자궁경관 임신의 1예

박영선(YS Park),신경철(KC Shin),정석준(SJ Chung),박영하(YH Park) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.3

자궁경관임신의 1례를 보고하였다. 본례는 22세의 미산부로 타의원에서 인공임신 중절수술을 시도하다 다량의 자궁출혈로 웅급 전원된 환자이며, 자궁전적출술을 하여 병리조직학적으로 자궁경관임신이라는 확지을 얻은 례이다. A case of cervical pregnancy which is in 22 year old nulliparous woman is presented with a brief review of literature.

임신을 동반한 단각 흔적 자궁의 파열 1 예

박준숙(JS Park),유정옥(JO Yoo),이지성(JS Lee),민부기(BG Min),박영선(YS Park),박영하(YH Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.7

흔적 자궁각을 동반한 자궁외임신 파열을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. One case of spontaneous rupture of pregnant rudimentary uterine horn was observed at the department of obsterics and gynecology of Eulji General Hospital and a brief review of literatures on the female genital anomalies is presented in this paper

질식자궁적출술에 대한 임상적 관찰

경광수(KS Kyung),박영선(YS Park),정석준(SJ Chung),박영하(YH Park) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.3

1970년 10월 1일부터 1973년 2월 28일까지 29개월간 을지병원 산부인과에서 불임술을 받은 721예 중 질식자궁척출술 76예에 대한 임상적 관찰을 하여 다음과 같은 결론을 얻었다. 1) 자궁척출술에서 질식 62.7%, 복식 37.3%였다. 2) 년령 분포는 28∼56세로 평균 40.3세이며 40세 이하가 56.6%였다. 3) 평균 분만회수는 4.0회, 평균 유산회수는 2.8회, 평균 생존 자녀수는 3.6인이었다. 4) 질식자궁척출술의 부수적 적응질병은 자궁근종 20예(26.3%), 부정자궁출혈 15예(20.0%), 자궁경부본란예(13.1%)의 순이며 자궁내임신, 난소낭종이 각각 7예로 9.1%를 점하고 있다. 5) 마취는 전신마취 32예, 척수마취 40예, 전신마취와 척수마취를 병행한 예가 4예였다. 국 소마취의 예는 없었다. 6) 수술시간은 자궁척출술 단독에서 98분, 질회음부봉합술을 병행한 예에서 130분이 소요되 었는데 전례에서 자궁내용물 제거 및 소파술을 선행하였으므로 실제 수술시간은 약 15분 단 축되었으리라고 사료된다. 7) 난관난소절제술을 병행한 예는 14예(18.4%)이었고, 질회음봉합술을 병행한 예는 56예였 다. 8) 수술 중 출혈량은 62예(81.6%)에서 400cc 이내였고, 19예에서 수혈없이, 34예에서 1병으 로 충분하였다. 9) 이환률은 31.6%로 수술시간과 수혈량에 따라 증가하였다. 합병증의 대부분은 쉽게 치료되었고 그 예에서 개복하였으며 사망자는 없었다. 10) 유치 catheter는 전례에서 사용되었고 평균 기간은 2.5일이었다. 11) 척출술에 대한 병리조직학적 검사는 42예(53.0%)에서 이상소견을 보였다. 12) 본 수술은 불임술로서 우수하며 양성 및 악성자궁질환을 예방한다는 이점이 있으나 난 관결찰술에 비해 환자들이 잘 응하지 않고 있는 실정이다. The purpose of this study was to analyze the vaginal hysterectomy admitted to Eul-Ji Hospital during 29 months period of Oct. 1, 1970-Feb, 28, 1973. By analysis, 80 cases of vaginal hysterectomy of among 721 sexual sterillization in the same period, the following results were obtained. 1) The incidence of vaginal hysterectomy was 11.1% in total sexual sterillization, and 37.3% in hysterectomy. 2) In the age distribution, the majority was in 31-40 years age group, and 43 cases (56.6%) were under the 40 years old in age. 3) The average of the parity was 4.0. 4) The febrile morbidity was 31.6%, but less serious. 5) The complication was found in 23 cases, and one exploratory laparotomy was done. 6) The hospital stay after operation was 4-14 days. The average was 8.0 days.

원발성 난관암의 1예

최헌수(HS Choi),조만헌(MH Cho),박영선(YS Park),박영하(YH Park) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.9

본 산부인과에서 희귀한 것으로 알려진 원발성 난관암 2례를 다산부에서 발견 체험하였기에 문헌고찰과 더불어 보고하는 바이다. Primary carcinoma of the fallopian tube is extremely rare among female genital cancers. Two cases of primary papillary carcinoma of the fallopian tube were found postoperatively in 73 years old postmenopausal and 38 years old premenopausal women with great parity on both. We report of two cases of primary papillary carcinoma of the fallopian tube and represented with a brief review of literatures concerned.

선천적 질결여증 1 예와 McIndoe술

유달영(DY Yoo),방영태(YT Bang),선윤수(YS Sun),김연희(YH Kim),강재열(JY Kang),박영선(YS Park) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.6

The Mayer-Rokitanski-Kuster-Hauser Syndrome refers to the clinical entity consisting of primary amenorrhea associated with congenital absence of the vagina, 46XX Karyotype, a rudimentary uterus in the form of bilateral noncanaliculated muscular band or complete absence, normal ovarian function and normal ovulation, normal breast development , body proportion and body hair, frequent associated of renal, skeletal and other congenital anomalies. A case of Mayer-Rokitanski-Kuster-Hauser syndrome was presented and the literatures were reviewed briefly.

자궁에 발생한 선종양종양

이인기(IK Lee),김영대(YD Kim),박영선(YS Park),박영하(YH Park),최신은(SE Choi) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.11

을지병원 산부인과에서는 1977년 8월과 9월에 자궁근종으로 자궁전적출술을 받은 2예의 조직학적 진단에서 선종양종양을 병발하고 있음이 발견되었기에 간단한 문헌적 고찰과 더불어 보고하는 바이다. Very rare adenomatoid tumor of the uterus was observed in Eul-Ji General hospital in Sept. 1977. We present two cases of adenomatoid tumor of the uterus, with a brief review of literature available.

단안증 1 례

이해양(HY Lee),김동석(DS Kim),송애진(AJ Song),김주오(JO Kim),박영선(YS Park) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.12

Cyclopia is a rare congenital fetal ocular anomaly in which the eyes are fused together and located in a single orbit, which usually manifested various degree of doubling of intrinsic structure, located in the middle of the face normally occupied by the roof of the nose. It is the severest form of holotelenccephaly, which is failure of cleavage of the prosencephalon with a deficit in middle facial development. A case of cyclopia associated with hydramnios in a 29 years old, para 1-0-3-1 woman is presented with brief review of literatures.

난관 절제술후의 동측난소임신 1 예

김혜영(HY Kim),이진(J Lee),왕의창(EC Wang),송애진(AJ Song),박영선(YS Park) 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.2

Even though there appears to be a trend toward an increase in the incidence of primary ovarian pregnancies, it is still an uncommon experience of any obstetrician and gynecologist, not to mention a case of ipsilateral ovarian pregnancy following salpingectomy. We had experienced one case of ipsilateral ovarian pregnancy following salpingectomy very recently, and reported with a brief review of literature.

선천성 생식기기형에 관한 임상적 고찰

성낙구(NG Sung),이치중(CJ Lee),김흥용(HY Kim),박영선(YS Park) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.4

The genital tract anomalies are rare but it can cause primary amenorrhea, infertility, recurrent abortion and other obstetrical complication. So the authers reviewed the 31 patients` medical records who were diagnosed as genital tract anomaly from January 1976 to April 1989 in Seoul Eul-Ji General Hospital Obstetrics and Gynecology department. And thereform, we summarized the results as follows: 1. Incidence of uterine anomaly was 0.09%(24 cases/25601 admission patients) and bicornuate uterus was 19 patients(79.2%), septate uterus was 5 patients(20.8%). 2. Incidence of vaginal anomaly was 0.03%(7 cases/25601 admission patients) and vaginal agenesis was 2 patients(28.6%), longitudinal vaginal septum was 3 patients(42.8%), transverse vaginal septum was 2 patients(28.6%). 3. The main diagnostic methods of uterine anomaly were laparotomy, hysterosalpingogram, cesarean section(21~29% of each other), and vaginal anomaly was diagnosed by simple inspection and pelvic examination. 4. The most common symptom was asymptomatic(33%) and vaginal spotting, pelvic pain, primary infertility were common problem(10~13% of each other). 5. Incidence of spontaneous abortion was 51%(27 cases/53 total pregnancies), preterm delivery was 3.8%(2 cases/53 total pregnancies) in uterine anomaly. The fetal wastage was 51% in bicornuate, 85.7% in septate, 40% in vaginal septum. 6. 4 breech presentations and 1 transverse lie were noted in 10 observed full term pregnancies. 7. The metroplasty was performed in 9 patients and thereafter one patient had one healthy baby, two patients are now in pregnancy without any complication. 8. The two patients of vaginal agenesis has been in good sexual life after Mc-Indoe operation and two cases of vaginal septum were resected.

Clomiphene 배란유도후 발생한 이란성 쌍태중 정상아와 동반된 Down증후군 1 예

이우호(WH Lee),노원재(WJ Roh),김동석(DS Kim),신정환(JH Shin),박영선(YS Park) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.2

A 28 years old nulliparous women was admitted to the dept. of OB & GY Eul-Ji hospital because of amenorrhea 38 weeks with twin pregnancy with mild lower abdominal pain on May 25th 1993. She was received clomiphene-induced ovulation from May 1992 to Sep 1992 due to primary infertility. She was received antenatal care at local clinic and her antenatal course was uneventful till 9 month pregnancy except twin pregnancy. On May 26th 1993, delivered by lower segment transverse cesarean section at 38 weeks of gestation.