편평상피세포암을 합병한 난소피양낭종의 1예

이종수(JS Lee),김문신(MS Kim),조재윤(JY Cho) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.10

66세의 폐경 다산부에서 난소피양낭종에 편평상피세포암을 동반한 1예를 보고하며 아울러 문헌적 고찰을 하였다. A case of sqaumous cell carcinoma arising in benign cystic teratoma of the ovary in a 66 year-old multiparous menopausal woman is presented with a brief review of the literature.

난소임신의 1예

김종덕(JD Kim),이종수(JS Lee),박찬영(CY Park) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.11

A case of ovarian pregnancy associated with lithopedion and fulfilled Spiegelburg`s criteria in a 38 year old woman is presented.

임신중 분만중 및 산후에 있어서 혈당량과 혈장 NEFA의 변동

문석주(SJ Moon),이종수(JS Lee),조재윤(JY Cho) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.4

비임신부 전임신기간 분만중 및 산후에 걸쳐 혈당경과 혈장 NEFA 함량을 측정하여 다음과 같은 결과를 얻었다. 1. 임신중에 혈당량은 임신이 진행됨에따라 점차 감소되는 경향이다. 임신중 혈장 NEFA 함량은 임신초기에 상승되었다가 5개월에 최하로 저하되었으며, 그 후부터 점차 증가하여 임신 제10개월에 최고에 달하였고 임신 제10개월반(42주)까지 하강되지 않했다. 2. 분만중 혈당량과 혈장 NEFA 함량은 급격히 증가하여 혈당량은 분만후 한시간에 최 고치에 도달되고 산후 제3일에 최하치였다. 혈장 NEFA 함량은 분만 제2기에 최고치였 고 태반 만출후에 급격히 하강하여 분만후 제2일과 제3일에는 정상치 이하로 하강하였다. 3. 제대혈당치는 모체 혈당치보다 항시 낮았고 혈장 NEFA 함량의 모체와 제대와의 비 는 2.2:1이었다. Employing Folin-Wu method for the measurement of blood glucose level and Dole method for non-esterified fatty acid in non-pregnancy, pregnancy, labor and postpartum period, the following results were obtained. Relevant discussions were made. 1. Gradually decreasing tendency in the concentration of blood glucose was noted with advancing gestation, The level of serum non-esterified fatty acid rise in the early pregnancy and dropped to the lowermost at the 5th month and then showed a gradual rise, reaching at a peak at the 10th month and maintaining the high level till 10 and a half month (42 weeks) of gestation. 2. The concentration of both blood glucose and serum non-esterified fatty acid abruptly increased during labor with the former at a peak in the post-partum 1 hour and the latter at the 2nd stage of labor and declining suddenly after the placental expulsion and finally dropping below normal on the postpartum 2nd or 3rd day. 3. The glucose level in the umbilical cord blood was constantly lower than that of the maternal blood while the level of non-esterified fatty acid in the maternal blood was as 2.2 times great as the cord blood.

남성화배세포종의 1례

송태섭(TS Song),위흥선(HS Wui),이종수(JS Lee),이주석(JS Lee),김상태(ST Kim) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.5

1) 남성화배세포종의 1예를 75세의 고령부인에서 발생했음을 보고한다. 2) 조직학적으로 중간형임을 알았다. 3) 본증례에서는 임상적으로 명백한 남성화 증상과 적출후의 특별한 증상변화등은 없었다. A 75-year-old Korean woman, para 4, whose menopause had occured at 50, was admitted to Sacred Heart Hospital on May 25, 1970, because of progressive lower abdominal distension, child head sized palpable. mass, frequent urination, constipation, rough deeper as male voice and lower abdominal discomfortness of two months duration. On the admission, her pulse rate was 98; her blood pressure, 160/105; and respiration, 28 the lungs were clear with decreased sounds in both bases. Heart sounds were normal. There was an atrophic, clean cervix with a small uterus bushed laterally by a child head sized, cystic, smooth mass occupying the entire pelvis and lower abdomen which reached just below the umbilicus but clitoris was not so atrophic inspite of her age. Marked rough and deeper as male voice and atrophic breasts were evident. The hematocrit was 38, and the white blood cell count was normal. The patient`s urinalysis, liver function test, and biochemical profile were also normal. A lower median incision was made, and numerous fine adhesion between the parietal peritoneum and the cyst wall were freed easily by blunt dissection. The cyst was found to arise from the right ovary with the descending colon and ileum as well as the right uterus firmly adherent to it. The left ovary was atrophic. An egg sized round, hard mass was found on the mid ileum which should be metastasized from the ovary. The cyst was then removed with some difficulty, and a radical hysterectomy and segmental resection of ileum were performed. Post operatively, the patient did well except for one episode of urticarial reaction which lasting for a few hours. The patient left the hospital in good health on the 20th post operative day. The ovarian tumor had central necrosis. Histologic sections revealed the ovarian cyst and a tumor of ileum to be a intermediate type of arrhenoblastoma.

양수내 beta-Endorphin치와 분만과의 관계에 관한 연구

이종수,오세량,정혁,한세준,장하종,오승진 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.4

자궁수축과 양수내 beta-Ep치와의 관계를 알고저 경질분만과 제왕절개분만의 2개의 분만방식에 따른 자궁수축에 차이가 있는 경질분만의 제왕절개분만시의 양수내 beta-Ep치를 측정하였다. 경질분만의 경우에는 양수내 beta-Ep치가 제왕절개분만시보다 현저히 낮았다(p$lt;0.05). To Evaluate the concentrations of beta-endorphin in amnionic fluid during labor and delivery, they were measured in the vaginal delivery and cesarean section by radioimmunoassay. The levels of beta-endorphin of amnionic fluid in vaginal delivery in which the uterine contraction was more intensive were significantly lower than it in cesarean section in which the uterine contraction was relatively weaker or absent(P$lt;0.05).

제왕절개분만시 사용한 마취제에 따른 실혈량의 비교

이종수,정혁,장하종,송창훈,정찬영 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.5

전신마취 및 국소마취때 사용하는 마취제에 따라 모체의 인지도, 출혈량, 태아의 건강 등에 큰 차이는 없지만, halothane을 사용할 경우 자궁수축이 저해를 받아 출혈량이 많은 반면, 자궁내의 조작이 필요한 경우 halothane의 모체농도가 높아지면 태아의 혈중농도도 상승하여, 상당한 지장을 초래한다. 따라서 halothane의 사용에는 가급적 소량의 단시간만 사용하여야 하고, 자궁의 이완을 필요로 하는 경우에는 출혈량이 많아 이에 대한 대비를 하는 것이다. Halogenated anesthetic agents which have been used to supplement nitrous oxides for cesarean section may interfere with uterine contractility or increase blood loss at the time of cesarean section. To ascertain the effect of the addition of halogenated anesthetic agnets for cesarean section anesthesia vs conduction or a simple balanced general anesthetic, the reflexion to operative blood loss at the time of cesarean section was assessed retrospectively. When the halogenated agent was used for cesarean section anesthesia, incidence of pre-to postdelivery decrease of 8 vol% of hematocrit and postpartum anemia(hematocrit 30 vol%) significantly developed. The addition of halogenated anesthetic agents to a balanced nitrous oxide anesthesia for the purpose of decreased maternal awareness should be weighed against the risk incurred from the increased requirement for blood replacement and from postpartum anemia.

양수내 Cortisol치와 임신 및 분만과의 관계

이종수,정혁,한세준,장하종,송창훈,정찬영 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.6

분만방식에 따른 양수내 cortisol치의 변동상황을 알고자 양수내 cortisol치를 경질분만과 제왕절개분만으로 나누어 측정하였다. 그 결과 질식분만때의 양수내 cortisol치는 34.7±12.6 ng/ml였고 제왕절개분만때는 20.0±7.5 ng/ml로서 양자사이에 유의한 차(P$lt;0.01)가 있었다. 또한 초산의 경우는 28.0±11.8 ng/ml이었고, 경산의 경우 25.5±14.4 ng/ml로서 차위가 없었으며, 모체의 연령별로 구분한즉 28세미만의 경우 29.2±13.7 ng/ml, 28세이상인 경우 23.0±9.3 ng/ml로서 이것 역시 차위가 없었고 신생아의 성별로서 남아는 28.8 14.3 ng/ml, 여아는 25.3±10.0 ng/ml였다. 또한 전체의 양수내 cortisol치는 28.8±4.2 ng/ml였다. 따라서 양수내 cortisol치는 질식분만의 경우에 한하여 크게 증가할 따름이었다. In order to assess the concentrations of Cortisol in amnionic fluid according to method of delivery vaginal delivery and cesarean section, the cortisol levels were measured by specific radioimmunoassay. In vaginal delivery the cortisol levels were 34.7±2.6 ng/ml, and in cesarean section delivery it was 20.0±7.5 ng/ml, and the former was significantly higher than the latter. There were not found the differences in the cortisol levels by maternal age, parity, and fetal sex. We conclude that the cortisol level in amnionic fluid is increased only at vaginal delivery.