질식난관결찰술의 임상적 고찰

이동경(TK Lee),정석준(SJ Chung),박영하(YH Park) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.4

질식난관결찰술의 임상적 고찰을 시행하여 보고하는 바이다. Vaginal tubal ligation is one of the most simple, practical and effective methods of permanent conception control for women who want to conclude their childbearing during not only a nonpregnant period but also an early trimester of pregnancy. The authors performed 72 tubal sterilizations during the period from September 1970 to December 1971, while in one case of those her medical record was lost. There were 8 abdominal tubal ligations performed on non-pregnants, 73 on women in the immediate postpartum period, and 27 vaginal hysterectomies with various surgical indications, during the same 16-month review period. Reviewing morbidities and complications of the 71 vaginal tubal ligations, the vaginal approach was associated with very little risk, and was better accepted by most patients dut to absence of the visible surgical scar and easier attitude toward the surgery than was the abdominal approach. Furthermore, the vaginal could be conveniently combined with the other vaginal surgeries such as interruption of early pregnancy, perineal repair, and so forth. It also seemed to be in any means economic benefit due to performance at once within shorter surgical duration of various combinations of several vaginal surgeries and shortened hospital stay. The vaginal, moreover, was found to be superior to the adbominal in the viewpoint of unwanted postoperative secondary psychologic gain. Comparison of vaginal tubal ligation vs. vaginal hysterectomy performed for permanent conception control was beyond the socpe of this review.

산도협착

이동경(TK Lee),이규하(KH Lee),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.10

1) A case of combined transverse inlet contration and contracted midplane, a case of elderly privipara causing dystocia due to stricture of soft birth canal, and a case of repeated C-section due to midplane and outlet contraction, who were admitted recently to the Department of Obstetrics and Gynecology, S.N.U.H., were reported with review of 55 cases of dystocia due to narrow birth canal among 2702 deliveries during last 3 years and 3 months. 2) Incidence of birth canal strictures was 2.03%(55 cases among 2702 deliveries). 3) Primipara was 67.3%, indicationg higher incidence of birth canal strictures among primipara, but in our cases even para 6 caused dystocia due to cephalopelvic disproportion; importance of detection of cephalopelvic disproportion rather than pelvimetry itself was stressed. 4) Incidence of C-section was 69%(39 cases), remarkably higher comparing with overallcases (3.1%) of our hospital. 5) Perinatal mortality (9%; 5 cases) among our cases was higher than among total deliveries(5%). 6) Blood loss was not increased in vaginal deliveries, but remarkably increased in C-section cases (229cc. vs. 464cc.). 7) Literatures were reviewed about causes, complications and diagnosis of pelvic contraction, availability of pelvimetry, and its radiation hazards.

이후방안위의 정상분만 경험예

이동경(TK Lee),김동균(TK Kim),박성기(SK Park) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.9

Left mento-posterior position is the rarest position in face presentation. In this article a case of left mento-posterior position is reported, in which the baby was delivered by spontaneous left anterior rotation of the occiput with spontaneous vaginal delivery.

전두위 ( Brow Presentation ) 의 1예

이동경(TK Lee),정좌구(JK Chung),이규하(KH Lee),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12

A case of brow presentation in 22-year-old multipara is presented with review of references concerned.

정상산모및 제대혈청 중 Na, K 및 Cl 함량에 관하여

이규하(KH Lee),이동경(TK Lee),송용덕(YD Song) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11

1) Sodium, potassium and chloride ion concentrations were determined in 37 cases of maternal blood and cord blood of normal full-term paturients. 2) No significant difference of sodium ion concentration was noticed between the maternal blood (151.31 +/- 7.00 mEq./L.) and the cord blood(152.58 +/- 13.93 mEq./L.). Postassium ion concentration was lower in the maternal blood(4.74 mEq./L.) than in the cord blood (8.99 +/- 4.13 mEq./L.). No significant difference of chloride ion was noticed between the maternal (122.86 +/- 7.58 mEq./L.) and the cord blood(124.00 +/- 12.90 mEq./L.). 3) Sodium ion concentration of the amniotie fluid(137.52 +/- 10.74 mEq./L.) was the lowest than those of the maternal blood and the cord blood. Potassium ion concentration of amniotic fluid(5.17 +/- 0.84 mEq./L.) was higher than that of the maternal blood and lower than that of the cord blood.

양수의 결정현상과 전해질에 관하여

이규하(KH Lee),이동경(TK Lee),송용덕(YD Song) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12

Electrolyte determinations and crystallization tests were done in the amniotic fluid of 26 normal parturients. The following results were obtained: 1) Mean amniotic fluid sodium ion concentration was 137.5 +/- 10.75 mEq. perliter. 2) Mean potassium ion concentration was 5.17 +/- 0.84 mEq. per liter. 3) Arborization phenomena were observed in the dry smears of all cases.

한국부인 X - 선 골반계측에 관하여

이규하(KH Lee),송용덕(YD Song),이동경(TK Lee) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11

The antero-posterior diameters of the various pelvic planes in 63 Korean women were measured through the Hodge-Dippel method of X ray pelvimetry. The results obtained were as following. 1) The average length of anatomical true conjugate was 11.77 +/- 0.11 cm. 2) The average length of obstertrical true conjugate was 11.05 +/- 0.12 cm. 3) The average length of diagonal conjugate was 12.41 +/- 0.14 cm. 4) The average length of A-P diameter of the wide pelvic plane was 12.18 +/- 0.12 cm. 5) The average length of A-P diameter of the outlet was 11.65 +/- 0.14 cm. 6) The average length of external conjugate of the inlet was 17.81 +/- 0.13 cm.

산부인과 영역에 있어서의 Haemaccel ( 혈장증량제 ) 사용경험

나건영(KY Na),이동경(TK Lee),임원일(WI Im),오덕겸(DK Oh),엄익부(IB Um),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.9

Thirteen gynecelogical and obstetrical patients with massive bleeding caused by various reasons were treated by infusion of "HAEMACCEL". a new plasma volume expender, manufactured by Hoechst Pharmaceutical Company in Germany. Results of the follow-up observation were as follows; 1) Patients in shock state following more than 1000cc of bleeding could be reversed to conscious state within I hour after rapid infusion of 1000 cc to 1500 cc of "HAEMACCEL". Recovery from hypotension was also coincident. 2) On Patients with less than 500cc of bleeding, safty operations were carried out without any fall in blood pressure by infusion of "HAEMCCEL" alone as a measure of replacement of the lost blood volume. 3) No overloading signs were noted with infusion of 500 to 1000 cc of "HAEMACCEL" and same amount of whole blood. 4) The value of hemoglobin was not decreased as a result of hemodilution which was expected on infusion of "HAEMACCEL". 5) Leucocytosis, which was thought caused in response to foreign body reaction, diminished sligtly in general. No significant side reactions such as fever, urticaria, bleeding tendency, etc. were noticed. 6) No sequelae of "HAEMACCEL" infusion was present.

원발성 난관암의 1예

신경철(KC Shin),정석준(SJ Chung),이동경(TK Lee),박영선(YS Park) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.2

원발성 난관암의 1례를 보고한다. 환자는 57세의 1회 출산력을 가진 환자로 3년간에 걸친 질분비와 하복부 포만감과 경한 얍통을 호소하였으며 7일간에 걸친 발열 두통 하복부 압통 그리고 다량의 질분비로 내원 자궁근종과 난관종양이라는 진단하여 개복수술하였으며 수술후 병리 조직학적 진단은 원발성 난관암이었다. Primary carcinoma of the fallopian tube is the rarest tumor of the female reproductive tract . A case of primary carcinoma of the fallopian tube was reported and brief review of literature.