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무배란 환자에서 Anastrozole과 Clomiphene citrate의 임상 성적 비교
양재석 ( Jae Seok Yang ),유이화 ( Yoo E Hwa ),이진용 ( Jin Yong Lee ),홍서유 ( Seo Yoo Hong ),신정환 ( Jung Hwan Shin ),박철홍 ( Cheol Hong Park ),박은주 ( Eun Joo Park ),서용수 ( Yong Soo Seo ),박원일 ( Won Il Park ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.8
Objective: To compare the clinical effectiveness of Anastrozole in ovulation induction with that of clomiphene citrate. Methods: Sixty anovulatory women were randomly divided into 4 groups (1 ㎎, 2 ㎎ and 4 ㎎ of Anastrozole groups and Clomiphene citrate group). The ovulation induction was tried with 3 dosages of Anastrozole or 100 ㎎ of Clomiphene citrate for 5 days. The serum level of estradiol, testosterone, FSH and LH were serially monitored (on 3rd, 5th and 8th days of treatment). Serum estradiol level at the time of hCG injection was also measured. Ovulation rate, number of dominant follicles, endometrial thickness, and pregnancy rate were measured and compared across the study groups. Results: There was no statistically significant difference in estradiol, testosterone, or LH level between women treated with Anastrozole and Clomiphene citrate. In patients treated with 4 mg of Anastrozole, serum FSH level was higher than that of the women treated with Clomiphene citrate (P<0.05). Endometrial thickness was greater in patients treated with Anastrozole than women treated with Clomiphene citrate (P<0.05). Number of dominant follicles in patients treated with Clomiphene (1.56) was slightly greater than in women treated with Anastrozole (1.0-1.1), but there was no statistically significant difference. Conclusion: Anastrozole had similar clinical effectiveness in ovulation induction when compared to Clomiphene citrate. At 1 ㎎ or 2 ㎎ of Anastrozole, ovulatory rate remained below the effectiveness of Clomiphene citrate, therefore considering the expensive cost of Anastrozole, it should not be considered as first-line medication for ovulation induction but reserved for those who have certain conditions such as thin endometrium and polycystic ovarian syndrome.
김평식 ( Pyeong Sik Kim ),김상훈 ( Sang Hoon Kim ),이헌열 ( Hun Yul Lee ),유이화 ( E Hwa Yoo ),박철홍 ( Cheol Hong Park ),홍서유 ( Seo Yoo Hong ),신정환 ( Jung Hwan Shin ),이진용 ( Jin Yong Lee ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.6
Objective : The most common operation in gynecology is hysterectomy. To compare the indications, patient characteristics and clinical outcome, complication between total abdominal hysterectomy (TAH) and vaginal total hysterectomy (TVH), laparoscopically assisted vaginal hysterectomy (LAVH). Methods : This study was designed to analyze 147 patients of TAH (Group I) from Januart 2003 to September 2003, 48 patients of TVH (Group II), 108 patients of LAVH (Group III) at Eulji medical center of obstetrics and gynecology from January 2002 to September 2003. We analyzed the result with patient characteristics, parity, medical disease, history of previous operation, indication of hysterectomy, uterine weight, concurrent surgical procedure, operation time, bleeding amount, complication and length of hospital stay. Uterine prolapse was excluded in the analysis of this study. Results : Patient characteristics, parity, medical disease were no differences. Number of previous operation were 63 cases (42.9%) in TAh group, 10 cases (20.8%) in TVH group, 43 cases (39.8%) in LAVH group, and the most common of operation was tubal ligation in three gropups. Most common indication of hysterectomy was uterine leiomyoma. The mean uterine weight was 374.31±250.26 gm in TAH group, 187.70±109.62 gm in TVH group and 203.26±94.92 gm in LAVH group. The mean operation time was 89.61±25.24 min in TAH group, 73.39±21.80 min in TVH group and 96.18±27.98 min in LAVH group. Postoperative complication was observed 60 cases (40.8%) in TAH group, 8 case (16.7%) in TVH group, 19 cases (17.6%) in LAVH group. Mose common complication was bleeding and required transfusion (TAH 32 cases (21.8%), TVH 3 cases (6.3%), LAVH 10 cases (9.3%)). Conclusion : LAVH and TVH present superior result in terms of complication when compared with TAH, LAVH and TVH have advantage of lower morbidity, less pain, shorter hospital stay and convalescence. LAVH should be considered when the vaginal approach is unfeasible, showing clear advantages over abdominal hysterectomy.