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      • KCI등재

        자궁근종에서 발생한 자궁평활근육종의 1예

        손위익(WY Sohn),최준영(JY Choe),최형달(HD Choe),남태현(TH Nam) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.3

        자궁근종에서 발생한 자궁평활근육종의 1예를 보고하는 바이다. The sarcomatous changes of uterine myoma is a rare entity. A case of leiomyosarcoma regarded to originate from uterine myoma, observed in 28 years old nulliparous housewife, is presented and the literature is reviewed. The diagnosis was made by postoperative routine biopsy of operative specimen. The patient was treated by total abdominal hysterectomy, and a subsequent salpingo-oophorectomy was not performed, and she has been healthy with regular activity until now.

      • KCI등재

        지연분만에 관한 임상적 고찰

        이승호(SH Lee),손위익(WY Sohn),안종호(JH Ahn),박상빈(SB Park) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.3

        1) 1964년 1월부터 1972년 12월까지 본병원 산부인과에 입원하여 만기분만한 산모 중 지연 분만의 발생빈도는 10.7%였다. 2) 연령분포는 25∼29세에서 가장 많았으나 빈도는 연소층과 고령층에서 높았다. 3) 산력별로는 초산부 67%, 경산부 33%이며 평균연령은 초산부 25.3세, 경산부 29.1세였다. 4) 분만시간은 초산, 경산부 공히 24∼36시간에 분만이 가장 많았고 다음은 초산에서 48∼ 60시간, 경산에서 60∼72시간이었다. 5) 원인분석에서 태위별로는 두위 82.0%, 둔위 13.6%, 횡위 3.9%이며 여기에 수반된 원인으 로는 자궁수축부전 22.4%, C. P. D. 14.0%, 자궁과다팽만 11.8%였다. 6) 자연분만이 45.2%이고 나머지는 vacuum, 유도겸자분만 등에 의해 분만되었고 이 중 제 왕절개술에 의한 분만이 9.2%였다. 7) 산후감염률은 11.3%였다. 8) Apgar score는 score 1∼6이 31.5%, score 0가 8.3%로서 인공소생술을 요한 경우가 많았다. The purpose of this study was to evaluate the prolonged labor among the full term deliveries admitted to the Kyungpook National University Hospital between Jan. 1, 1964 and Dec. 31, 1972. By evaluating 288 cases of prolonged labor in its same period, the following results were obtained. 1) The incidence of prolonged labor was 10.7%. 2) Although the peak of their occurences was seen in 25 to 29 years age group, its relative incidence was rather high in the aged and in the young women. 3) The incidence in the primipara was 67% with average age 25.3 years and that of multipara was 33% with 29.1 years in average. 4) The duration of labor was mostly from 24 to 36 hours in primi and multipara inclusively. From 48 to 60 hours in primipara and from 60 to 72 hours in multipara were the duration of labor in the next frequency. 5) The possible cause of prolonged labor was uterine dysfunction (22.4%), C. P. D. (14.0%), overdistention of uterus (11.8%) etc, and the fetal presentation are as follows ; cephalic ; 82.0%, breech ; 13.6%, transverse ; 3.9%. 6) The method of delevery was as follows ; spontaneous delivery ; 45%, forcep delivery ; 11.4%, vacuum extraction ; 42.6%, cesarean section ; 9.2%. 7) The maternal morbidity was seen in 11.3% of all cases. 8) The Apgar score of newborn baby was as follows ; 7-10 ; 60.2%, 1-6 ; 31.5%, 0 ; 8.2% and in many cases, artificial resuscitation was needed.

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