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정상 산모와 중증 전자간증 산모의 태반에서 Matrix Metalloproteinase (MMP) -2, -9의 발현양상
문여정 ( Yeo Jung Moon ),황한성 ( Han Sung Hwang ),김영한 ( Young Han Kim ),권자영 ( Ja Young Kwon ),박용원 ( Yong Won Park ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.11
Objective: The aim of the study was to investigate the differential expression of Matrix Metalloproteinase (MMP) -2,-9 in the normal and severe preeclamptic placenta. Methods: Placentas were obtained from women undergoing cesarean section with normal (n=10) and severe preeclamptic (n=10) pregnancies. Semi-quantitative RT-PCR was done to detect the placental gene expression of MMP-2,-9. Western blot analysis was performed to identify MMP-2,-9 protein expression in each placenta. Immunohistochemical staining were employed to localize MMP-2,-9 in placental tissues. Results: MMP-2,-9 genes were expressed in both normal and severe preeclamptic placenta. There were lower expressions MMP-2,-9 in severe preeclamptic placentas than in normal. MMP-2,-9 proteins were all present in each placental tissue. The expression for MMP-2,-9 was weaker in severe preeclamptic placenta than in normal. MMP-2,-9 were localized only to the trophoblast, and were also weakly positive in severe preeclamptic placenta compared with normal. Conclusions: MMP-2,-9 expressions were decreased in severe preeclampsia placenta compared to those from normal placenta. This study suggests that decreased expression of MMP-2,-9 may have a role in the development of severe preeclampsia.
임승철 ( Seung Chul Lim ),문여정 ( Yeo Jung Moon ),김상운 ( Sang Wun Kim ),윤보성 ( Bo Sung Yoon ),남은지 ( Eun Ji Nahm ),김재훈 ( Jae Hoon Kim ),김영태 ( Young Tae Kim ),김재욱 ( Jae Wook Kim ),김성훈 ( Sung Hoon Kim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.9
Objective: This study is to determine serum carbohydrate antigen (CA) 19-9 levels in ovarian mature cystic teratoma (MCT) as a possible differential diagnostic tool. Methods: The study group was composed of 201 patients who underwent removal of ovarian MCT and pathologically confirmed at Yonsei University Medical Center from January 2001 to July 2005. All of them were tested for serum CA19-9 levels before operation. Their data was compared with routine gynecologic evaluation group who showed normal serum CA19-9 level. Statistical analysis was carried out with t-test and Pearson correlation by SPSS version 12.0. Results: Serum CA19-9 level was significantly elevated in the patients with ovarian MCT (p=0.011). Serum CA19-9 level and size of MCT showed positive correlation (p=0.009). Moreover, postoperative serum CA19-9 level showed significant decrease, compared to preoperative level (p=0.007). Conclusion: Serum CA19-9 can be used as an effective method for differential diagnosis of ovarian MCT, and it is proper to be used as a postoperative follow-up test.
이마리아 ( Maria Lee ),임경진 ( Kyung Jin Lim ),문여정 ( Yeo Jung Moon ),김세광 ( Sei Kwang Kim ),배상욱 ( Sang Wook Bai ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.8
Objective: To compare the morbidity and treatment outcomes of mid urethral sling procedures for older women and younger women, and to evaluate whether mid urethral sling procedures can be effectively used in older women. Methods: This retrospective study included 381 patients who underwent mid urethral sling procedures, tension free vaginal tape (TVT) or transobturator tape (TOT) for urodynamic stress urinary incontinence from March 2000 to June 2006. The patients were divided into two age groups: younger women (30~69 years old) and older women (70~90 years old). Patients were followed up with clinic visits at 1, 3, 6, 12 months, and every year thereafter. Results: 341 (89.7%) were in younger women, 40 (10.5%) in older women. The rates of intra and perioperative complications including hemoglobin difference, urinary retention, UTI, mesh erosion, wound infection were no significant differences between the groups. De novo urgency was more common in older women than younger women (15.9% vs. 30.0%: P<0.001). The subjective cure rate at 1 year follow up (82.2% vs. 91.3%: P>0.05) showed no significant differences. Conclusion: Our data showed subjective cure rates without any significant increase in intraoperative complications in older women. Postoperative complications of de novo urgency were more common in the older women. Hospital stay and recovery period were short, making TVT and TOT a suitable procedure for all ages.
심혈관질환 및 심혈관질환에 대한 위험요인이 과민성 방광 환자와 복압성 요실금 환자에게 미치는 영향에 대한 상관 분석
이효련 ( Hyo Ryun Lee ),김수림 ( Soo Rim Kim ),문여정 ( Yeo Jung Moon ),김세광 ( Sei Kwang Kim ),배상욱 ( Sang Wook Bai ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.10
Objective The purpose of this study was to investigate associations between overactive bladder/stress urinary incontinence and cardiovascular risk factors and disease. Methods We performed a retrospective review of 132 women with overactive bladder and 100 women with stress urinary incontinence, enrolled at Severance Hospital. Risk factors of cardiovascular disease included age, obesity, hypertension, diabetes, impaired fasting glucose, dyslipidemia, cardiovascular disease and familial history of cardiovascular disease. Results The two groups had no difference with cardiovascular disease, history of cardiovascular disease, age, obesity, smoking, alcohol, hypertension, dyslipidemia, excluding diabetes. In the univariate logistic regression analysis, diabetes was associated with prevalence of overactive bladder than stress urinary incontinence. In the multiple logistic regression analysis, there was no factor which had influence on the status of urinary incontinence. Conclusion While most risk factors of cardiovascular disease were not associated with overactive bladder, this study suggests that diabetes may have influence to overactive bladder than stress urinary incontinence.
골반장기 탈출증 환자의 복식 천골질고정술 수술 후 발생하는 배뇨장애 예측인자
박수연 ( Su Yeon Park ),권하얀 ( Ha Yan Kwon ),박정화 ( Jung Hwa Park ),문여정 ( Yeo Jung Moon ),김세광 ( Sei Kwang Kim ),배상욱 ( Sang Wook Bai ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.2
Objective: Although there were many studies about postoperative voiding dysfunction after anti-incontinence operation, little studies after pelvic organ prolapse operation were published. We sought to determine risk factors for voiding dysfunction (VD) after abdominal sacrocolpopexy (ASC). Methods: ASC was performed on 89 women at Yonsei University Health System from January 2007 to December 2009. VD was defined as post void residual (PVR)>150 mL. Foley catheter was removed after the third or forth postoperative day (POD). Risk factors for VD were examined using logistic regression models. Results: Seventeen patients (19.1%) had VD. Total abdominal hysterectomy (TAH) was performed on 70.8%, transobturator tape (TOT) on 55.1% concomitantly. There was no significant difference in age (mean±standard deviation [SD], 59.9±12.8 vs. 62.7±8.1 yr), parity (mean [range], 3 [1-5] vs. 3 [1-8]), body mass index (mean±SD, 24.0±2.7 vs. 24.4±3.6), TAH (70.6% vs. 70.8%), TOT (52.9% vs. 55.6%) and pelvic organ prolapse quantification stage 4 (94.1% vs. 68.1%, P-value 0.057). There was significant difference in diabetes mellitus (29.4% vs. 9.7%, odds rations [OR]: 3.87 [95% confidence intervals, CI: 1.05-14.23]) and the day of foley removal (POD 4: 47.1% vs. 13.9%, OR: 5.51 [95% CI: 1.72-17.64]). There was no significant difference in urodynamic parameters including maximal capacity, urethral closure pressure, maximal flow rate, mean flow rate, post void residual except detrusor pressure at maximal flow rate (Pdet at Qmax), (13±8 vs. 23±15, per 10 cm H20, OR 0.54 [95% CI: 0.31-0.95]). In the multiple logistic regression model, only Pdet at Qmax OR 0.94 (95% CI: 0.89-0.99) remained statistically significant. Conclusion Women with lower Pdet at Qmax are more likely to have VD after ASC.
골반장기탈출증 수술 전 시행하는 요역동학 검사에서 수술 후 결과에 영향을 미치는 유용한 지표와 동시수술의 타당성: 후향적 코호트 연구
조주현 ( Ju Hyun Cho ),김수림 ( Soo Rim Kim ),문여정 ( Yeo Jung Moon ),김세광 ( Sei Kwang Kim ),배상욱 ( Sang Wook Bai ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.4
Objective To evaluate effective parameters of preoperative urodynamic study (UDS) before performing surgery for pelvic organ prolapse (POP) and to validate effectiveness of concomitant surgery on urinary outcomes. Methods This was a retrospective cohort study of 308 patients who had UDS before POP surgery from January 2006 through December 2010 at Yonsei University Severance Hospital, Seoul, Korea. The patients who were diagnosed with stress urinary incontinence (SUI) by positive result of UDS (group 1) had a concomitant sling operation with POP surgery. And the patients were not diagnosed with SUI by negative result of UDS (group 2) did not. Results The prevalence rate of de novo SUI in group 2 (3.1%, n = 4) higher than group 1 (1.7%, n = 3), but there was no statistically signifi cant difference between the two groups. We checked 5 parameters of UDS (valsalva leak point pressure, maximal urethral closing pressure [MUCP], maximal fl ow rates, detrusor pressure at maximal fl ow [PdetMax], maximal cystometric capacity confi dence). PdetMax and MUCP was statistically signifi cant parameter in postoperative de novo SUI (odds ratio [OR], 1.020; 95% confi dence intervals [CI], 1.001-1.038) and postoperative de novo urgency urinary incontinence (UUI; OR 0.969; 95% CI, 0.942-0.996). Conclusion This study suggests that results of preoperative UDS and concomitant surgery can be associated with prevalence rate of postoperative de novo SUI. Focused on prevalence of postoperative urinary complications, concomitant surgery was better than only prolapse surgery. PdetMax in SUI and MUCP in UUI were statistically signifi cant parameters of UDS related on urinary outcome.