits were used for experimental tuboplasty. The study groups were divided according to the kinds of reanastomosis methods. Group I : 1 layer(right tube) and 2 layer(left tube) anastomosis without using splint, group II : 1 layer(right tube) and 2 layer(left tube) anastomosis with using splint, group III : reanastomosis using laser with splint(III-b) and without splint(III-a). Results : 1. The infiltration of inflammatory cell were observed in all group by optical microscopic examination. Group II revealed more fibrotic change and inflammatory cell without significant statistical difference and there was no significant difference between left and right tubes in each group. 2. The tubes of group II were significantly more patent(75%) than that of group I(50%). Especially the patency of group III performed Nd-YAG laser with splint was the highest(90%). 3. The pregnancy rates in groups without splint were 40%(one layer without splint, group I-right tube), 60%(two layer without splint, group I-left tube), 30%(Nd-YAG laser without splint, group III-a), were significantly lower than that of group with splint, 60%(one layer with splint, Group II-right tube), 60%(two layer with splint, Group II-left tube), 80%(Nd-YAG laser with splint, Group III-b). Especially the group IIIb showed the hightest pregnancy rate(80%). Conclusion : From the above results, it is considered that the tubal reanastomosis using splint and Nd-YAG laser will improve the pregnancy rate and could be the procedure of choice in the future.
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양성 부인과질환 환자에서 다양한 자궁적출술 방법에 따른 임상경과의 비교
김현영,조현희,이윤진,권지영,김석원,팽기영,김장흡,김진홍 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.4
목적 : 소복부절개를 통한 자궁적출술의 방법이 기존에 사용되어왔던 각종 자궁적출술의 방법에 비해 어떠한 장점이 있는지를 알아보고자 한다. 연구 방법 : 양성의 부인과 질환으로 자궁적출술을 받은 환자 300명중 40명은 소복부반월형횡절개로 자궁적출술을 시행하고, 186명은 복부반월형횡절개를 통한 고전적 자궁적출술을, 28명은 복강경하 질식자궁적출술을, 46명은 질식자궁적출술을 시행한 후 각군의 특징과 수술후 회복정도를 비교하였다. 결과 : 소복부절개를 이용한 수술군은 수술군의 선택에 있어서는 기존의 고전적방법과 마찬가지로 질환군이나 과거수술력 등에 따른 한계가 없었으며, 수술후 임상경과는 복강경하 질식자궁적출술과 같은 빠른 회복의 장점을 가졌다. 결론 : 소복부절개를 통한 자궁적출술은 기존의 여러 자궁적출술의 방법에 따른 장점을 갖는 수술방법이다. Objective : To evaluate the clinical effectiveness of minilaparotomy total hysterectomy compared with other methods of hysterectomy ever used. Methods : Data of 300 women who had been done hysterectomy due to benign gynecologic disease were used for this thesis. Minilaparotomy hysterectomy was done for 40 women, classical transabdominal hysterectomy for 186 women, laparoscopic assisted vaginal total hysterectomy for 28 women and vaginal total hysterectomy for 46 women. Women's clinical data and clinical outcome were compared using Excel and SPSS. Results : Minilaparotomy hysterectomy has no limitation in choosing patient and adnexal surgery like classical transabdominal hysterectomy, and postoperative clinical course is so rapid similar with laparosocopic assisted vaginal total hysterectomy. Conclusion : Minilaparotomy hysterecomy is good choice for treatment of benign gynecologic disease.
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