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- 저자 : 임명철 ( Im Myeong Cheol ) (검색결과 3 건)
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Shirodkar 술식으로 시행한 응급 자궁경부 원형결찰법
임명철 ( Im Myeong Cheol ),김소라 ( Kim So La ),허주엽 ( Heo Ju Yeob ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
Objective : This study was performed to evaluate the diagnostic value of polymerase chain reaction (PCR) for multiple microorganisms in female lower genital infection, because infections of the vaginal are caused by multiple microorganisms. Methods : A total of 222 patients (161 cases of gynecologic patients and 61 cases of obstetric patients who complained of profuse vaginal discharge or had excessive vaginal discharge were evaluated for detection of Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, and Trichomonas vaginalis infections using PCR. Results : Infecting microorganisms by PCR were found in 61 out of 161 gynecologic patients (37.6%). Among the 61 patients, single infection was present in 45 patients (78.3%), and infection by multiple microorganisms (26.6%) in the remaining 16. In these same patients, 72 showed an abundance of WBCs with the Gram stain. Among these 72 patients, 26 (74.3%) were infected with a single microorganism, and 9 (25.7%) were infected with multiple microorganisms. In 61 pregnant women, 26 patients (42.6%) were positive for infection. Single infection was found in 25 patients (96.2%) and infection by multiple microorganisms was present in one patient (3.8%). Many WBCs were observed in 19 out of the 61 pregnant women with the detection of single infection in 9 patients and none of the mixed forms. Conclusion : The majority of female lower genital infections are due to multiple organisms. Individual tests, cultures, and Gram staining must be done in order to detect all involved organisms which may potentially double cost and time loss. However, with the use of PCR, this can be achieved all at once. We therefore suggest that PCR may be precise and economically beneficial in the detection of female lower genital infection.
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소파술시 자궁경부주위 차단마취 주사후 시술까지의 지연시간이 통증에 미치는 영향
임명철 ( Im Myeong Cheol ),이석희 ( Lee Seog Hui ),장미경 ( Jang Mi Gyeong ),이보연 ( Lee Bo Yeon ),김건식 ( Kim Geon Sig ),이선경 ( Lee Seon Gyeong ),허주엽 ( Heo Ju Yeob ),김승보 ( Kim Seung Bo ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5
목적 : 우리나라에서는 공식적으로 연간 약 60만 건의 인공유산이 행하여지고 있는데, 이런 선택적 유산의 방법으로 소파술이 널리 시행된다. 또한, 폐경후 호르몬 대체요법 사용의 증가와 더불어 폐경후 출혈의 진단목적으로 소파수술의 중요성이 점점 강조되고 있다. 이런 소파술시 자궁경부주위 차단마취후 소파수술시까지의 지연시간이 통증과 환자의 만족도에 미치는 효과를 검증하고자 수행하였다. 연구 방법 : 소파술을 시행한 92명을 대상으로 무작위 방법으로 조사하였으며, 자궁경부주위 차단마취후 시술시까지 지연시간이 없는 집단을 A군, 지연시간이 5분인 집단을 B군으로 정한 후에 자궁경관 개대시, 소파술시, 시술 후 30-45분 후 세 차례에 걸쳐 VAS (visual analog scale)을 이용하여 통증수치와 시술에 대한 만족도를 측정하였다. 결과 : A군 (n=53)과 B군 (n=39)에 있어서 자궁경관 개대시, 소파술시, 시술 후 30-45분 후 모두에서의 통증수치와 시술에 대한 만족도는 통계학적으로 유의한 차이를 보이지 않았다. 결론 : 소파술을 시행하는데 있어서 자궁경부주위 차단마취후 시술 시까지의 지연시간이 통증과 환자의 만족도에 영향을 미치지 못한다. 따라서 자궁경부주위 차단마취에서 국소마취제의 주된 역할은 말초신경의 차단 보다 오히려 조직의 기계적 확장이라고 생각된다. Objective : In Korea, approximately 600 thousand artificial abortions are done officially during the course of a year, and dilatation & curettage is commonly used as a method for selective abortion. In addition, because of the increasing use of hormone replacement therapy for treating postmenopausal syndrome and for the diagnostic purposes for postmenopausal bleeding, the importance of dilatation & curettage is emphasized more and more. Our objective was to verify the effects of delayed time between paracervical block and the procedure of dilatation & curettage on pain and patient satisfaction. Methods : 92 women who underwent dilatation and curettage were picked and divided into 2 groups randomly. In group A there was no transit delay time between paracervical block and the procedure, and in group B, there was 5 minutes delay time. We used the VAS (Visual Analogue Scale) to measure numerical value of pain and patient satisfaction during uterine cervical dilatation, the actual procedure of curettage, and 30-45 minutes after the procedure. Results : There was no statistically meaningful difference on the pain value and patient satisfaction between group A and group B measured during uterine cervix dilatation, curettage, and 30-45 minutes after the procedure. Conclusion : The transit delay time between paracervical anesthesia and dilatation & curettage had no specific effects on the pain or patient satisfaction of the procedure. Therefore, the main role of paracervical anesthesia is not to block the peripheral nerve, but instead to dilatate the tissue mechanically.
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고강영 ( Go Gang Yeong ),임명철 ( Im Myeong Cheol ),허주엽 ( Heo Ju Yeob ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.4
Female pelvic tuberculosis is almost invariably secondary to disease elsewhere, usually in the lungs. It is difficult to diagnose pelvic tuberculosis, because it is often a disease with absent or few non-specific symptoms. Pelvic tuberculosis should be co
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