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조지연(Ji Yeon Cho),윤여홍(Yeo Hong Yun),정세민(Sae Min Chung),서상용(Sang Yong Seo),지용헌(Yong Hun Chee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.2
In the management of the traumatized gravid and her fetus, diagnostic tests and therapy should be directed primarily at the care of the mother and should not be delayed or compromised because of the pregnancy. Because many factors can damage when the mother is unconscious, fetal well-being should be assessed by serial biophysical profile scoring. If the mother's condition is stable as in the chronic vegetative state, elective delivery might best be performed at a gestational age of 32 to 34 weeks.
정세민 ( Chung Sae Min ),문윤진 ( Moon Yun Jin ),박승근 ( Park Seung Geun ),박혜영 ( Park Hye Yeong ),조지연 ( Cho Ji Yeon ),윤여홍 ( Yun Yeo Hong ),지용헌 ( Chee Yong Hun ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.7
Total abdominal hystrectomy is the most common surgery of Gynecology. It`s complication are taken very important. Although neuropathy, especially femoral nerve injury, is rare, recently we have experienced a case of femoral neuropathy after total abdominal hystrectomy. We present this case with a brief review of literature.
박승근 ( Seung Geun Park ),정세민 ( Sae Min Chung ),문윤진 ( Yun Jin Moon ),김민정 ( Min Jeong Kim ),김민우 ( Min Woo Kim ),신미경 ( Mi Gyoung Sin ),지용헌 ( Yong Hun Chee ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.10
Ovarian leiomyoma is a rare mesenchymal tumor, accounting for only 1% of all benign ovarian neoplasm. Most patients are asymptomatic and the tumors are usually found incidentally during operation or at autopsies. Ovarian adenofibroma is a rare benign tumo
김민정 ( Min Jeong Kim ),정세민 ( Sae Min Chung ),문윤진 ( Yun Jin Moon ),박승근 ( Seung Geun Park ),김민우 ( Min Woo Kim ),여규동 ( Yeo Kyu Dong ),백소야 ( So Ya Paik ),지용헌 ( Yong Hun Chee ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.6
Uterine lipoleiomyoma are rare benign tumors consisting of smooth muscle and mature adipose tissue. Because of their rarity, fat content, and variable gross morphology, they may be mistaken on radiodiagnosis for the much more common benign cystic ovarian teratoma. The key to differentiate these lesions is the identification of the organ of origin. A mass that arises from the uterus is most likely a lipomatous uterine tumors. Because malignant degeneration occurs in 1-2% of benign cystic ovarian teratomas, their differentiation can be clinically significant. While these tumors are treated by surgical excision, asymptomatic lipomatous uterine tumors and benign pelvic lipomas may require no therapy. The fatty nature of the lipoleiomyoma was demonstrated with standard spin-echo Magnetic resonance imaging (MRI) and further supported using fat-suprressed inversion recovery MRI. MRI also clearly depicted the intrauterine location of the tumor. We report a case in which a preoperative diagnosis of a uterine lipoleiomyoma was made with MRI and fat suppressed MRI.
자궁경부 병변의 진단에 질 확대경 및 인유두종 바이러스 검사법의 유용성
김찬주,이근우,박종섭,이귀세라,지용헌,남궁성은,김승조 대한부인종양 콜포스코피학회 1994 Journal of Gynecologic Oncology Vol.5 No.2
Specific types of HPV are currently implicated as etiologic agents of precursors and cancerous lesions of the uterine cervix. This study used the data gained from one hundred twenty five women who underwent concurrent. Papanicolaou smear, colposcopic diagnosis, and cervicovaginal lavage for HPV BNA test at Dysplasia Clinic in Kangnam St. Mary's Hospital. 38 patients had low-grade squamous intraepithelial lesions (LGSILs) and 34 had high grade squamous intraepithelial lesions (HGGILs), 24 invasive cervical cancers, and 29 normal control. Colposcopic features were prosectively recorded by Reid's colposcopic index and then correlated with histopathologic diagnosis. Using the colposcopic index, 86.4% was correlated with histopathologic findings. DNAs extracted from the cervicovaginal lavages were analyzed by polymerase chain reaction (PCR) using the HPV L1 consensus primers. HPV DNA was detected in 79 of 125 women (63.2%). Prevalences of HPV DNA in the patients with LGSIL (71.1%), HGSIL, (76.5%i) and cervix caneer (75.0%) showed no difference in statistics. Low-risk oncogenic viruses.(HPV-6/11) were present in 13.2% of patients with LGSIL, but none was detected in those with HCSIL and cervix cancer. Intermediate-risk oncogenic viruses (HPV-31/33/35) were detected in 5.3% of patients with LGSIL 8.8% in HGSIL, and none in cervix cancer. Prevalence of high-risk oncogenic type HPV 16/18 was higher in HGSIL (41.2%) and invasive cervical cancer (45.8%) than those of LGSII (15.8%) and controls (3.5 % ) (P -= 0.0(01). These data indicate that colposcopic scoring has adjunctive diagnostic role in predicting his-tology. And, HPV DNAs were found in similar incidence in the various histologic grades of cervical neoplasia. HPV-6/11 were detected only in LGSIL and HPV 31/33/35 in LGSIL and HGSIL, but not in invasive cancer. HPV-16/18 were the predominant viruses which were detected in HGSIL, and invasive cervical cancer. In canclusizn, a combination of HPV testing and colposcopic scoring would provide sensitive screening methods for cervical cancer and precanceraus lesions. And HFV typing might have prognostic value in the management of patients with HPV related cervical neoplastic lesions.