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폐경 여성에서 지속적 에스트로젠 대체요법시 병행투여된 황체 호르몬제제가 지질대사에 미치는 영향
권상칠(SC Kwon),고영훈(YH Ko),김태영(YT Kim),김영철(YC Kim),백경돈(KD Baik),김철(C Kim) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.9
The purpose of this study is to evaluate the effects on serum lipid and lipoproteins of continuously added oral progestogen (Medroxyprogesterone Acetate) to conjugated equine estrogens in postmenopausal women. We studied on 158 menopausal women who had no hormonal therapy and no contraindication of hormonal replacement therapy. Group I patients (n: 88) after hysterectomy were given daily conjugated equine estrogen 0.625 mg for 12 months. Group Ⅱ patients (n: 70) with uterus received dalily conjugated equine estrogen 0.625 mg and medroxypro gesterone acetate 2.5 mg for 12 months. Pre-and post-treatment evaluations of serum lipid profiles demonstrated significant decreases in total cholesterol (9.19% and 10.46%) and low-density lipoprotein cholesterol (10.20% and 14.98%) and significant increases in high-density lipoprotein cholesterol (17.42% and 15.92%) and triglyceride (22.47% and 26.22%) in group Ⅰ and group Ⅱ (p<0.05). Besides, there was no significant difference in the degree of changes of post-treatment serun levels in total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol and triglycerides between the two groups. In conclusion, medroxyprogesterone acetate at low doses in continuously combined estrogen replacement therapy doses not oppose the beneficial estrogen induced lipoprotein changes.
갱년기 여성에서 호르몬 대치요법에 대한 요추 및 대퇴 근위부 ( proximal femur ) 골밀도 변화
길명도(MD Kil),권상칠(SC Kwon),박철우(CW Park),형남규(NG Hyung),김종철(JC Kim),백경돈(KD Baik) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7
To estimate the effect of hormone replace therapy (HRT) for 2 years on bone mineral denstiy (BMD) of the lumbar spine and proximal femur in perimenopausal women. The HRT was designed as a combined estrogen/progestogen regimen. A total of 171 women were enrolled in the study, 82 of these women who wanted cyclic menstruation-like bleeding received HRT-A[cyclic sequential regimen of oral conjugated equine estrogen(premarin) 0.625 mg/day for 25 days and medroxyprogesterone acetate (provera) 10 mg/day for 12 days], with the remaining 89 receiving HRT-B[contiuous combined regimen of premarin 0.625 mg/day and provera 2.5 mg/day for 30 days]. Most of these women showed no contra-indications of therapy. BMD was measured (DEXA, LUNAR DPZ. USA) at the lumbar spine(L2-L4), femoral neck, femoral trochanter and Ward` triangle before the initiation of therapy and at 12 months and 24 months thereafter. The results were as follows : 1) Of the 171 patients enrolled in this study, 171 patients completed the 1 year of therapy and 50 completed the 2-year study. 2) The bone mineral densities in the femoral trochanter and Ward`s triangle were significantly elevated at 12 months and 24 months in HRT-A and HRT-B group (p<0.05). 3) The bone mineral densities in the femoral neck were significantly elevated in the sub-group of patients who received therapy within 3 years after menopause at 12 months and 24 months in both group (p<0.05). 4) The bone mineral densities in the lumbar spines, femoral neck, femoral trochanter and Ward`s triangle were significantly elevated in the sub-group of patients who received therapy within 3 years after menopause at 12 months in HRT-A group (p<0.05). But the bone mineral densities in the lumbar spines were significantly decreased at 24 months (p<0.05). In addition, the bone mineral densities in the femoral neck, femoral trochanter and Ward`s triangle were significantly increased at 24 months (p<0.05). 5) The bone mineral densities in the lumbar spines, femoral neck, femoral trochanter and Ward`s triangle were significantly elevated in the sub-group of patients who received therapy beyond 3 years after menopause at 12 months in HRT-B group (p<0.05). But the bone mineral densities in femoral neck, femoral trochanter and Ward`s triangle were significantly decreased at 24 months (p<0.05). 6) The % changes of % young-adult values of bone mineral densities in the lumbar spines, femoral neck, femoral trochanter and Ward`s triangle at 12 months and 24 months in HRT-A and HRT-B group were significantly elevated in sub-group of patients who had pretreatment % young-adult values <90 (p<0.05). From the above results, it might be suggested that HRT-A appears to be more effective in increasing the BMD of the lumbar spines and proximal femurs for patients who received therapy within 3 years after menopause at 1 year therapy and that HRT-B for patients who received therapy beyond 3 years after menopause at 1 year therapy. Thus, it might be suggested that in addition to patient`s compliance, the type of HRT may affect the response of BMD. And it also might be suggested that HRT appears to be better response for patients with low BMD than with high BMD.
박무실(MS Park),길명도(MD Kil),권상칠(SC Kwon),박철우(CW Park),김철(C Kim) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.2
Two-hundred and twelve cases of pelviscopic operation were performed at Pusan St. Benedict Hospital from November, 1992 to December, 1995. The results were as follows; The common indications were ovarian cyst(32.2%), ectopic pregnancy(16.9%), and endometriosis(14.7%). Frequent types of surgery were salpingo-oophorectomy(22.6%), salpingectomy(10.8%), and oophorectomy(10.0%). The mean age of the patients was 33.4 years. The mean parity of the patients was 1.0. The mean duration of hospitalization was 4.8 days. The most common complication was hemorrhage at the trocar sites. In our conclusions, pelviscopic surgery made minimal postoperative hemorrhage with postoperative discomfort, low incidence of complications, and short duration of hospitalization. Pelviscopic surgery was useful and recommended for the treatment of gynecologic diseases.