자궁파열 35예

이의진(EJ Lee),류묘신(MS Yoo),정진성(JS Chung),김혜자(HJ Kim) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.2

모성사망은 5예로서 14.3%를 보였고 태아사망율은 28예로서 80.0%이었다. The gravid uterine rupture is one of the most serious and emergent problems in obstetric field. The Authors observed 35 cases of the gravid uterine rupture treated during 10 years from January, 1960 to September 1969, studied on clinical statistical analyses and reviewed briefly literatures. The reviewed results of 35 cases of uterine rupture were summarized as the follows: 1. The Incidence was 1 : 942 deliveries. 2. The age distribution was from 25 to 44 years of age and the mean age was 33 years of age. 3. The incidence in the parity, para I was the most frequent(12 cases), and other cases were mutipara except one case of primipara. 4. The distribution of gestational weeks was from 28 to 47 weeks. Most of all cases were ruptured at normal full term period. 5. On the classification of uterine rupture, 15 cases were traumatic, 11 cases were rupture of previous cesarean section scar, 9 cases were spontaneous rupture. 6. The most important frequent symptoms of uterine rupture were lower abdominal pain, vaginal bleeding and shock. 7. The interval period from onset of labor to rupture were ranged from 2 hours to 5 days, the mean was 15 hours. 8. complication were seen at 10 cases and most of them was wound infection. 9. In the management of the uterine rupture, subtotal hysterectomy was performed in 16 cases(45.7%), simple closure 10 cases(28.6%) and total hysterectomy 7 cases(20.0%), others 2 cases(6%). 10. Maternal death rate was 14.3%(5 cases) and fetal death rate was 80.0%(28 cases).

완전자궁내번증의 1례

이의진(EJ Lee),박동흥(DH Park),박용균(YK Park),이호덕(HD Lee) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.4

완전자궁내번증의 1례를 보고하는 바이다. Inversion of the uterus is a serious postpartum complication with a high maternal mortality. It`s incidence is probably frequent than reported in the literatures and many deaths ascribed to postpartum shock and hemorrhage are undoubtedly due to the concealed variety of inversion.

전치태반을 합병한 제대난막부착의 1례

이의진(EJ Lee),류사신(SS Yoo),송사헌(SH Song),최경희(KH Choe) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.4

전치태반을 합병한 제대난막부착의 1례를 보고하는 바이다. The authors present a case of embedment of a Lippes loop in the placenta in term delivery which was failured intrauterine contraceptive device (I.U.C.D.) inserted in a 33 years old grand multiparous woman 20 monthes ago, and brief review of literatures was made.

최근 11 년간 ( 1983-1993 ) 서울 성애병원에서 출생한 신생아 출생성비에 관한 통계보고와 향 후 문제점의 재조명

이승기(SK Lee),이도훈(DH Lee),김상용(SY Kim),김정욱(JW Kim),오도산(DS Oh),이의진(EJ Lee) 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.11

Depend upon the hundred years of Korean tradition in preference of baby boy and accureate technique in differentiation of babys sex during pregnancy secondary to up most developed sonogram machine and chorionic villus biopsy. The paper was analysed in last 11 years period in nulligravida and multigravida and multigravida and repeat cesarian section. The result were as follows. 1. The total sex ratio in last 11 years were 107 : 100 (male:female) 2. 1st baby was 59.135% 2nd baby was 38.41% 3rd baby was 2.38%. 3. 1st babys sex ratio was 103 : 100 (male:female) 2nd babys sex ratio was 111 : 100 3rd babys sex ratio was 148 : 100 Repeat C/S sex ratio was 110 : 100 Our results suggest that the unbalance of sex ratio in multigravida is extremely serious trend in this country and is expected a tremendous social problem in early 21 th centry.

자궁외임신 환자의 치료에 있어서 골반경수술과 개복술의 비교 연구

이도훈(DH Lee),김상용(SY Kim),이달경(DK Lee),이승기(SK Lee),김정욱(JW Kim),이의진(EJ Lee) 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.6

Recently, pelviscopic surgery trends to increase in world-wide in department of gynecology. Especially, in treatment of ectopic pregnancy, pelviscopic surgery is as effective and safe as treatment with laparotomy and has the advantage of decrease in hospital stay, cost and delay in return to normal activity and of cosmetic effect. To evaluate the efficacy of pelviscopic surgery in ectopic pregnancy, we have reviewed 137 patients treated by pelviscopic surgery and laparotomy from January 1993 to September 1994. The results were as follows. 1. A total of 137 patients were randomized to either pelviscopic surgery(N=95, 69.34%) or laparotomy(N=42, 30.66%). 2. There were no significant differences between the pelviscopic surgery and laparotomy groups in age, weight, parity, gestational age, past history and chief complaint, hematocreits, blood pressure but the estimated blood loss was significantly (p<0.01) lower in patients undergoing pelviscopic surgery. 3. In all ectopic gestaions, the most common site is ampullar portion(83.21%) and the most common operative procedure is salpingectomy(90.51%). 4. The mean operating time was not significant between pelviscopic surgery (60.9 +-21.3mins) and laparotomy(62.8+-20.9). But the length of hospital stay was significantly (p<0.01) shorter after pelviscopic surgery(3.6+-1.0 days) than after laparotomy (7.0+-0.7 days). 5. There were no intraoperative complications in the both groups.

Prostaglandin E2 질정에 의한 자궁경부 숙화 및 분만유도 효과

김정욱(JW Kim),고경수(KS Ko),이달경(DK Lee),이승기(SK Lee),이희경(HK Lee),이의진(EJ Lee) 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.9

In order to determine the clinical usefullness of PGE2 vaginal suppositories and oxytocin intravenous injection, PGE2 tablet(3mg) was administrated intravaginally to the 45 pregnant women and oxytocin intravenously to the 45 pregnant women . All the involved pregnant was between 38 and 42 weeks gestation, and who had below 4 points, by Bishop`s score(From March to December 1995). Results were obtatined as follows; 1. There was no significant differences on age distribution gestational period, cervical status in each group . 2. Sucess rate with labor induction was not significantly different in each group . 3. In induction failure group , PGE2 vagivnal suppository group was significantly better than oxytocin group incervical ripening over 3points by Bishop`s score(p<0.05). 4. There were no significant differences in Cesarian section rate, blood loss , 5-min Apgar score. 5. Side effects were minimal. That were vomiting(1 case), fetal bradycardia(2cases)in vaginal suppository group and fetal bradycardia(3 case) in oxytocin group. But there was no significant difference in each group . This study also shows that the PGE2 vaginal suppository is simple to use, acceptable to the patient has almost no side effect, effective in cervical ripending , An PGE2 vaginal suppository group have no significant differences on duration of labor compared with oxytoxin induction group.

선자세포종 1례

이원근(WK Lee),이의진(EJ Lee),박용균(YK Park),김혜자(HJ Kim) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.3

저자는 선자세포종의 1예를 경험하였으며 차이는 다만 병리조직학적인 소견의 차이만 있을 뿐 증상, 예후, 치료등에 큰 차이를 볼 수 없었다. Authors presented a case of Adenoacanthoma which was revealed incidentally by endometrial biopsy obtained by curetting because of complaints of vaginal bleeding and the its literature was reviewed briefly.

산욕기 자궁내번증 5 례

최철균(CK Choi),권오실(OS Kwon),이의진(EJ Lee),문병준(BJ Moon) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.2

1980년 2월 1일부터 1986년 1월 31일까지 6년동안 성애병원 산부인과에서 산욕기 자궁내번증 5례를 경험하였기에 문헌적 고찰과 함께 보고하였다 An inverted uterus is one that is partially or completely turned inside out This condition ustally occurs immediately following delivery, but inversion may also occur during the puerperium In rare instances, inversion may develop in the pedunculated myoma, carcinoma, or sarcoma But puerperal inversion of the uterus constitutes an obstetric emergency with significant mortality, despite modern availability of blood transfusion and antibiotics The experience of the authors over the previous 6 years was reviewed and 5 cases of puerperal inversion were reported with brief review of the literatures

Thanatophoric Dwarfism의 1 례

김상용(SY Kim),이도훈(DH Lee),이달경(DK Lee),김정욱(JW Kim),김영찬(YC Kim),이의진(EJ Lee) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.9

Thanatophoric dwarfism was described by Maroteaux, Lamy and Robert in 1967, who differentiated it from achondroplasia. It is a short limb dwarfism with characteristic X-ray features and usually results in death shortly after birth. We present a case of thanatophoric dwarfism which has been diagnosed during antenatal period with review of literatures.

유착중복아 1 예

김형석(HS Kim),고경수(KS Ko),오도산(DS Oh),이준형(JH Lee),김영리(YL Kim),이의진(EJ Lee) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.5

Conjoined twins are commonly refered to as siamese twins, after Chang and Eng Bunker of Siam(Thiland), who were displayed worldwide by P.T.Barnum. The incidence is from 1 in 30,000 to 1 in 200,000 live births. Two thrid of conjoined twins are females. Etiology is unknown. Monozygotic twins arise form a single blastocyst that undergoes duplication between the 1st and 10th day after ovulation. Conjoined twins are commonly regarded as an abnormolity of the process of monozygotic twinning, because of an incomplete division of the embryonic cell mass at one pole or at a point between the poles. Conjoined twins are a sporadic event that tends not to recur. We report a case of conjoined twins with brief review for literatures.