제왕절개 자궁적출술의 임상적 고찰

박승보(SB Park),김영인(YI Kim),이윤순(YS Lee),정상윤(SY Jung),류형우(HW Ryu),이병태(BT Lee),김문수(MS Kim) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.2

This report was undertaken to determine the present status of cesarean hysterectomy. Cesarean hysterectomy was originally devised to combat postcesarean infection and hemorrhage, and its indication have gradually been widened to include many conditions in which removal of the uterus is necessary or desirable. In this report, the outcome of 34 cases of cesarean hysterectomy performed at Fatima hospital during 10 years from Jan. 1979 to Dec. 1988 was discussed and evaluated. Results are obtained as following. There were 47,203 deliveries during this period. Cesarean hysterectomy was performed in 34 of 5,641 cesarean section, an incidence of 0.60%. The incidence of cesarean section was 11.95%. The age of patients varied from 25 to 41. The higher the age and the parity of patients, the higher the incidence of cesarean hysterectomy. In total subject of 34 cases in this series, the majority(98.2%) of them needed emergency operation. In about 2/3 of total patients(68%), there were no postoperative complications. There were no maternal mortality in this series. In aspect of fetal outcome, live birth are 28 cases(83%). Among them, the subject were 8 cases of uterine atony, 7 cases of uterine rupture, 8 cases of placenta previa, 4 cases of placenta accreta, 4 cases of uterine myoma, 2 cases of placenta abruptio, 1 case of severe infection. Hemorrhage still remains main cause of maternal mortality, the decision of hysterectomy must be conjunction with maternal life saving and free from various dangerous sequalae. Also, further clinical evaluation and study for cesarean hysterectomy are requisite.

지연임신에 관한 임상적 고찰

박승보(SB Park),김영인(YI Kim),이윤순(YS Lee),이경호(KH Lee),이병태(BT Lee),권흥기(HG Kwon),김문수(MS Kim) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.7

A Clinical observation has been made on 888 cases of postterm pregnancies out of 14,241 cases delivered at Dept. of Obstetrics & Gynecology, Fatima Hospital, Daegu, during 2 years since Jan. 1,1988 to Dec 31,1989. Postterm pregnancy was defined as a pregnancy that it exceeds 294 days calculated from first day of the last menstrual period. The results are as follows; 1. The incidence of postterm pregnancy was 6.24% with highest incidence occuring in the 21~30 years group. The incidence of postterm pregnancy in primipara(7.79%) was greater than that or multipara(3.87%). 2. In postterm pergnancies, the gestational weeks of 42 was the most prevalent (88.2%)and 43 weeks was the next(10.5%). 3. The modes of labor onset in postterm pregnancy showed induction (57.1%), spontaneous(38.3%), and no labor(4.6%). 4. The incidence of fetal distress was 4.28% and 1.07% in the postterm group and control group, respectively. 5. The incidence of large fetus (weight over 4,000 gm) was 6.19% and 4.66% in the postterm group and control group, respectively. 6. The modes of delivery in postterm pregnancy showed Spontaneous vaginal delivery 68.36% Vacuum extracted delivery 18.47% Breech extraction 0.34% Cesarean section 12.84% 7. The rate of Cesarean section in postterm pregnancies was 12.84% and it was lesser than that of term pregnancy (14.5%) during that same period. 8. As for indication of Cesarean section in postterm pregnancies, the cephalopelvic disproportion was the most prevalent and fetal distress, failed induction, malpresentation, previous Cesarean section was the next in order. 9. As for perinatal morbidity in postterm pregnancies, infectious morbidity was the most prevalent and asphyxia neonatorum, sepsis, neonatal hyperbilirubinemia, pneumonea was the next in order. 10. Admission test and acoustic stimulation test were performed on 490 cases among 888 cases of this study.

난소갑상선종의 1예

박승보(SB Park),이종태(JT Lee),백옥지(OJ Paik) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.8

It is not uncommon to note fragment of thyroid tissue in the benign cystic teratomas, but the pure form of struma ovarii is rare. Authors report a case of pure form struma ovarii, which demonstrated neither malignant lesion nor thyrotoxic symptoms, found in the left ovary of a 36-year-old multipara with review of literature.

질에 발생한 양성혼합종양 1 예

박정석(JS Park),이건호(GH Lee),이주명(JM Lee),강인구(IG Kang),박승보(SB Park),손경락(KR Son),문세광(SK Moon) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.9

A case of benign mixed tumor of the vagina is presented with a review of literature; so far only twelve cases of this type of the tumor are documented. This case appears to be the thirteenth one of vaginal benign mixed tumor. The tumor is almost located in or near the hymenal ring, so the origin is likely to be the paravestibular gland. All but one case were well circumscribed masses unconnected to the surface epithelium. they were composed of small, bland stromal typedcells with spindle shaped nuclei usually containing islands of clear. Follow up studies have revealed benign nature and no evidence of recurrence or metastases after therapeutic local excision.

현 발육부전 및 난소난관농양을 동반한 흔적자궁각의 1 예

박광수(KS Park),이광열(KY Lee),장병준(BJ Jang),김춘택(CT Kim),박승보(SB Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.5

A case of rudimentary uterine horn associated with agenesis of one kidney, experienced at Fatima Hospital, Daegu. Recently, presenting here with a brief review of some literatures.

원발성 난소임신 1 예

이광열(KY Lee),박광서(KS Park),장병준(BJ Jang),김춘택(CT Kim),박승보(SB Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.8

Primary ovarian pregnancy is comparatively rare condition of ectopic pregnancy Recentily a case of ovarian pregnancy experienced at Fatima Hospital Daegu, Presented here with a brief review of some literatures.

거대첨규 콘디로마의 1예

이후영(HY Lee),김종목(JM Kim),박승보(SB Park),박노선(NS Park) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.2

19세의 미혼자로서 성인 남수거대 크기 이상의 큰 condyloma accuminata를 경험하였기에 이를 문헌적 고찰과 아울러 보고하는 바이다. A case of huge condyloma accuminatum is presented and the literature are briefly reviewed.

난소 임신 2례

김창안(CA Kim),김대연(DY Kim),이동수(DS Lee),박승보(SB Park) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.2

본 증례는 Spiegelber`s criteria에 충족한 난소임신 2례였으며, 이에 문헌적 고찰과 함께 보고하는 바이다. Two cases of ovarian pregnancy, which have Spigelbergs criteria for a primary ovarian pregnancy, are presented with a brief review of literature.

흉부 유합중복기형아 1 예

전영우(YW Jun),김혜영(HY Kim),류빈수(BS Liu),박승보(SB Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.9

Diagnosis of conjoined twin antepartum is very difficult Although twin may be known, conjoining is not usually identified until diffculty is encountered in attempting delivery At times by development of diagnostic equipment these twins may be suspected and possibly diagnosed prior to the onset or labor A case of 37th week of gestaion thoracopagus delivered by cesarean section is reported with a brief review of the related iliteratures.

노령초산부에 관한 임상통계학적 고찰

이계현(KH Lee),이재동(JD Lee),김훈(H Kim),김태상(TS Kim),박승보(SB Park) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.12

Numerous reports had appeared in the literature citing the danger of pregnancy in elderly primipara. The elderly primipara is generally defined as a women at the age 35 years or greater if she is experiencing the birth of her first viable baby. 192 cases of elderly primiparas at the Department of Obstetrics & Gynecology, Taegu Fatima Hospital from January 1991 to December 1995 were compared with 200 systemic random sampling chosen young primiparas during the same period. The results were obtained as follows; 1. There were 192 cases of elderly primipara among total 35, 034 deliveries and the incidence of the elderly primipara was 0.6%. 2. The rate of elderly primipara was increased from 0.3% in 1991 to 0.8% in 1995. 3. Maternal age was distributed from 35 to 44 years. The majority(49.5%) were in age group 35 and 36 years. 4. 171 cases(89.1%) of total cases were vertex presentation and breech presentation was in 20 cases(10.9%) and transverse lie was in 1 case(0.5%). 5. Abdominal delivery was 64.6% in elderly primipara comparing with 20.5% in younger primipara(p0.05). 7. Among the indications of Cesarean section, highest incidence was elderly primipara (53.2%). Other incidences were abnormal presentation, CPD, fetal distress, multiple gestation and severe preeclampsia, in order of frequency. 8. The incidence of low borth weight(0.05). 9. Preterm delivery(before 37 wks) was 9.4% comparing with 4.0% in younger primipara(p0.05). 11. One case of 192 cases was congenital anomaly but there was no chromosomal anomaly.