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- 저자 : 김영신(YS Kim) (검색결과 6 건)
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김영신(YS Kim),장상근(SK Chang),진일섭(IS Chin) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.12
A 19-year-old nullipara had s huge comdyloma acuminatum on the vulvar region which was surgically cured by excision and followed by normal vaginal delivery about l5 months later We reviewed the literature on the new methods of treatment for condyloma acuminatum.
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설종은(JE Sul),김영신(YS Kim),김혜경(HK Kim),윤광섭(KS Youn),임헌정(HJ lm) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.11
The management of labor to insure delivery of viable infants by cesarean section has been long a subject of wide difference of opinion among obstetricians, especially with the increasing numbers of pregnants patients with a history of previous cesarean section, This study was carried out retrospectively based on the clinical charts of 2l6 consecutive patients who had had previous cesarean section, during the period from January 1976 to December 1980, at the Kwangju Christian Hospita1. The result were as foIlows: l. Overall, there were 12379 deliveries, with 732 cesarean sections, an incidence of 5.9% 140 patients, (65%), of 216 who had had previous cesarean section were delivered by repeat cesarean section, and 76 patients, (35%), by the vaginal route. 2. Among the indications for repeat cesarean section, previous cesarean section was the most frequent (4l.5%}: and the others were C.P.D. (33.6%), breech pre sentation (9.3), concomitant sterilization (8.6%). 3. The annual incidence of repeat cesarean section, varied from 47.8% to 70.1%, with a tendency to gradually increase. 4. The lowest incidence of repeat cesarean section was in the 26~30 year age group (57.3%), with a slightly higher incidence in other age groups. 5. The birth weight of 80% of infants born by repeat cesarean section ranged from 3.1kg~4.0kg. 6. Among the previous cesarean stctions, 41.2% were allowed a trial labor. Subsequently 85.4% of these delivered vaginally, for an overall 35.2% vaginal delivery rate in patients with previous cesarean section. 7. As to the type of repeat cesarean section, Low cervical transverse was the most common(84.2%). The tyre of previous cesarean section were low segment in 151 (70.6%), upper segment in 37(17.1%), and unknown in 28(12.3%). 8. Among the cases allowed trial labor, the indications for previous cesarean section were C.P.C, Breech presentation, fetal distress, postterm, and pregnancy induced hypertension, in that order 9. Perinatal mortality was 6.4% in these series. The main causes were uterine rupture
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김영신,김장흡,김수평,정기욱,노성희,정대영 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.11
자궁파열은 빈도가 적고 합병증이 생기기 전에 진단이 어려워서 태아사망률, 산모의 이환률 및 사망률이 높은 응급을 요하는 산과적 질환이다. 저자들은 임신 16주에 자연 자궁파열 1예를 응급자궁경상부 적출술로 치료하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Spontaneous rupture of the uterus is one of the most formidable accidents resulting in rapid exsanguination and high mortality despite of prompt therapy and massive trasfusion. Maternal and fetal mortality were decreased due to obstetrical and hosalizational development. But it was important and difficult work in early deection, porper treatment, and prevention. We present a case of spontaneous rupture of the uterus in 16 weeks of pregnancy with brief literature.
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목정은,김영신,김용만,김영탁,남주현,황희복 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.4
Sex-cord stromal tumors of ovary account for 5~8% of all ovarian malignancies. This group of ovarian neoplasms is derived from the sex cords and the ovarian stroma or mesenchyme. Although they can occur in women of all ages, they tend to have peak incidence in those over age50. So they should be surgically managd with hysterectomy and bilateral salpingo-oophorectomy. The purpose of this study is to report the experience at Asan Medical Center, Department of Obstetrics and Gynecology, in 24 patients with ovarian sex-cord stromal tumortreated between May, 1989 and April, 1995. We analyzed the effect of histologic subtype, FIGO stage, age and management. The results were as follows : 1. In histologic subtypes, fibrothecoma(66.7%), granulosa cell tumor(20.8%), Sertoli-Leydig cell tumor(8.3%), others(4.0%) were counted in order. 2. The mean age of sex cord-stromal tumor was 44.0 years and 8 cases(33.4%) of tumors over the age of 50.0 years, 13 cases(54.2%) over the age of 40.0 years. 3. Main initial symptoms were abdominal pain*37.5%), asymptomatic cases(25.0%), abdominal mass palpation(16.6%), irregular menstruation(12.5%) in order. 4. Management was surgery only(91.7%), surgery and chemotherapy(8.3%). 5. The mean disease free survival was 30.6 months.
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목정은,김영신,김용만,김영탁,남주현,황희복 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10
Sex-cord stromal tumors of ovary account for 5-8% of all ovarian malignancies. This group of ovarian neoplasms is derived from sex cords and the ovarian stroma or mesenchyme. Although they can occur in women of all ages, they tend to have peak incidence in those over age 50. So they should be surgically managed with hysterectomy and bilateral salpingo-oophorectomy. The purpose of this study is to report the experience at Asan Medical Center, Department of Obstetrics and Gynecology, in 24 patients with ovarian sex-cord stromal tumor treated between May, 1989 and April, 1995. We analyzed the effect of histologic subtype, FIGO stage, age and management. The results were as follows; 1. In histologic subtypes, fibrothecoma(66.7%), granulosa cell tumor(20.8%), Sertoli Leydig cell tumor(8.3%), others(4.0%) were counted in order. 2. The mean age of sex cord-stromal tumor was 44.0 years and 8 cases(33.4%) of tumors over the age of 50.0 years, 13 cases(54.2%) over the age of 40.0 years. 3. Main initial symptoms were abdominal pain(37.5%), asymptomatic cases(25.0%), abdominal mass palpation(16.6%), irregular menstruation(12.5%) in order. 4. Management was surgery only(91.7%), surgery and chemotherapy(8.3%). 5. The mean disease free survival was 30.6 months.
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남주현,목정은,이주학,김영신,전대준,장현정 대한부인종양 콜포스코피학회 1994 Journal of Gynecologic Oncology Vol.5 No.1
This is the third reported case of choriomrcinoma during pregnancy in Korea. A 28-years-old gravida 2 patient with an intrauterine pregnancy of 29 weeks had a coexisting vaginal metastatic choricareinorna. After termination of pregnancy, treatment with triple combination chemotherapy (methotrexate, actinomycin-D,cytaxen) was successfully done.
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