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- 저자 : 김형석(HS Kim) (검색결과 4 건)
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김형석(HS Kim),고경수(KS Ko),오도산(DS Oh),이준형(JH Lee),김영리(YL Kim),이의진(EJ Lee) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.5
Conjoined twins are commonly refered to as siamese twins, after Chang and Eng Bunker of Siam(Thiland), who were displayed worldwide by P.T.Barnum. The incidence is from 1 in 30,000 to 1 in 200,000 live births. Two thrid of conjoined twins are females. Etiology is unknown. Monozygotic twins arise form a single blastocyst that undergoes duplication between the 1st and 10th day after ovulation. Conjoined twins are commonly regarded as an abnormolity of the process of monozygotic twinning, because of an incomplete division of the embryonic cell mass at one pole or at a point between the poles. Conjoined twins are a sporadic event that tends not to recur. We report a case of conjoined twins with brief review for literatures.
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점상연골 이형성증 ( Rhizomelic Type ) 1 례
오도산(DS Oh),김형석(HS Kim),고경수(KS Ko),박정희(JH Park),박종두(JD Park),이준형(JH Lee),이의진(EJ Lee) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.7
Chondrodysplasia Punctata has been reported recently by an antenatal sonographic findings. It is a rare congenital disorder of bone in infant, which is characterized by radiographic manifestation of premature depositionof punctata calcific density in epiphyseal area, preformed in cartilage. Chondrodysplasia punctata has two different types: a rhizomelic, and nonrhizomelic type(Conradi-Hunermann syndrome). We present a case of rhizomelic chondrodysplasia punctata which has been delivered by Cesarean section.
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초산부에서 연령에 따른 분만 및 분만방법의 추세 ( 1985~1995 년 )
고경수(KS Ko),오도산(DS Oh),김형석(HS Kim),박종두(JD Park),홍완철(WC Hong),이의진(EJ Lee) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.6
With the changing life style of women in current society, there is often postponement of childbearing and the pregnancy rate of teenage and elderly mothers is increasing. Thus the impact of maternal age on delivery outcome and mode becomes important. This study was carried out retrospectively based on the clinical charts of 18,160 primiparous women who had delivered from January, 1985 to December, 1995 at the department of Obstetrics & Gynecology, Sung Ae Hospital. The results obtained were as follows; 1. Total primiparous deliveries were 18,160 cases and the overall incidence of cesarean section was 43.3%. 2. The mean age of total 18,160 delivered primiparous women was 26.4 years. 3. In 1985, the rate of primiparous delivery was 0.5% under 19 years and 0.9% over 35 years, this rate rose to 1.5% under 19 years and 2.0% over 35 years in 1995. The rate was 1.9 times as high in 1995 as in 1985 for mothers age 35 over and 2 times as high for teenage mother. 4. 17,107 cases(94.2%) were vertex presentation, 1053 cases(5.8%) were breech presentation. 5. 10,295 cases(56.7%) delivered vaginally and 7,865 cases(43.3%) abdominally. 6. In the types of operation, lower segmental transverse incision was the most common (99.5%), and classical section was 0.2% in rate. 7. According to maternal age distribution, cesarean section rate was 24.1% in under 19 years group, 38.1% in 20~24 years group, 42.8% in 25~29 years group, 54.7% in 30~34 years group, 76.4% in over 35 years group. 8. The indication for primary cesarean section were cephalopelvic disproportion(59.5%), breech(13.1%), failure to progress in labor(9.0%), fetal distress(6.5%), placenta previa(2.9%), twin(2.2%), placenta abruption(0.4%). 9. Maternal age was a strong determinant of delivery mode in this study ; the Cesarean rate in women aged>35 years was about three times the rate reported in teenagers. In conclusion, delivery outcomes and mode markedly changed for recent 11 years. That changes was increment of teenage mothers and elderly mothers. There was also an increased frequency of cesarean section rate in the older women. Thus maternal age factor is important for delivery outcomes and mode in primiparous women. So careful antenatal and intrapartal care should be performed for the older aged pregnant women and teenage mothers.
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송철(C Song),임세혁(SH Im),이지영(JY Lee),최호선(HS Choi),박창수(CS Park),김형석(HS Kim) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.8
Sir James Paget described the first case of Paget`s disease of the breast in 1874, and Du-breuilh, in 1901, reported the first case of extramammary Paget`s disease of the vulva. Paget`s disease of vulva is a rare intraepithelial neoplasm of uncertain histogenesis. Recently we expe-rienced a case of Paget`s disease of the vulva that we present a brief review of literature.
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