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- 저자 : 정미은(ME Jung) (검색결과 3 건)
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정미은(ME Jung),안현일(HI Ahn),백미경(MK Baek),양정미(JM Yang),전정희(JH Jeun) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.8
1995년 1월부터 1997년 12월까지 시행한 골반경 수술 219예를 고찰하여 다음과 같은 결과를 얻었다. 1. 골반경 수술 환자의 연도별 분포는 1995년 33예, 1996년 53예, 1997년 133예였다. 2. 골반경 수술의 적응증으로는 자궁외임신이 118예 (53.9%)였고, 난소 낭종 42예(19.2%), 불임 20예(9.1%)였 고 난소 낭종에서는 자궁 내막종이 17예로 제일 많았다. 환자들의 평균 연령은 31±6.7세였다. 3. 환자들의 평균 출산력은 0.77회였고, 대부분 2회 이 하의 출산력을 가졌다(94.6%). 4. 복부 수술의 기왕력이 있었던 경우는 36예로 전체의 16.44%였고, 복강경하 난관결찰술이 12예로 가장 많았다. 5. 골반경 수술의 종류로는 난관절제술이 115예로 31.5%, 유착박리술이 47예로 12.9%, 난소낭종절제술이 36예로 9.9%순이었다. 6. 평균 실혈량은 LAVH가 500 cc, CISH가 150 cc였으 며 그 외 대부분은 100 cc 이하였다. 7. 술 후 입원 기간은 2일이 86예로 39.3%였고, 1일이 83예로 37.9%, 3일이 20예로 9.1%였다. 8. 골반경 수술의 합병증이 발생한 경우는 26예로 전체 의 11.8%였고, 38℃ 이상의 고열이 13예로 가장 많았다. From January 1995 to December 1997, a total of 219 cases pelviscopic surgery was performed at Il Sin Christian Hospital. To evaluate the safty and efficacy of pelviscopic surgery, we reviewed indication of operation, mean age, parity, history of abdominal operation, type of operation, duration of hospitalization and complication retrospectively. The number of pelviscopic surgery have risen from 33 cases in 1995 to 53 cases in 1996 and 133 cases in 1997. The most common indications were 118 cases for ectopic pregnancy (53.9%) and 42 cases for ovarian cyst (19.2%), 20 cases for infertility (9.1%) in order. Among the ovarian cyst, endometrioma was the most common. The mean age of patients was 31±6.7 years old and mean parity was 0.77. In most cases, mean blood loss was lesser than 100 cc except 500 cc in LAVH, 150 cc in CISH, 106.7 cc in ectopic mass removal. The postoperative hospital stay was varied from 0 day to 10 days, but usually 2 days. The 26 cases had complicated and the most common complication was fever above 38℃. In conclusion, it is evident that pelviscopic surgery is lesser invasive technique, has lower complication rate and shorter the length of hospitalization. So, we expect the number and indication of pelviscopic surgery will be increased in future.
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김정혜,정미은,백미경,안현일 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7
저자들은 자궁의 동정맥 기형 3예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Uterine arteriovenous malformation is a rare gynecologic condition, which is sometimes accompanied torrential vaginal bleeding and it can be aggravated with diagnostic dilatation and curettage. For proper management of vaginal bleeding, accurate diagnosis should be achieved before the intervention. In the past, the diagnosis was made retrospectively after hysterectomy, however recently it may be made by noninvasive method such as Doppler ultrasonogram before management. We have experienced 3 cases of uterine arteriovenous malformation, of which 2 cases were diagnosed with Doppler ultrasonogram.
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전정희,이남희,문정주,정미은,조지영 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.8
Over the past 30 years , there has been an increase in the incidence of multifetal pregna-ncies , primarily because of the introduction of ovarian stimulants for ovulation induction and assisted reproductive technology ( ART ) in infertile patients. It is well established that multifetal pregnancies are associated with an increased frequency of the maternal complications and gre-ater perinatal morbidity and mortyality. The adverse outcome of multifetal pregnancies is dire-ctly proportional to the number of fetuses , primarily as an consequence of prterm delivery. Re-duction in the number of fetuses in multifetal pregnancies has been proposed as a way to impr-ove the perinatal outcome in this situation. Therefore , selective fetal reduction ( SFR ) is sugges-ted as a therapeutic option for continuation of pregnancy with fetuses mature enough to survi-ve. In this paper , we report our infertility clinic experiences with 6 patients who carried mult- ifetal pregnancies including 1 quintuplet , 1 quadruplet, and 4 triplets. from January, 1991 to May, 1996, transabdominal SFR was accomplished by fetal intrathoracic KCl injection at 9∼10 weeks of gestation. After the prcedure , 4 patients remained as twin pregnancies, and 2 patients as single pregnancy. There have been 3 sets of twin deliveries and the 2 sets of single delivery. One case was aborted. Two patients were delivered after 37 weeks of gestation , 2 patients were at 35 weeks , and 1 patient at 24 weeks. All babies have been healthy after birth in patients after 35 weeks gestation. There was no fetal anomaly related to the procedure in the 6 cases. We concluded that transabdominal SFR is a rather safe and useful procedure that may improve the outcome of multifetal pregnancies.
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