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권한성 ( Han Sung Kwon ),윤상희 ( Sang Hee Yoon ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.5
Gynecologic disease during pregnancy has various effects on and changes by pregnancy according to diagnoses. With recent advancement in diagnostic techniques such as ultrasonography, it makes possible for some disease to diagnose accurately. By predicting complication and treating appropriately, not only treatment but also prognosis can be improved. This study aims to investigate the effect of benign gynecologic disease on pregnancy, diagnosis, and treatment when associated with pregnancy.
가성 조기진통 에피소드의 경험이 있는 만삭분만 산모에 있어서 저체중출생아 분만과 관련된 인자
강현정 ( Hyun Jung Kang ),권한성 ( Han Sung Kwon ),손인숙 ( In Sook Sohn ),황한성 ( Han Sung Hwang ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.5
Objective The aim of this study was to investigate the potential prognostic factors and it`s relating factors of patients who were hospitalized for management of preterm labor. Methods In this study, we retrospectively reviewed the records of 249 mothers who experienced the admission of preterm labor and delivered single live birth from January 2005 to May 2011 at our hospital. For our analyses, the mothers were divided into two groups according to delivery age; preterm birth group and full term birth group. And full term birth group was divided into two groups which had poor prognostic factors and compared with each other groups. Results In our cohort, there was high incidence of small for gestational age in full term birth group compared with preterm birth group signifi cantly (19.6% vs. 9.4%; P=0.028). And potential factors related to small for gestational age in full term birth group were early gestational age at 1st admission, low body mass index (BMI) in mothers and high highly sensitive C-reactive protein (hs-CRP) at 1st admission. Conclusion Gestational age at 1st admission, mother`s BMI and hs-CRP at admission were signifi cantly related to small for gestational age in full term birth who were hospitalized for management of preterm labor.
한국인 여성에서 다낭성난소증후군의 발생 위험도와 Catechol-O-Methyltransferase 유전자 다형성과의 관련성에 관한 연구
이지영,차윤정,허성은,권한성,이선주,손인숙,김수녕,성연아,정혜원,Lee, Ji Young,Cha, Yun Jeong,Hur, Seung Eun,Kwon, Han Sung,Lee, Sun-Joo,Sohn, In Sook,Kim, Soo Nyung,Seung, Yon A,Chung, Hye Won 대한생식의학회 2006 Clinical and Experimental Reproductive Medicine Vol.33 No.2
연구목적 : 한국인 여성에서 에스트로겐의 대사 및 불활성화와 관련된 COMT 유전자 다형성과 다낭성 난소증후군의 발생 위험도의 관련성을 알아보고자 하였다. 연구방법 : 연구대상자는 2003년 ESHRE의 진단기준을 만족하는 다낭성 난소증후군 여성 136명과 연령이 비슷하며 규칙적인 생리를 하는 여성 84명의 대조군을 대상으로 하였다. 연구대상자들의 genomic DNA는 혈액에서 추출하였으며, PCR 및 RFLP를 이용하여 유전자 다형성을 조사하였다. 결과 : COMT를 코딩하는 유전자의 exon4에서 $G{\rightarrow}A$로의 다형성을 조사한 결과 오히려 저활성 유전자형인 $COMT^{LL}$ 군에서 통계적으로 유의하게 다낭성 난소증후군의 발생 위험도가 낮아지는 것으로 나타났다(OR 0.241(CI 0.114~0.508)). 결론 : 이상의 결과로 볼 때 저활성 유전자형인 $COMT^{LL}$ 다형성 군에서 한국인 다낭성 난소증후군 발생이 감소하였으며, 에스트로겐 의존형 질환이 증가함에도 혈중 에스트라디올의 농도가 높지 않은 것은 다낭성 난소증후군 환자에서 $COMT^{HH}$ 다형성군이 증가되어 있는 것과 관련된 것으로 사료된다. Objective: To investigate whether polymorphism of Catechol-O-methyltransferase(COMT) gene is associated with the risk of polycystic ovary syndrome (PCOS) in Korean women. Methods: One hundred and thirty-six PCOS patients and eighty four controls were enrolled. Blood samples were collected from the patients diagnosed according to the 2003 revised criteria of the Rotterdam ESHRE/ASRM-sponsored PCOS consensus workshop group. Age matched women with regular menstruation from same geographic region were recruited as control subject. Polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) of PCR products were done to determine all individuals' genotype. Results: In women with $COMT^{LL}$ genotype, there was decreased PCOS risk and this difference was statistically significant (OR 0.24, 95% CI 0.11~0.51). Conclusion: The results suggest that the $COMT^{LL}$ genetic polymorphism might be associated with PCOS risk in Korean women.
여성의 긴장성 요실금의 치료로서 Burch수술, Pubovaginal Sling Operation, Tension-free Vaginal Tape의 수술성적 비교
손우현 ( Woo Hyun Sohn ),배상욱 ( Sang Wook Bai ),이웅희 ( Woong Hee Lee ),권자영 ( Ja Young Kwon ),권한성 ( Han Sung Kwon ),홍종욱 ( Jong Wook Hong ),노진래 ( Jin Lae Roh ),김세광 ( Se Kwang Kim ),박기현 ( Ki Hyun Park ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.4
Objective : The object of this study was to compare the cure rate and confirm the clinical efficacy of three most frequent surgical procedures for stress urinary incontinence (Burch colposuspension, pubovaginal sling operation, tension-free vaginal tape).
고정화 ( Jung Hwa Ko ),윤상희 ( Sang Hee Yoon ),강현정 ( Hyun Jung Kang ),권한성 ( Han Sung Kwon ),손인숙 ( In Sook Sohn ),황한성 ( Han Sung Hwang ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.1
Adenomyosis has been well known to be associated with infertility, spontaneous rupture of the uterus during labor in a primiparous woman, spontaneous preterm labor, preterm premature rupture of membranes (PPROM), and delayed postpartum hemorrhage. We recently experienced a case of preterm delivery at 29 gestational weeks in a primigravid woman with uterine adenomyosis. We report the case of preterm delivery accompanied by various complications such as uncontrolled pain, preterm labor, and oligohydramnios in a woman with uterine adenomyosis.
배상욱,정병화,정봉철,전진동,이현정,권한성,정경아,김세광,박기현,Bai, Sang-Wook,Jung, Byung-Hwa,Chung, Bong-Chul,Jeon, Jin-Dong,Lee, Hyun-Jung,Kwon, Han-Sung,Chung, Kyung-Ah,Kim, Sei-Kwang,Park, Ki-Hyun 대한생식의학회 2001 Clinical and Experimental Reproductive Medicine Vol.28 No.4
Objective: To elucidate 1) whether there are any differences in the urine concentrations of steroid hormone metabolites between patients with leiomyoma and normal controls 2) the correlation between urinary profiles of steroid hormones and leiomyomas of the uterus according to their type, location, volume, and weight. Materials of Methods : The study population consisted of 37 premenopausal patients with uterine leiomyoma and the control group consisted of 25 premenopausal normal volunteer women without uterine leiomyoma. Confirmation of the existence of uterine leiomyoma was done by ultrasonography and histopathological examination after surgery. The volume of the leiomyoma was estimated by trans-abdominal and/or trans-vaginal ultrasonography. The Leiomyomas were divided into 3 types (subserosal, intramural and submucosal). Seventeen patients had subserosal type of leiomyoma, 10 with the intramural type and 10 with the submucosal type. The locations of the leiomyoma were also divided into 3 groups (fundus, body and isthmus). Seventeen patients showed a fundus location, 10 in body, and 10 in isthmus. We compared urinary profiles of the endogenous steroids between patients with leiomyomas and normal controls, and also investigated the relationship between urinary profiles of the endogenous steroids and leiomyomas according to their type, location, volume and weight by using highly sensitive Gas Chromatography-Mass Spectrometry (GC-MS) system. Results: The mean ages of the patients with leiomyomas and the control group were $43.1{\pm}5.6$ and $40.6{\pm}7.2$ years, the weights were $63.4{\pm}7.3$ and $59.4{\pm}8.1\;kg$, and their heights were $155.4{\pm}4.8$ and $159.3{\pm}4.8\;cm$ respectively. Seventeen patients had subserosal, 10 had intramural, and 10 had submucosal leiomyomas. There were 17 patients with leiomyoma located in fundus, 10 in body and 10 in isthmus. $17{\beta}$-estradiol, 5-AT, 11-keto ET, $11{\beta}$-hydroxy An, $11{\beta}$-hydroxy Et, THS, THA, THE, a-cortolone, a-cortol, $\beta$-cortol, $11{\beta}$-OH Et/$11{\beta}$-OH An and E2/E1 were significantly increased in patients with leiomyoma than in the control group. $17{\beta}$-estradiol was significantly increased in the intramural and the submucosal types than in the subserosal type. There was no significant difference in the concentrations of urinary steroids according to the locations of leiomyomas. There was no significant relationship between the concentration of urinary steroids and the volume of the leiomyomas. $17{\beta}$-estradiol significantly decreased as the weight of uterus increased (r=-0.322, p=0.04). Conclusion: The concentrations of steroid hormone metabolites were generally increased in patients with leiomyoma but were not significantly related to the volume and weight of the leiomyomas. Our study suggests that steroid hormones may be involved in the initiation of leiomyomas but may not be involved in their progression. In addition, the concentrations of steroid hormone metabolites are not related to the leiomyoma type and location.
자궁경부상피내종양 치료 후 재발 예측인자로서 인유두종 바이러스 검사
김지연 ( Ji Yeon Kim ),김수녕 ( Soo Nyung Kim ),이선주 ( Sun Ju Lee ),권한성 ( Han Sung Kwon ),전경훈 ( Kyung Hun Zun ),이지영 ( Ji Young Lee ),손인숙 ( In Sook Sohn ),이효표 ( Hyo Pyo Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.10
Objective: The aim of this study was to evaluate high-risk (HR) HPV DNA test to predict recurrence/residual disease in patients treated for CIN (cervical intraepithelial neoplasia). Methods: Four hundred and fifty-two patients treated with LLETZ (large loop excision of the transformation zone) were followed by HR HPV DNA test, cytology and colposcopy. The sensitivity, specificity and diagnostic odds ratios in predicting recurrence/residual disease were compared to those of cytology and HPV DNA test. Results: Fourteen patients (3.1 %) developed recurrent/residual disease, during follow up. Of these women, 7 were diagnosed at the time of recurrence with a CIN 1 lesion, 5 with a CIN 2 lesion, and 2 with a CIN 3 lesion. The sensitivity and specificity of the HPV DNA test were 92.9% (CI 68.5%, 98.7%) and 75.3% (71.1%, 79.1%). The sensitivity and specificity of the cytology were 71.4% (45.4%, 88.3%) and 92.5% (89.6%, 94.6%), respectively. The likelihood ratio of a positive and negative HPV DNA test were 3.77 (3.03, 4.69) and 0.09 (0.01, 0.63). And the likelihood ratio of a positive and negative cytology were 9.48 (5.95, 15.11) and 0.31 (0.13, 0.71). The accuracy of cytology and HPV DNA test were 94.7% and 78.3%. The sensitivity and specificity of the combination test (PAP and/or HPV DNA test) were 92.9% (68.5%, 98.7%) and 73.1% (68.7%, 77.0%). The likelihood ratio of a positive and negative combination test were 3.45 (2.79, 4.26) and 0.10 (0.01, 0.65). Conclusion: Cytology remains the base in the follow up after of CIN. HPV DNA test increase the sensitivity of cytology. Negative HPV test can rule out recurrent/residual disease.