제왕절개술후 복벽반흔에 발생한 자궁내막증 3 례

박준숙,이종인,조동식,김선근,성갑규 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.7

Endometriosis in the abdominal scar following cesarean section is one of the very rare condition among the extrapelvic endometriosis. Three cases of scar endometriosis following cesarean section were experienced & treated completely after surgical excision and postoperative durg therapy. The case was reported with a brief review of the concerned literatures.

쌍태임신중 일측태아 복벽기열 1 례

박준숙,이관구,오세익,성갑규,우명룡 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.11

Twin pregnancies have a higher rate of premature delivery than singleton pregnancies and a substantially higher perinatal mortality. Twin gestation complicted by a single anomalous fetus diffculties in obstetric management. Options available to patients include continuing the entire pregnancy, selective termination of the anomalous fetus, or termination of the entire pregnancy. The incidence of one anomalous fetus in twin pregnancy is rare. Gastroschisis is intestinal herniation through a defect in the anterior abdominal wall usual ly to the right of umblicus. There is no sac and the intestines are covered with a thickened inflammatory exudate. Most case of gastroschisis occur sporadically and chromosomal anomaly are less common. A case of one gastroschisis in twin pregnancies diagnosed by ultrasonography is reported with a brief review of the literature.

만삭 임산부에서 Prostaglandin E2 질정에 의한 Labor Induction에 대한 임상적 고찰

박준숙,오운영,장환호,박노준,민부기 대한산부인과학회 1984 대한산부인과학회 학술대회 Vol.54 No.-

복막외 제왕절개술에 대한 임상적 연구

박준숙,이관구,오세익,황재웅,박종호 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.11

The safety and effectiveness of extraperitoneal C/S are controversial , so it has been per-formed for the purpose of training for selected cases . But we think this procedure have some benefit in selected cases. This study was based on retrospective investigation of 300 cases of extraperitoneal cesarean section among 332 cases at Eul Ji Medical hospital, during from Janu-ary, 1995 to December, 1996. The results were as follows; 1. The most prevalent age distribution was seen in the age group of 26∼30. 2. The indication for extraperitoneal cesarean section were dystocia(38.3%), previous cesarean section(32.6%), elderly primigravida(12.6%) in orders. 3. In the type of the anesthesia, general anesthesia was 70.7%, epidural anesthesia was 15% and spinal anesthesia was 14.3%. 4. The most common group of operation time was 36∼40minute(34.3%). 5. The post operative complications and maternal morbidities were breast engorgement(21%), peritoneal opening(19.6%), endometritis(4.3%) in orders. 6. Of all cases, the blood transfusion rates was 6%. 7. The most common group of hospital stay was 5∼6 days(82%). 8. In the body weight distribution of infants, the group of 3,000∼3,499gm was the most common(80.7%). 9. Of extraperitoneal cesarean sections, cases of the 5minute Apgar score more than 7 were the most common(99%). 10. The most common failure factor was abdominal and pelvic adbesion(82.3%) 11. There was no maternal death case.

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

난소에 발생한 내배엽성 종양 1예

유정옥,박준숙,송계승,민부기 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.7

폐경전후 여성에서 생화학적 골대사지표의 변화양상

양윤석,박준숙,남기남 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.5

연구목적 : 폐경에 의한 골대사지표의 변화 양상과, 폐경후 경과 10년 이상된 고령의 여성에서 골교체율을 알아보고자 본 연구를 시행하였다. 연구방법 : 폐경전,후 여성 중 호르몬 대치용법을 받은 적이 없는 총189명의 여성에서 골대사지표와 골밀도를 측정하여 각 변수간의 카이제곱 검정과, 상관분석 및 분산분석을 하였다. 결과 : TALP, Dpd, OC, 혈중 인은 골밀도와 유의한 음의 상관관계를 가졌고, Dpd와 OC, TALP와 OC, TALP와Dpd가 서로 유의한 양의 상관관계를 나타냈으며, 혈중 칼슘과 Dpd, 혈중 인과OC가 약한 양의 상관 관계를 보였다. 골다공증군은 정상골밀도군에 비해 골대사 표지물질 5개 모두 유의한 증가가 있었고 골감소증군은 정상골밀도군보다 OC, TALP, 혈중 칼슘과 인은 증가를 하였으나 Dpd는 유의한 차이가 없어 Dpd는 골다공증과 같은 현저한 골대사가 있을 경우에 증가함을 알 수가 있었다. 폐경전 여성군에 비해 폐경후 경과 1-5년군에서 TALP, OC, Dpd와 혈중 인은 유의하게 증가가 있고 폐경후 경과 10년 이상군에서 Dpd와 OC는 가장 높은값을 나타냈다. 혈중 칼슘은 각각의 군간에 유의한 차이 없이 일정 농도를 유지하고 있다. 결론 : 폐경후 골대사 표지물질의 증가가 있었고 또한 폐경후10년 이상의 고령의 여성에서도 높은 골교체율을 보였는데(Dpd와 OC의 증가) 이는 혈중 칼슘의 농도를 정상으로 유지하기 위해서 골교체율을 계속 높은 상태로 유지하여 뼈의 칼슘을 빌려오게 됨으로써 골다공증이 생긴다고 볼 수가 있었다. Objective: This study investigated changes of Biochemical Markers of Bone turnover in Pre-, Peri-and Postmenopausal Women Method: The levels of Urinary deoxypyridinoline(Dpd), serum total alkaline phosphatase(TALP), osteocalcin(OC), serum calcium(Ca++) and phosphorus(P) were determined. Bone mineral density(BMD) were also measured by dual energy X-ray absorptiometry (DEXA) Results: There were negative correlation between Biochemical markers of bone turnover and BMD, Biochemical markers of bone turnover in osteoporosis group were significantly higher than normal groups. Biochemical marker of bone turnover except serum calcium increased after menopause and remains elevated in late postmenopausal and elderly women. An increased bone turnover rate to sustained serum calcium in constant level is related to a high rate of bone loss in postmenopausal women and to a decreased bone mass in elderly women. Conclusion: Bone turnover increased not only at the time of menopause but also in the elderly women. This subsequent abnormalities of bone resorption and formation in the elderly women suggest their potential role in osteoporosis.

여성 외음부에 발생한 기저세포암 예

김상호,오혜련,박준숙,박영선 임상약학사 1993 臨床藥學 Vol.13 No.1

Uterine schwannoma : mimicking subserosal myoma

김희진,황인택,박준숙,하중규,김승현 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-

Uterine schwannoma is a very rare in gynecologic oncology. We report a case of benign schwannoma in a 39-year-old woman. Case Our patient (gravida 2 para1) presented with mass on uterus. She cognized that mass 9 years ago. At that time, on transvaginal sonography, the solid and homogeneous mass's size was 3.0*4.0cm, but the size increased to 6.0*4.0 cm during 9 years. She complained any other symptoms. By transvaginal sonography, physician supposed the mass to subserosal myoma of uterus and determined laparotomy. Under general anesthesia, myomectomy was done. No ascites were detected. Both ovaries were normal. Myoma was consisted of several fragments of a gelationous and myxoid encapsulated mass, measuring 6.0 x 8.0 x 3.0 cm in aggregate and weighing 74.3g. Upon cross section, the cut surface reveals a heterogenous surface admixed with areas of hemorrhage, areas of dense yellow and areas of less dense tan color. Immunohistochemical stains and special stain were done. S100 protein, alcian blue stain reacted positive. That mass was diagnosed schwannoma. C-kit and CD34 reacted negative, so we could rule out the possibility of extragastrointesinal stromal tumor. 3 month later from operation, by follow up sonography, there was any lesions on her uterus. Discussion Schwannoma is a benign peripheral nerve sheath tumor. It is homogeneous tumors, consisting only of Schwann cells. They present in most often in the head and neck region. Uncommonly, large tumors are found in the posterior mediastinum or the retroperitoneum. Typical schwannomas can also involve visceral sites primarily, however, in the uterus is extremely rare. In this case, lesion should be considered in the differential diagnosis such as neurofibroma, leiomyoma, angiomyofibroblastoma, and desmoplastic melanoma. The absence of staining for CD34 and NFP, but they are S-100 positive, which is a marker for cells of neural crest cell origin. It supports the diagnosis of schwannoma as opposed to neurofibroma.

비정형 세포진 검사를 나타낸 환자에 있어서 질확대경 관찰의 임상적 의의

신수은,김영범,박준숙,이병국,민부기 대한산부인과학회 1983 대한산부인과학회 학술대회 Vol.51 No.-