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미세수술에 의한 난관채성형수술 후의 임신율에 관한 연구
임화석,이두룡 啓明大學校 醫科大學 1985 계명의대학술지 Vol.4 No.1
1983년 8월부터 1984년 12월까지 만 1년 5개월간 계명대학교 의과대학 동산의료원 산부인과를 찾아 온 불임환자 가운데 infertility work-up을 완전하게 시행하여 불임의 원인이 난관 및 복막인자로 판명되어, 미세수술을 이용한 난관채부성형수술을 받은 38예 가운데 1985년 5월말 현재 최장으로는 22개월 최단으로는 5개월간 추적조사가 가능했던 26예를 대상으로 다음과 같은 결과를 얻었다. 난관채부성형술을 받았던 26예중 11예에서 임신이 이루어져 임신율은 43%이었다. 전체임신예중 수술 후 첫 3개월내에 27%, 6개월내에 54%, 12개월내에 72%, 22개월내에 100%에서 임신이 이루어 졌다. 미세수술에 의한 난관채부수술 후 임신된 11예는 만삭분만 및 분만예정이 6예, 난관임신이 3예, 자연유산이 2예 이었다. 만삭임신율은 분만예정자(임신후반기)를 포함하여 23%이었다. A micorsurgical technique of fimbrioplasty has been utilized in 26 patients operated on by the authors from August 1983 through December 1984, and they have been followed up for 5 to 22 months postoperatively in the Department of Obstetrics and Gynecology, School of Medicine, Keimyung University. Forty-three percent of 26 patients who had a pure microsurgical fimbrioplasty conceived postoperatively. Three of these 11 pregncies was ectopic. Utering pregnancy was achieved in 31% and ectopic pregnancy in 12% of this series. It is of interest that 54% (6/11) of t6hose patients achieving a pregnancy did so within first 6 months of surgery.
자궁경부 이형증 및 상피내암의 유두종 바이러스 감염에 관한 연구
임화석,차순도,이두룡 啓明大學校 醫科大學 1987 계명의대학술지 Vol.6 No.1
It is now widely accepted that the human papilloma virus (HPV) infection is the most frequent intraepithelial changes of the cervix that results in an abnormal Papanicolau smear. The hypothesis that the papilloma virus may have a role in human genital cancer is supported by increasing evidence. Human papilloma virus-induced lesions were studied by histopathology of the uterine cervix in 352 cases of cervical dysplasia and carcinoma in situ (CIS). And the antigens of human papilloma virus were detected by immunohistochemistry method in 42 cases of the cervical dysplasia and CIS, in which a koilocytotic atypia was well appreciated. The results were summarized as follows: 1. The frequency of HPV-induced lesion was 13.6% (24/177) in cases of dysplasiia, 10.3% (18/175) in cases of CIS. 2. 7.4% (13/177) of original 177 dysplasia were revised as HPV infection and 13.6%(24/177) as combined dysplasia with HPV infection. 3. The mean age was 31.4 in condyloma accuminata group, 39.9 in dysplasia plus HPV infection group, 43.2 in CIS plus HPV infection group, 45.3 in pure CIS group. 4. The frequency of PAP (peroxidase-antiperoxidase) reactive lesion was 28.6% (4/14) in cases of condyloma accuminata, 25.0%(6/24) in cases of cervical dysplasia, 11.1%(2/18) in CIS.
이종학,임화석,홍순도,송재경,이무원,이순 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.5
저자들은 19세된 외형상 여성으로서 원발성무월경을 주소로 입원한 완전 고환성 여성화증후 군 1례를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Complete testicular feminization syndrome is characterized by presence of testis in phenotypic female with good breast development and complete female external genitalia and absence of female internal reproductive organs. In most of patient, sexual hairs were completely absent. We presented a case of testicular feminization syndrome with normal development of breast and female external genitalia, but with blindly ended vagina.