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부정자궁출혈 환자에서 자궁내막소파술을 위한 Misoprostol 의 질내투여와 라미나리아 삽입의 비교
이동욱(Dong Ook Lee),금형용(Hyung Yong Keum),김종철(Jong Chul Kim),이윤혁(Yoon Hyuk Lee),정우철(Woo Chuel Jung),이성원(Sung Won Lee),조용(Yong Cho),노의선(Eu Sun Ro) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
N/A Objective : To compare cervical dilatation efficacy and safety of intravaginal misoprostol with that of cervical laminaria tent insertion in endometrial curettage due to abnormal uterine bleeding Method : Patients requesting endometrial curettage due to abnormal uterine bleeding were randomized into two group. In group I (n=53), 100 μg tablet of misoprostol was placed in the posterior vaginal fornix at midnight. In Group Ⅱ (n=54), laminaria tent number 5 was inserted in cervical canal at midnight. Endometrial curettage was performed on the next morning. The degrees of cervical dilatation were measured by Hegar dilator just before endometrial curettage. Both groups were compared about cervical dilatation efficacy and side effect. Result : The degrees of cervical dilatation were 8.8±1.1 mm in group I and 9.3±1.9 mm in group Ⅱ. There was no significant statistical difference. (P=0.134) The mean intervals from the use of misoprostol or laminaria to endometrial curettage were 704±140 minutes in group I and 829±156 in group Ⅱ. In group I, mild fever (less than 38℃) was observed in four women and one complained mild abdominal pain. In group Ⅱ, five women revealed mild fever and fifty women complained abdominal discomfort. All didn't need any medication or special therapy. Conclusion : Intravaginal misoprostol was appeared as efficacious as laminaria tent in cervical dilatatory effect before endometrial curettage in abnormal uterine bleeding patients. It was considered more convenient, safer and more cost effective method compared than cervical laminaria tent in cervical preparation before endometrial curettage.
임신부에게 항부정맥제를 투여하여 치유된 태아복수를 동반한 태아 상실성 빈맥증
신병식 ( Byoung Shick Shin ),조용 ( Yong Cho ),노의선 ( Eu Sun Ro ),이동욱 ( Dong Ook Lee ),문기숙 ( Ki Suk Mun ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.9
We experienced a case of fetal supraventricular tachycardia (SVT) with fetal ascites diagnosed at 29 weeks of gestation in 29 year-old primigravida woman. Transplacental fetal therapy with maternal oral antiarrhythmic agent (verapamil, diltiazem) resulted
나연화(Yeon Hwa La),신병식(Byoung Shick Shin),박영하(Young Hwa Park),금형용(Hyung Yong Keum),김종철(Zong Chul Kim),이동욱(Dong Ook Lee),정우철(Woo Chuel Jung),이성원(Sung Won Lee),조용(Yong Cho),노의선(Eu Sun Ro) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
Trisomy 18, called Edward syndrome, occurs in about 3500-8000 births. It is much more common at conception, with about 95% of cases resulting in spontaneous abortion or stillbirth. Postnatal survival is poor, with the majority of patients dying in early infancy. Characteristic findings include cardiac malformations, mental retardation, growth retardation, a prominent occiput, micrognathia, clenched hands, and rocker-bottom feet, omphalocele. The prenatal sonographic findings of our case include delayed growth, omphalocele, wrist joint fixation, choroid plexus cyst, hydramnios and postnatal gross findings include growth retardation, omphalocele, wirst joint fixation, absence of radius, syndactyly, focal absence of phalanges and flexion deformities of fingers and toes. We report a case of prenatally diagnosed Edward syndrome, which is confirmed by chromosome analysis, with brief review of related literatures.
자구탈출증 이외의 적응증에 대한 질식전자궁적출술과 복강경하질식전자궁적출술의 비교 연구
금형용 ( Hyung Yong Keum ),최오성 ( Oh Sung Choi ),박영화 ( Young Hwa Park ),신병식 ( Byung Shick Shin ),김종철 ( Zong Chul Kim ),이윤혁 ( Yoon Hyuk Lee ),이동욱 ( Dong Ook Lee ),이성원 ( Sung Won Lee ),노의선 ( Eu Sun Ro ),조용 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.1
목적 : 질식 전자궁적출술 (VTH)과 복강경하 질식자궁적출술 (LAVH)의 적응증 및 안전성과 장단점을 비교하기 위하여 본 연구를 시행하였다. 연구 방법 : 본원에서 자궁탈출증 이외의 적응증으로 1998년 7월부터 1999년 12월까지 시행한 질식 전자궁적출술과 2000년 1월에서 2002년 4월까지 시행한 복강경하 질식자궁적출술을 시행한 환자들을 대상으로 병록일지를 분석하여 환자의 나이, 분만력, 이전 개복수술, 수술적응증, 동반된 수술, 수술 시간 Objective : To compare the advantages and disadvantages between total vaginal hysterectomy (VTH) and laparoscopically assisted vaginal hysterectomy (LAVH) including the indications and safety. Methods : We reviewed the medical records of patients who unde