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자궁경부 상피내종양의 치료로서 환상투열요법 시행 후 잔류병변의 예측인자
임태건(Tai Gun Im),황호명(Ho Myong Hwang),정영주(Young Ju Jeong),오병찬(Byung Chan Oh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
N/A Objective : The purpose of this study was to determine whether unexplained elevation of second- trimester maternal serum beta-human chorionic gonadotropin (β-hCG) is associated with adverse pregnancy outcomes. Method : Between January 1998 and December 1999, we evaluated 2112 pregnant women undergoing second trimester triple marker screening test who delivered at our hospital. Inclusion criteria were singleton pregnancy, confirmed gestational age, and hCG level greater than 2.0 MoM. The exclusion criteria were fetal anomaly, abnormal karyotype, MSAFP level greater than 2.0 MoM, uE3 level less than 0.4 MoM, and referred patients with pregnancy-induced hypertension (PIH). A group of randomly selected women with normal maternal serum hCG and AFP levels served as control. Results : Women with unexplained elevation of hCG level showed increased risks for PIH (p<0.001) and preterm delivery (p<0.003). There were no significant diffrences between study and control groups with respect to placental abruption, fetal distress, PROM, intrauterine fetal death, and apgar score. Conclusion ; Pregnancies with unexplained elevation of hCG levels should be regarded as high-risk pregnancies and managed accordingly. The combination with these biomarkers such as VEGF, plasminogen activating factor I and AT-III as a screening test for PIH may be useful.
거대 자궁선근증으로 인한 급성 하지 심부 정맥혈전증의 수술적 치료 1 예
장인석(In Seock Jang),김종현(Jong Hyeon Kim),임태건(Tai Gun Im),안경호(Kyoung Ho Ahn),이정헌(Jeoung Heon Lee),이유성(You Sung Lee),김관식(Kwan Sik Kim),오병찬(Byeong Chan Oh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12
N/A Uterine adenomyosis is a common benign pelvic tumor in women. One of the complications that may be infrequently associated with the huge pelvic mass is venous stasis of the lower extremities and may develop thrombophlebitis secondary to pelvic compression. Intravascular thrombosis in the deep vein of the legs is a serious illness that sometimes cause death due to acute pulmonary thromboembolism. Deep vein thrombosis (DVT) has been reported to be closely related to pregnancy, surgical procedure, long term bedrest, obesity, and oral contraceptives. However, there is few report about deep vein thrombosis caused by huge uterine adenomyosis. We report a case of deep vein thrombosis caused by huge adenomyosis was treated by hysterectomy, thrombectomy, and thrombolysis with a brief review of the literature.