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- 저자 : 박기홍(KH Park) (검색결과 2 건)
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박기홍(KH Park),박은정(EJ Park),김원희(WW Kim) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.1
1977년 1월 1일부터 1979년 6월 30일까지 만 2년 6개월간 부산대학병원 산부인과에 내원하여 Colcher-Sussman X선 골반게측의 적응이 되었던 149례에 대하여 그당시에 측정하였던 골반의 각경선과 분만직후에 측정하였던 신생아체중 및 측두경을 이용하여 아두골반불균형과의 관계를 고찰하여 다음과 같은 결과를 얻었다. 1. 임신 37주 이후에 분만한 산모중 X선골반계측의 적응의 빈도는 17.7%였다. 2. 119레의 X선 골반게측을 요한 두위난산례에 있어 정상질식분만이 19.3%, 흡입 및 감자분만이 41.2% 제절율은 39.5%였다. 3. 골반입구의 전후경이 10.0 cm 이하일 때 제절율은 66.7%로서 10.0-10.4 cm군의 44.8%, 10.5 cm이상군의 32.0%와 현저한 차이가 있었다. 4. 골반입구의 횡경의 크기에 따른 분만방식의 차이는 현저하지 않았다. 5. 골반입구의 전후경과 신생아측두경의 차가 1.0cm이하군에서는 제절율이 51.8%이었고, 특히 신생아체중이 3,500 gm이상인 군에서는 60%로 나타났으며 1.0-1.9 cm군에서 제절율은 23.1%, 그리고 2.0 cm이상군에서는 11.8%를 나타내었다. 6. 중위골반의 횡경이 8.5 cm이하군 및 8.5-8.9 cm군에서는 제절율이 각각 100%, 75.0%로 현저히 높았고, 흡입 및 감자분만은 9.0-9.4 cm군과 9.5 cm이상군에서 각각 43.5%로 빈도가 높았다. 7. 중위골반의 횡경과 신생아의 측두경의 차이는 분만결과와 별관계가 없었다. 8. 골반입구부의 형태학적 분류는 남성형이 51.3%로 가장 빈도가 높았고, 태아두위는 좌측이 71.4%로 빈번하였다. 9. 유도분만목적으로 X선골반계측을 한 18레중 제절율은 11.1%였다. 10. X선골반계측에 의한 골반판정의 분만결과는 골반게측치가 질식분만에 적절하다고 판정된 65례 중 2례(3.1%)에서 제절술이 시행되었고, 경계부의 아두골반불균형으로 판정된 48레 중 23례(47.9%)에서 제절술이 시행되었다. This study was carried out retrospectively based on the clinical charts of 149 obstetrical patients who had X-ray pelvimetry for various indications from Jan. 1, 1977 to Jun. 30, 1979. Number of total deliveries at the Dept. of Ob.& Gyn., BNUH during that period was 841. The various diameters of the pelvis were measured by the Colcher-Sussman technique and the biparietal diameter and weight of baby were checked immediately after delivery. X-ray pelvimetry has been widely used over the years and has been generally accepted as oneof the clinical tools in evaluating cephalopelvic disproportion but since labor and its outcome are a very delicate and dynamic process, the author mainly concerned to relationships between pelvic diameter and fetal weight-size factors in this study. The results obtained were summarized as follows: 1. Incidence of X-ray pelvimetry on pregnant woman after 37 gestational weeks was 17.7% 2. 119 patients had X-ray pelvimetry because of prolonged labor with vertex presentation, among these patients, 23(19.3) were delivered by spontaneous vaginal delivery, 49 (41.2%) were by vacuum of forceps delivery, and the ramaining 47(39.5%) by c-section. 3. When the A-P diameter of the inlet was less than 10.0 cm, the c-section rate was 66.7%, while 10.0cm to 10.4 group and 10.5 cm or more group showed rates of 44.8% and 39.5% respectively. 4. Measurements of the transverse diameter of the inlet did effect little to the outcome of delivery. 5. When the difference of A-P diameter of the inlet and the biparietal diameter of the neonates head was less than 1.0cm, the c-section rate was 51.3%, however, when the difference was between 1.0cm and 1.9cm, the c-section rate was 23.1%, and 2.0cm or more, the rate was 11.8%. 6. When the transverse diameter of the midepelvis was less than 8.5 cm, all babies were delivered abdominally, but in the group in which the diameter was between 8.5 cm and 8.9 cm, c-section rate was 75%. In 9.0cm-9.4 as well as 9.5cm or more, vacuum or forceps deliveries were more frequent. 7. the difference between the transverse diameter of midepelvis and the newborn biparieta diameter was not significant to the outcome of delivery. 8. In the classification of pelvic shapes, android type was the most frequent and in the position of fetal head, left occiput was more frequent than right. 9. When the X-ray pelvimetry was indicated for electivey induction, the subsequent c-section rate was 11.1%). 10. Among 65 patients who was considered to have adequate pelvis according to X-ray pelvimetry, only 2(3.1%) ended up with c-section and among 48 patients who had possible borderline cephalopelvic disproportion, the c-section was done in 23 cases(47.8%).
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최유덕(YD Choi),박기홍(KH Park),이승희(SH Lee) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.10
A clinical study was made on 213 cases of abdominal tubal sterilization who visited to the department of OB & Gyn, Incheon Gill Hospital, from 1980. June.1 To 1981. May 31. The following resalts were obtained. 1)Age distribution of those with abdominal tubal sterilization was the highest in the 29~15 years old group (42.25%) and the distribution of marital duration until abdominal tubal sterilization was the highest in the 5~9 years group (41.31%). 2)93.90% of all cases had been received induced abortion for the purpose of family planning until getting abdominal tubal sterilization, and the number of incluced abortions the highest dutributed, was 3~4 time group (32.39%). 3)Number of living children most often seen was the highest in these of 3 group (41.3%). 4)21.12% of all cases was recived abdominal tubal sterilization solely. but the other (78.88%) was recived coincident operations with abdominal tubal sterilization. 5)119. (86.90%) out of all 168. coincident operation were consisted with induced abortion. The other operation, such as colplrrhaphy (25 op.) and cervical electrocautery (8 op) were also included in the coincident operation with abdominal tubal sterility. 6)Incidence of post operative complication was 1.46% of all but satistically, these were not any difference between sole tubal sterilization (2.22%) and coincident operation with abdominal tubal sterilization (1.19%). Types of operation were composed of 92.45% (197 cases) of Pomeroy`s technique, 6.12% (13 cases) of Madlener`s and others.
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