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외래 수술로 가능하게 간편화한 자궁경하 점막하근종 절제술에 대한 고찰
오윤상 ( Yoon Sang Oh ),오성택 ( Sung Tack Oh ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.3
Objective : To evaluate possibility of simplified hysteroscopic operation instead of resectoscopic operation on OPD basis for sumucosal myoma with small pedicle. Materials and Methods : On twenty five patients, who diagnosed submucosal myoma with small pe
김경선(Kyoung Seon Kim),오성택(Sung Tack Oh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.6
Objective : To examine the outcome after operative resectoscopic resection of submucosal myomas in symptomatic women. Methods : Forty eight symptomatic women with submucosal myomas underwent operative resectoscopy for resection of the submucosal myomas. A few months after the myomectomy, I compared postoperaive status of the patients to preoperative status of the patients. Results : No operative or postoperative complications occurred and all patients were discharged within 4 days. The follow-up period was 11.12±6.44 months(mean±SD). The age of the patients was 37.69±9.22 years(mean±SD) at the time of the operation. Twelve women out of 16 conceived(pregnancy rate of 75%)and all of them subsequently delivered at term. Thirty two women(menorrhagia of 28 and backache of 4) had been rid of their chief complaints that they had suffered from preoperatively. Conclusion : The results of this study indicate that operative resectoscopy achieved a pregnancy rate 75%. These results suggest that operative resectoscopy is an effective procedure to resect submucosal myomas in infertile symptomatic women.
근층내 자궁근종에 대한 복강경하 근종적출술의 안정성과 유용성에 관한 고찰
김형춘(Hyoung Choon Kim),오성택(Sung Tack Oh) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.4
Purpose: This study was undertaken to evaluate the safety and usefulness of laparoscopic myomectomy compare to abdominal myomectomy in pregnancy outcome through estimating the uterine wall thickness in second, third trimester pregnancy and delivery. Materials and Methods: Total number of patients underwent operations for intramural myomectomy in Department of Obstetrics and Gynecology in Chonnam University Hospital was 95. Patients underwent laparoscopic myomectomy(Group A) patients are 42 and abdominal myomectomy (Group B) are 53 patients. Age, parity, size of fibroid, number of fibroid, indications of myomectomy, pregnancy loss, delivery methods and complications during delivery were evaluated. Uterine wall thickness in second and third trimester pregnancy was measured by Aloka SSD-2000 sonography. Results: Mean age of patients was 32.84.6 years in Group A and 32.45.1 years in Group B. Operation time, admission period and postoperative complications were not sinificantly different but operative blood loss was significantly small amount in Group A(p=0.001). Pregnancy rates was 47.6%(20/42) in Group A and 49.1%(26/53) in Group B after surgery(p=0.182). Successful delivery was 80%(16/20) in Group A and 76.9%(20/26) in Group B(p=0.182). Early pregnancy loss was 20%(4/20) in Group A and 19.2%(5/26) in Group B. Therefore pregnancy rates and successful delivery was not significantly different in Group A and B. Complications of pregnancy were premature rupture of membrane, preterm labor, pregnancy induced hypertension. There were no difference between Group A and B. In delivery methods, elective cesarean section was done 15 in Group A and 16 in Group B. Vaginal delivery was done 1 in Group A and 4 in Group B. Early pregnancy loss was 4 in Group A and 6 in Group B. Mean gestational weeks was 38.02.2 in Group A and 38.21.9 in Group B. In operative findings, adhesion was 5 in Group A and 7 in Group B at previous myomectomy site. Only one case was uterine wall thinning in Group B but maternal and fetal conditions were good. Mean uterine wall thickness was 4.2 2.5mm in Group A and 4.0 2.8mm in Group B at 2nd trimester, 4.0 2.7mm in Group A and 3.8 2.5mm in Group B at 3rd trimester, 4.0 2.5mm in Group A and 3.9 2.7mm in Group B at delivery. Conclusion: We conclude that pregnancy after laparoscopic myomectomy is safe, useful method comparable to abdominal myomectomy without increased risk of pregnancy loss and complications.
자궁내막종과 동반한 자궁 근층의 거대 낭종성 선근증의 복강경을 통한 낭종적출술 1 예
김호준(Ho Jun Kim),오성택(Sung Tack Oh) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.1
Adenomyotic cysts are not uncommon disease, but their sizes are mostly lesser 5 mm. Reports of large adenomyotic cyst ( >5 mm ) are vere rary. These large sized hemorrhagic cysts arise from small sized cyst and may be caused by progressive expansion of cyst due to progressive menstrual bleeding. And the active secreting of cystic wall may play a part in making the large cyst. Authors observed a case of large adenomyotic cyst within myometrium occuring in o 39-year-old woman, and she was accompanied with both ovarian endometriomas. The cyst was 3 *3 cm sized, and had chocolate-colored thick viscous contents. Histologically, cystic wall was lined with endometrial type epithelium. Epithelium were composed of single layer columnar, partly ciliated cells. Stroma under glandular epithelium were thin throughout the cyst and resembled morphologically endometrial stroma in endometriosis and had red cells and hemosiderin-laden macrophages in places. We experienced one case of large adenomyotic cyst, so we report the case with a brief review of the concerned literatures.
자궁근종 적출술에 있어서 미세절개개복술 ( Minilaparotomy ) 과 골반경수술과의 비교 고찰
정광필(Kwang Pil Jeong),오성택(Sung Tack Oh),박훈(Hoon Park) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3
Objective: This study investigates the safety and effectiveness of laparoscopic myomectomy by comparing with minilaparotomic myomectomy in terms of the operation time, hemorrhage, pain, complications and pregnancy rates after opration. Method: Total 56 patients who underwent myomectomy in Chonnam National University Hospital from January 1996 to December 2000 were included.26 subjects underwent minilaparotomy and 30 subjects laparoscopic myomectomy respectively. The number, size and place of uterine myoma, the operation time required, hemoglobin reduction, and operation indication were compared. The frequency of analgesics application, the period without analgesics injection, complications, and pregnancy rates after operation were investigated. Results: 1.The amount of hemorrhage and hemoglobin markedly decreased in laparoscopic myomectomy in comparison with minilaparotomy (P<0.01). 2.Analgesics were much less frequently used in laparoscopic myomectomy than minilaparotomy (P<0.01). Also Analgesics were injected for a significantly shorter period after laparoscopic myomectomy (P<0.01). 3.There was no significant difference in operation time, hospital period and complications rates between two groups. 4.Total 24 patients conceived after myomectomy.12 of them belonged to minilaparotomy patients group and 13 patients to laparoscopic myomectomy group.10 patients of the former and 11 of the latter were delivered of a baby through elective cesarean section and there was no significant difference. One to each group tried vaginal delivery, and there was no complication such as uterine rupture. Conclusion: Laparoscopic myomectomy is a safe and effective to treat uterine myoma and better than minilaparotomy in terms of post operative pain and hemoglobin.
자궁내막간질 육종의 성장에 혈관내피세포성장인자 및 염기성섬유아세포성장인자의 영향
정진(Jin Jeong),오성택(Sung Tack Oh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
Objective : In order to investigate the role of VEGF and bFGF in endometrial stromal sarcoma(ESS). Methods : We studied the effect of VEGF and bFGF on proliferation of endometrial stromal sarcoma cell after adding VEGF and bFGF into a culture system by autoradiography. The incorporation of [H3]-thymidine into cellular DNA was used as an index of cellular proliferation. Results : VEGF and bFGF significantly stimulated the proliferation of endometrial stromal sarcoma cells. The comparison of the effects of VEGF and bFGF showed that there was slightly more potent growth effects on endometrial stromal sarcoma cells with bFGF however, there was no stastistical significance. Conclusion : Taken together, these results suggest that VEGF and bFGF play an essential role in endometrial stromal sarcoma growth and our data adds new insights in the pathogenesis of ESS. This suggests that the involvement of growth factors may not only angiogenesis, but also play a critical role in controlling ESS cell growth.