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RISS 인기검색어
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- 저자 : 정성희(SH Chung) (검색결과 3 건)
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정성희(SH Chung),이태호(TH Lee) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.9
Studies were made on the intraamniotic amylase level as a factor for prediction of fetal maturity. The cases which involved were 95 cases of gestation from 36 weeks to 42 weeks and relations between intraamniotic amylase and gestational age, fetal birth weight and creatinine levels were analysed. Studies also carried out that of 52 cases of L/S ratio. Intraamniotic amylase level was correlated with increment of fetal body weight, the heighest concentration 224.3su/dl was observed on group of fetal body weight 300l~3500 gm and gradual reduction was noted hbereafter. Relations with gestational age same tendency as that of fetal body weight was found and heighest level was 22l.5su/dl at gestation 40 weeks, gradual reduction thereafter up to 42 weeks gestation. Relations with creatinine increment of amylase was noted up to creatinine leve1 of 3.0~3.4 gm, and no consistent pattern was observed with creatinine level above 3.5 gm group. Correlation between phospholpid, the most important parameter which represent fetal Iung maturity when it was optical density above 0.15 at wave length 650nm intraamniotic amylase showed well correlation, that was all 62 cases except 2 cases revealed amylase concentration of more than 100 su/dl. On the contrary optical density below 0.15 the amylase level more than 100 su/dl was only 5 cases. It was found that when amylase level more than 100 su/dl fetal body weight more than 2500gm was associated 84.2% and that of gestational age more than 36 weeks was 83.9% respectively. Though intraamniotic amylase level revealed wide variatio, judging from the data obtained, it was suggested that sole measuremtnt of intraamniotic amylase will play an important role on prediction of fetal maturity.
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이숙형(SH Lee),이두진(DJ Lee),정성희(SH Chung),박종근(JK Park),이태호(TH Lee) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.5
확진된 자궁외 임신 32예의 초음파상을 아래와 같이 요약할 수 있었다. 자궁의 임신을 확진할 수 있는 자궁의 태낭, 태아 및 심장활동의 확인 예는 7예로 21.9%에 불과하였고, 심 장활동을 볼 수 있었던 것은 비파열 22예 중 단 1예로 4.5%이었다. 자궁강내 태낭을 확인할 수 없었던 것은 전례이었다. 부속기종유는 17예로 53.1%이었다. 자궁 의 증대는 15예로 46.9%이었다. 자궁의 변위는 자궁 의 임신파열 10예 중 4예로 40%이었다. 뇨임신반응양 성 예는 13예로 40.6%이었다. 복강내 출혈묘사 예는 32예 중 15예로 46.9%이었다. 이상의 성적으로 미루어 초음파를 이용한 자궁의 임 신의 확진은 단독인자만으로는 힘든 경우가 많으나, 자궁강내 태낭 및 태아 확인의 여부는 자궁의 임신을 부정 혹은 긍정할 수 있는 중요인자로 생각하며, 특히 정상임신을 제외하는 부정적인 인자에 보다 초점을 두 어야 될 것으로 사료되며, 기타 adnexal mass, 자궁의 증대 및 변위, 양성임신반응, 복강내유동현 등의 제인 자를 포괄적으로 고려하면 높은 정진율을 기대할 수 있을 것으로 생각된다. Ultrasonographic studies were made on 32 cases of surgically confirmed ectopic pregnancy. The criteria which able to make confirmatory diagnosis upon ectopic pregnancy such as identification of extra uterine gestational sac, fetal cardiac movement revealed 7 cases out of 32 cases or 21.9%. Among 22 cases recognized cardiac movement was only one case or 4.5%. All cases were unable to reveal intrauterine gestational sac and adenexal masses revealed 17 cases or 53.1%. An enlargement of uterus showed in 15 cases or 46.9% and cases of detected intra abdominal bleeding by ultrasonogram wae 15 cases or 46.9%. It was suggested that whether or not confirmation of exsistence of intra uterine gestational sac or identification of fetus was playing as important role for ultrasonic diagnosis of ectopic pregnancy and furthur more placing the focus on negative factor such as exclusion of intra uterine pregnancy is indispensable. We can conclude through data obtained much improved accuracy will be anticipated when integrated supportive criteria such as adenexal mass, enlargement of uterus and deⅵation, positive urine pregnancy test, intra abdominal blood were involved for diagnosis.
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이윤성(YS Lee),구본수(BS Koo),정성희(SH Chung),박종근(JK Park),이승호(SH Lee),이태호(TH Lee) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.5
자궁경질부 원추절제에서 확진된 36예의 미세침윤경암의 세포진 소견을 검토한 바 그 성적을 아래와 같이 요약할 수 있었다. 미세침윤경암의 핵염색질은 coarse pattern이 61.6%,fine pattern이 38.9%이었다. 세포다형성은 경도가 58.3%, 중등도가 16.7%, 고도가 25.0%이었다. 악성세포의 군집성은 경도가 38.9%, 중등도가 16.7%, 고도가 44.4%이었다. 세포진 배경은 clear가 61%로 가장 많았고 이하 출혈이 33.3%, 염증이 19.4%, necrotic debnis가 8.3%의 순이었다. 각 예별 최다악성세포출현 빈도는 large cell nonke-ratinizing type 이 16예로 44.4%로 가장 많았고, 이하keratinizing cancer cell type의 25.0%, clustered iso-diametric cancer cell type의 13.9%, fiber cell의 8.3%, small cancer cell의 2.8%, undifferentiated can-cer cell의 2.8%, parabasal dyskaryotic cell의 순이었다. 상기한 세포상의 특징 등으로 조직 진단을 추정하였을 때 그 성적은 dysplasia가 1예로 2.8%, CIS가 10예로 27.8%, microinvasive가 16예로 44.4%, invasive가 9예로 25.0%이었다. Studies were made on cytologic pictures in 36 cases of microinvasive ca. of ute- rine cervⅸ which were diagnosed by cone biopsy. The results summerized were as follows: There was 61.6% of coarse chromatin pattern and 38.9% of fine chromatin pattern. Regarding to the pleomorphism distribution of degree of slight, moderate and extensive were 58.3%, 16.7% and 25.0% respectively. Degree of aggregation in malignant Cells, slight, moderate and extensⅳe was 38.9%, 16.7% and 44.4% respectively, Cytologic back ground in smears from microinvasive ca. of uterine cerⅵx, the most frequently encountered was clear pattern, which revealed 61.0% and in order of bleeding pattern 33.3%, infection pattern 19.4% and necrotic debris pattern 8.3%. The distribution of predominant malignant cell type in each of 36 cases was large cell keratinizing type showed 44.4% and in order of keratinizing ca. cell type 25.0%, clustered isodiametric cell type 13.9%, fiber cell type 8.3% and small ca. cell type, undifferentiated and parabasal dyskaryotic cell type 2.8% each respectively. . When diagnosis was predicted with histologically proved microinvasive ca. of uterine cerⅵx through the characteristics of cytology pattern, dysplasia, ClS, mic- .roinvasⅳe and invasive ca. was 2.8%, 27.8%, 44.4% and 25.0% respectⅳely.
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