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- 저자 : 이경술 ( Kyung Sool Lee ) (검색결과 4 건)
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보조 생식술 결과에 있어서 기저혈중 Inhibin-B의 예후인자로서의 유용성
배상욱,김진영,이경술,원종건,이용주,이지원,장경환,이병석,박기현,조동제,송찬호,Bai, Sang-Wook,Kim, Jin-Young,Lee, Kyung-Sool,Won, Jong-Gun,Lee, Yong-Joo,Yi, Ji-Won,Chang, Kyung-Hwan,Lee, Byung-Seok,Park, Ki-Hyun,Cho, Dong-Jae,Song, Cha 대한생식의학회 1997 Clinical and Experimental Reproductive Medicine Vol.24 No.2
This study was performed to determine if women with day 3 serum inhibin-B concentrations <45pg/ml (conversion factor to SI unit, 1.00) demonstrate a poor response to ovulation induction and assisted reproductive technology outcome to women with inhibin-B${\ge}45pg$/ml, independant of day 3 FSH, E2 and patient age. From Jan 1996 to Dec 1996, 16 volunteers patients who underwent 25 IVF cycles with luteal phase GnRH agonist suppression and HMG stimulation were allocated to the study group. We evaluated day 3 serum inhibin-B, FSH, E2, peak E2, cancellation rate per initiated cycle (%) and clinical pregnancy rate per initiated cycle (%) according to the above two groups and independent of patient age, day 3 FSH, day 3 E2 and all of above combined. Women with day 3 serum inhibin-B${\ge}45pg$/ml demonstrated higher average day 3 inhibin-B level, clinical pregnancy rate per initiated cycle ($20.3{\pm}2.5$ pg/ml vs $80.9{\pm}5.0$ pg/ml, p<0.05; 24.8% vs 8.5%, p<0.05) and lower day 3 FSH level, cancellation rate per initiated cycle ($6.9{\pm}0.3$ mIU/ml vs $8.5{\pm}0.5$ mIU/ml, p<0.05; 1.5% vs 9.0%, p<0.05). Women with day 3 serum inhibin${\ge}45pg$/ml and age<40 year demonstrated higher pregnancy rate per initiated cycle (28.2% vs 7.4%, p<0.05) and lows. day 3 FSH level, cancellation rate per initiated cycle ($6.9{\pm}0.5$ mIU/ml vs $8.2{\pm}0.7$ mIU/ml, p<0.05; 1.0% vs 9.0%, p<0.05). Women with day 3 serum inhibin${\ge}45pg$/ml and day 3 FSH<15mIU/ml demonstrated higher pregnancy rate per initiated cycle (33.5% vs 9.5%, p<0.05) and lower day 3 FSH level, cancellation rate per initiated cycle ($7.7{\pm}0.2$ mIU/ml vs $8.5{\pm}0.5$ mIU/ml, p<0.05; 1.5% vs 10.0%, p<0.05). Women with day 3 serum inhibin${\ge}45pg$/ml and day 3 E2<50pg/ml demonstrated higher pregnancy rate per initiated cycle (30.0% vs 9.5%, p<0.05) and lower cancellation rate per initiated cycle (1.5% vs 9.5%, p<0.05). Women with day 3 serum inhibin${\ge}45pg$/ml, age<40 year, day 3 FSH<15mIU/ml and day 3 E2<50pg/ml demonstrated higher pregnancy rate per initiated cycle (30.0% vs 10.8%, p<0.05) and lower day 3 FSH level, cancellation rate per initiated cycle ($6.8{\pm}0.6$ mIU/ml vs $8.4{\pm}0.9$ mIU/ml, p<0.05; 1.5% vs 7.8%, p<0.05). Therefore women with low day 3 serum inhibin-B concentrations demonstrate a poorer response to ovulation induction and are less likely to conceive a clinical pregnancy though ART relative to women with high day 3 inhibin-B and day 3 serum inhibin-B, in addition to a day 3 FSH, E2 and patient age, appears helpful in prediction in IVF-ET outcome.
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조직별 및 나이에 따른 마이토콘드리아 DNA 결손 (${\Delta}mtDNA^{4977}$)의 축적
정혜진,정형민,조성원,김현아,이경술,권황,최동희,곽인평,윤태기,이숙환,Jeong, Hye-Jin,Chung, Hyung-Min,Cho, Sung-Won,Kim, Hyun-Ah,Lee, Kyung-Sool,Kwon, Hwang,Choi, Dong-Hee,Kwak, In-Pyung,Yoon, Tae-Ki,Lee, Sook-Hwan 대한생식의학회 2003 Clinical and Experimental Reproductive Medicine Vol.30 No.3
Objectives: Controversial arguments exists on both the case for and against on the accumulation of mitochondrial DNA (mtDNA) deletion in association to tissue and age. The debate continues as to whether this mutation is a major contributor to the phenotypic expression of aging and common degenerative diseases or simply a clinical insignificant epiphenomenon. The objective of this study was to determine whether the accumulation of mtDNA deletion is correlated with age-related and tissue-specific variation. Materials and Methods: One hundred and fifty-seven tissues from blood, ovary, uterine muscle, and abdominal muscle were obtained from patients ranging in age from 31$\sim$60 years. After reviewing the clinical reports, patients with mitochondrial disorder were excluded from this study. The tissues were obtained at gynecological surgeries with the consent of the patient. Total DNA isolated from blood, ovary, uterine muscle, and abdominal muscle was amplified by two rounds of PCR using two pairs of primers corresponding to positions 8225-8247 (sense), 13551-13574 (antisense) for the area around deleted mtDNA and 8421-8440 (sense), 13520-13501 (antisense) for nested PCR product. A statistical analysis was performed by $x^2$-test. Results: About 0% of blood, 94.8% of ovary, 71.4% of uterine muscle, and 86.1% abdominal muscle harbored mtDNA deletion. When we examined the proportion of deleted mtDNA according to age deletion rate was 90% of ovary, 63.6% of uterine muscle, 77.7% of abdominal muscle in thirties and 100% of all tissue in fifties. Conclusion: The findings of this study suggest that the mtDNA deletion is varied in tissue-specific pattern and increases with aging.
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김민우 ( Min Woo Kim ),김혜정 ( He Jeong Kim ),임영미 ( Young Mi Lim ),김향미 ( Hyang Mi Kim ),이경술 ( Kyung Sool Lee ),백소야 ( So Ya Paik ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.12
Abdominal pregnancy is a rare variation of ectopic pregnancy, which has been classified as primary or secondary. The clinical characteristics of abdominal pregnancy are extremely variable, so early diagnosis is very difficult. Because of high maternal morbidity and mortality, the prompt surgical intervention is required. Omental pregnancy is a very rare form of abdominal pregnancy, which is hard to detect early. The diagnosis of omental pregnancy is hardly ever made prior to laparotomy. We have experienced a case of omental pregnancy in a 36-year-old woman and report this case with brief review of literature.
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김혜정 ( Hye Jeoung Kim ),김민우 ( Min Woo Kim ),임영미 ( Young Mi Lim ),김향미 ( Hyang Mi Kim ),이경술 ( Kyung Sool Lee ),신미경 ( Mi Kyung Shin ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.12
Cornual pregnancy is a rare form of ectopic pregnancy and its diagnosis is difficult. Its incidence is 2-4% of all tubal pregnancies. Because greater vascularity and distensibility of implantation site lead to rupture at a later gestational age and cause the rapid intraperitoneal hemorrhage, cornual pregnancy causes serious maternal mortality and morbidity. Cornual pregnancy is relatively rare in the woman who has the history of ipsilateral salpingectomy. We have experienced a case of ipsilateral cornual pregnancy after previous salpingectomy in a 31-year-old woman and report this case with brief review of literature.
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