쌍각단경자궁의 임신에서의 선천성내반족 1례 보고

호삼수(SS Hoh),김일승(IC Kim),이동훈(DH Lee) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.3

The patient was a Korea 28 years old woman. On November 10, 1966 the hysterosalpingography revealed utrerus bicornis unicollis and bilaterally obstructed tubes at both ends (Fig. 1,2,3), On March 17, 1967 bilateral salpingostomy, wedge resection of both ovatries and anterrior fixation of the uterus were performed. After this surgery thyroid rxtract was given for two months. The last menstrual period was on February 28, 1968 and the diagnosis of pregnancy was given on May 24, 1968. On September 9, 1968 the breech presentation was noted and the external cephalic Dece- mber version wqas failed. On December 7, 1968 the X-ray revealed breech Presentation(Fig.4) On December 11, 1968 elective low cervical transberse ceasrean section was performed and a female infant wasd elivered. The infant weighed 3,200 Gm. and the left foot was talipes equinovarrus(Fig.5) On the fourth post-puerperal day, the left foot was mantained in a position of over-correction with a cast by a orthopedist. On january 15,1969 theclub-foot was well corrected. The authors concluded the left club-foot had come from the abnormal intra-uterine position of the fetal feet in uterus bicornis unicollis.

인어체 ( Sirenomelia ) 기형 1 례

나계환(KW Rha),차희양(HY Cha),호삼수(SS Hoh),박흠례(HR Park) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.3

Sirenomelia is a rare congenital malformation and the fusion of the lower limbs give the infant the appearance of a mermaid This anomaly shows the most severe form of a variable spectrum of embryologic defects which may include genitourinary, gastrointestinal, skeletal, cardiovascular and pulmonary abnormalities We experienced a case of sirenomelia and presented with review of literature

자궁선근증에 대한 임상적 고찰

김영선(YS Kim),김성미(SM Kim),호삼수(SS Hoh) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.4

인천 길병원 산부인과에서 1981년 1월 1일부터 1984년 12월 31일까지 4년간 시행한 자궁적출술 715례중 자궁선근증 160례에 대하여 임상 및 병리학적으로 조사 분석하여 다음과 같은 결론을 얻었다 1 자궁선근증의 발생빈도는 22 5%였다 2 호발연령은 41-50세군이 55 6%로 가장 높았고, 평균연령은 43 7세였다 3 분만횟수는 3-5회군이 가장 많았고, 경산부가 96 2%를 차지하였다 4 육안적으로 임신 10주이상의 자궁비대는 64 4%였다 5 자궁선근증의 임상증상은 하복부 불쾌감 및 골반통(60 6%)이 가장 많았고, 월경과다(40 0%), 요통(39 4%), 월경통(18 1%)등의 순이었다 6 수술전 진단의 정확도는 6 9%로 임상증상만으로는 진단이 매우 어려웠다 7 합병질환은 만성골반염(33 1%)이 가장 많았고 자궁근종(23 1%), 정체낭종(9 4%)등의 순이었다 8 본 연구에서는 자궁내막증이 동반된 예는 관찰되지 않았다 9 자궁내막소견은 분비가 41 9%였고, 증식기는 27 5%였다 One hundred and sixty patients with adenomyosis were studied clinically and pathologically among 715 hysterectomized cases in the Department of Obstetrics and Gynecology, In Cheon Gil Hospital, during 4 years, from Jan 1 1981 to Dec 31 1984 The results obtained were summerized as follows; 1 Routine pathologic examination of the 715 hysterectomized uteri revealed adenomyosis in 160 specimens, an incidence of 22 5% 2 The highest incidence was 41 to 50 years of age group, an incidence of 55 6% and the mean age was 43 7 years 3 Adenomyosis was far more frequently observed in parous woman than non-parous woman, such as 96 2% and 3 8% respectively 4 Grossly, the size of the uterus was enlarged more than 10 weeks gestational size in adenomyosis, an incidence of 66 4% 5 Pelvic pain, menorrhagia, lumbago and dysmenorrhea were common symptoms of adenomyosis, and incidence of 60 6%, 40%, 39 4% and 18 1% respectively 6 Preoperative diagnostic accuracy for adenomyosis was 6 9% 7 Myoma uteri was the most common indication for operation, showing an incidence of 40 6% 8 Pelvic inflammatory disease and myoma uteri were common combined disease in the adenomysis, and incidence of 33 1% and 23 1% respectively 9 Endometriosis was not combined with adenomyosis in this study 10 Secretory phase of endometrium was the most frequent findings of adenomysis, an incidence of 41 9% and the proliferative phase was 27 5%

자간을 동반한 자궁내번증 1 ( A Case of Uterine Inversion Associated with an Eclampsia 례 )

이승희(SH Lee),이남경(NK Lee),이명희(MH Lee),호삼수(SS Hoh) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.14

저자들은 최근 21세의 미혼모로서 자간증을 동반한 자궁내번증 1례를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다. Uterine inversion is very rare obstetric emergency and complication. We present a case of acute puerperal uterine inversion associated an eclampsia with the brief review of literatures.

제왕절개술의 임상적 고찰

한만홍(MH Han),정용환(YH Chung),최유덕(YD Choi),호삼수(SS Hoh) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.7

In recent years, the use of cesarean section has increased rernarkably, because of the emphasis that is directed toward recognition of impairment of fetal well-being. We studied on 370 patients who had cesarean section among 2481 deliveries at Gill Hospita1, Inchon, during one year period from Jan. first to Dec. 3lst l980. The results analysed were as follows: 1. 0verall incidence of cesarean section was l4.9% of the total deliveries, 2481 patients. 2. of all these 370 sections, the primary section accounted for 76.2% of the sections and the repeat sections were 23.8%. 3. The most frequent indication of the cesarean section was cephalopelvic dispropo rtion (3l.0%). Next indication were repeat (23.8%) and antepartum bleeding (10.9%) 4. The most frequent indication for primary section in multipara was henrorrhage such as placenta previa and abruptio placentae (37%). Next were malpresentation (l4.8%) and CPD (ll.l%). 5. By age, 42.8% of cases were between 25~29 years of age, below l9~-0.5% and over 40~-0.5%. 6. In the boty weight distribution of infants, the group of 3000~3499 gm was the most common (37.6%). 7. In performing the cesarean section, lower cervical transverse incision was most common (94%). Classical section was only 5 cases (l.4%) and extrapsritoneal section-7 cases(1.9%). Also cesarean hysterectomy was performed in 10 cases(2.7%). 8. Incidental operation; Tubal ligation for sterilization was most common (75.5%). The others were cesarean hysterectorny (l0.2%) and appendectomy (9.1%) etc. 9. The type of the anesthesia in cesarean section was general (99.2%) and spinal (0.8%). The epidural anesthesia was not performed in section except the vaginal delivery. 10. Of the postoperative complication, the wound infection was the most common (31.2%). The others were urinary tract infection (20.8%), endometritis (18.8%) etc. ll. There was high rate of maternal morbidity in patients with anemia(l3.0%). l2. The perinatal mortality was 4.6%. l3. There was only one maternal death (0.27%) in 370 cases of cesareans

제대진결절로 인한 자궁내 태아사망의 1예

김정록(CR Kim),강갑수(KS Kang),송민자(MZ Song),호삼수(SS Hoh) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.12

A tight true knot of the umbilical cord was formed at the third trimester of pregnancy and death of the fetus resulted in the uterus. The patient was a 34-year-old Korean female, gravida V and para iv. The last mestrual period was on June 25, 1963 and she had quickening in November, 1963. The fetal movement ceased on March 16, 1964. Therefore, on March 21, 1964, she was admitted and membrane rupture was artificially performed. Eight hours later a macerated male fetus was delivered and a true knot was seen at the middle part of the umbilical cord(Fig.1).

이구순 및 구강의 무뇌체 1례보고

김영수(YS Kim),김정록(CR Kim),김재욱(JU Kim),호삼수(SS Hoh) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.3

B.C.S. 28-year old Korea women, paraii, gravidaiii, was admitted because of hydromnios and no fetal movement of approximately 10 day at 7 months` pregnancy. Labor was induced with artificial menbrane rupture and I.V.P. The stilborn fetus was anencephalus with two mouthes. Autopsy The body weight was 1,150 gm.

19 주의 파열성 난관간질부 임신 1 례

호삼수,김미경,이향미,최도영,이혜미 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.1

저자들은 본병원 산부인과에서, 19주의 파열성 난관간질부 임신1례를 경험하였기에 그 임상경과를 보고하고 이에 대한 문헌적 고찰을 하였다. The interstitial type of ectopic pregnancy refers to a gestation in the intramural tubal segment. It is relatively rare entity, accounting for 2% to 3% of all tubal pregnancies, but the rich vascularity of the uterus in this location makes rupture particularly dangerous, resulting in a higher maternal mortality. The implications are almost indistinguishable from other types of ectopic gestation, but the greater mass of myometrium permits the pregnancy to advance to a somewhat later date, as late as 16 weeks, before rupture occurs. A case of cornual rupture with 19 weeks interstitial pregnancy is presented with a brief review of literatures.

중복기형아 2 례

호삼수,박지홍,김미경,이향미,최도영 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.11

저자들은 최근 중앙길병원 산부인과에서 중복기형아 2례 (omphalo-xiphopagus 1례 및 dicephalus 1례)를 경험하였기에 간략한 문헌고찰과 함께 보고하는 바이다. Conjoined twinning is a rare congenital malformation that occurs once in every 50,000 to 100,000 births. So in most instances the correct prenatal diagnosis is difficult. We have recently met two cases of conjoined twins, Omphalopagus terata anacatadidyma duplicata complita and Dicephalus duplicata incomplita. We present these with brief review of the literatures.

양막대증후군 2 례

호삼수,김성미,문원주,최준렬 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.8

저자들은 임신중기에 초음파촬영술로 다발성기형이 발견되어 유도분만된 사산아 2례가 두부 및 안면부, 사지를 침범하는 양막대 증후군에 속한다고 사료되어 본 예들을 문헌고찰과 함께 보고하는 바이다. The amniotic band syndrome refers to the infrequent occurrence of congenital deformities presumably due to fetal entanglement in strands of ruptured amniotic sac. We reported two cases of amniotic band syndrome. One has anencephaly, cleft lip and palate, equinovarus of the left leg, left anopthalmos, right microphthalmos, diaphragmatic hernia, hypoplasia of the left lung and grotesque face. The other has anencephaly, cleft palate, equinovarus of the right leg and grotesque face. In both cases, the amniotic band of placenta was attached to the anencephalic head.