http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
자궁각 임신에서 고해상도 초음파를 이용한 자궁각 소파술 1예
박성호 ( Sung Ho Park ),김동진 ( Dong Jin Kim ),문지경 ( Ji Kyoung Moon ),문철용 ( Cheol Yong Moon ),전현아 ( Hyun Ah Jun ) 대한주산의학회 2007 大韓周産醫學會雜誌 Vol.18 No.1
자궁각 혹은 간질부 임신은 자궁외 임신의 드문 형태로 자궁외 임신의 2~6%의 빈도를 보인다. 자궁각 임신은 그 착상부위가 풍부한 혈관분포를 가지는 관계로 급작스럽고 치명적인 출혈을 유발하는 자궁파열이 15~20%에서 발생하여 조기 진단이 매우 중요하다. 민감한 혈청 β-hCG 측정기법과 영상진단방법의 발달함에 따라 과거에 비해 보다 덜 침습적인 치료가 가능하게 되었다. 전통적인 자궁각 임신에서의 치료방법은 개복술을 통한 자궁각 부분절제술 혹은 전자궁적출술이었으나 높은 유병률과 다음 임신에서 자궁파열의 위험도를 증가시키는 등의 문제가 있어 Methotrexate(MTX)를 사용하는 내과적 치료가 기존의 수술적 치료의 대안으로 떠오르고 있고, 또한 복강경을 이용한 치료방법도 보고 되고 있다. 저자들은 고해상도 초음파 하에서 경질 소파 수술을 시행하여 성공적으로 치료한 자궁각 임신 1예를 경험하기에 보고하는 바이다. Cornual or interstitial pregnancy is a rare form of ectopic pregnancy. In previous reports it accounted for 2~6% of all ectopic pregnancies. Because this unique anatomic location of the implantation site is a highly vascular area, potentially catastrophic hemorrhage from uterine rupture may occur in 15~20% of the cases, and early diagnosis is very important. As sensitive serum β-hCGmeasurement and imaging techniques have evolved, it is possible to diagnose cornual pregnancies earlier than in the past. Traditional management is cornual wedge resection or hysterectomy by laparotomy. But this invasive treatment method may increase the morbidity and the risk of uterine rupture in subsequent pregnancies, medical treatment with methotrexate has been applied to treat cornual pregnancies, offering an alternative to surgery. Also there have been case reports of laparoscopic treatment of cornual pregnancy. We report a case of viable cornual pregnancy, which was treated successfully by curettage of the uterine cornus under the guidance of high-resolution ultrasound.
신생아에서 좌측 서혜부 탈장으로 오인된 정상 자궁부속기염전
손혜연 ( Hyae Yeon Son ),지은정 ( Eun Jung Ji ),문철용 ( Cheol Yong Moon ),나연식 ( Yon Sik Na ),장재혁 ( Jae Hyuk Chang ),정지윤 ( Ji Youn Jung ),문종수 ( Joong Soo Moon ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.10
A palpable mass in lower abdomen of a neonate or an infant can be most frequently considered as an inguinal hernia, whereas pediatric adnexal torsion is less commonly considered in differential diagnosis but can occur. Pediatric adnexal torsion may be difficult to diagnose clinically but the immediate diagnosis may lead to more frequent salvage of affected adnexa. Sonography is the preferred imaging study. It usually confirms a pelvic mass but may not establish the diagnosis. The correct diagnosis of adnexal torsion is often made at exploration. Therapy for adnexal torsion remains controversial. While extirpation has been the standard of treatment in the past, there are current proponents of conservative therapy with adnexal preservation.
중증임신전자간증 임산부에서 임신 후반기 발생한 심장근육병증을 동반한 급성폐부종
조혜연 ( Hye Yon Cho ),전현아 ( Hyun Ah Jun ),문철용 ( Cheol Yong Moon ),권형준 ( Hyoung Jun Kwon ),김선숙 ( Sun Suk Kim ),송지은 ( Ji Eun Song ),이근영 ( Keun Young Lee ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.12
Women with severe preeclampsia or eclampsia who develop pulmonary edema most often do so postpartum and some of these women have cardiac failure. Peripartum cardiomyopathy is defined as a cardiac failure occurring in the latter part of pregnancy or in the peripartum, without obvious cause and prior evidence of heart disease. It is very rare but the mortality rate is as high as 10~50%. Here, we describe a case of a woman who has undergone emergency Cesarean section due to complicated severe preeclampsia with acute pulmonary edema and peripartum cardiomyopathy at 33+1 weeks of gestation.
지은정 ( Eun Jung Ji ),한정미 ( Jung Mi Han ),문철용 ( Cheol Yong Moon ),정지윤 ( Ji Youn Jung ),남은숙 ( Eun Sook Nam ),장봉림 ( Pong Rheem Jang ),이근영 ( Keun Young Lee ),권용일 ( Yong Il Kwon ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.8
Meigs` syndrome is a benign ovarian tumor associated with ascites and pleural effusion. Elevated CA 125 in Meigs` syndrome is unusual clinical condition reported in few cases. We report here, a 49-year-old postmenopausal woman with right ovarian fibrothecoma with ascites, right pleural effusion and high serum levels of CA 125. Although postmenopausal women with ovarian tumor, ascites, pleural effusion, and elevation of CA 125 levels probably have malignant ovarian tumors, Meigs` syndrome must be considered in the differential diagnosis.