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자궁내막증 환자에서 6 개월간 GnRH agonist 투여 후 이차적 추시술에 관한 연구
지정석(JS Chi),서유석(YS Suh),서정호(JH Seo),박형무(HM Park),허민(M Hur) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7
Endometriosis is a disease defined as the presence of endometrial tissue outside the uterus. The goal of treatment is to eliminate the endometriotic lesion and to treat sequellae. But no treatment successfully prevent the endometriosis. Among the many medical and surgical methods, we have been applied laparoscopic operation followed by 6 months GnRH agonist therapy. To evaluate the above treatment, we performed the retrospecitve study. The subjects were of the patients confirmed as endometriosis and treated by laparoscopy followed by 6 months goserelin therapy, 107 cases operated second look laparoscopy from July, 1992 to July, 1996 at Chung Ang University Hospital. Laparoscopic operations included the resection or enucleation of endometrioma, ablation of endometrial spots, lysis of adhesion and so forth. Clinical improvement was assessed by comparison of pretreatment American Fertility Society AFS) endometriosis scores and CA 125 with posttreatment AFS scores and CA 125. Of the 107 patients who were performed second look laparoscopy after 6 months of goserelin therapy, 98 cases were improved. AFS scores were 28.7±16.3 initially and 15.4±13.9 at second look laparoscopy. CA 125 levels were 77.5±40.2 U/ml and 29.7±22.4 U/ml. AFS scores and CA 125 levels were decreased significantly (p<0.05). It can be concluded that initial laparoscopic operation and goserelin therapy is effective treatment for endometriosis.
콜레스씨 골절이 선행된 폐경 여성에서 추후 골절 예방 조치에 대한 분석
지정석 ( Jeong Suk Chi ),허민 ( Min Hur ),박형무 ( Hyoung Moo Park ) 대한폐경학회 2003 대한폐경학회지 Vol.9 No.3
목적 : 본 연구는 콜레스씨 골절 환자를 대상으로 성별과 연령별 분포, 골의 상태와의 관련성을 알아보고, 타골절의 재발을 방지하기 위한 조치등이 효과적으로 이루어지고 있는지에 대해 알아보고자 하였다. 연구 대상 및 방법 : 본 연구는 2000년 1월부터 2001년 6월까지 1년 반 동안 중앙대학교 용산병원 정형외과를 방문한 콜레스씨 골절 환자 195명을 대상으로 의무기록지에 의한 후향적 분석 연구이다. 콜레스씨 골절 환자의 성별 분포, 나이, 골밀도의 측정여부, 골절 이후 약물치료의 여부를 조사하였다. 골밀도는 Lunar 회사 이중 에너지 Xtjs 흡수계측기 (DEXA, Lunar DPXIQ #7055^(??), Medison, Wisconsin, U.S.A.)를 이용하여 요추골 2, 3, 4번을 측정하여 그 평균치를 이용하였다. 골의 상태를 세계 보건기구에서 제정한 골밀도 측정치에 의한 골다공증의 진단기준에 따라 T-score -1.0∼2.5를 골감소중, -2.5 이하를 골다공증으로 정의하였다. 결과 : 대상군의 평균연령은 51.3±16.5 세였으며 여성은 56.2±13.9세, 남성은 42.3±17.2세였다. 골밀도를 측정한 환자는 모두 여성이었으며 전체 대상군 195명중 18명으로 9.2±였고 여성 환자 중 14.3±가 골밀도를 측정하였다. 측정환자는 모두 50세 이상이었으며 50세 이상 여성 96명 중 18.8±에 해당되었다. 골소실로 약물치료를 받은 환자는 여자환자 중 7.9±, 50에 이상의 여자 환자 기준으로 10.4±였다. 결론 : 콜레스씨 골절이 있었던 환자에서 골절 치료 외에 골절의 원인이 되었던 골다공증에 대한 치료가 방치되는 경우가 많다. 이러한 골다공증과 연관된 경한 골절에서의 보다 적극적인 관심과 투자가 중증이고 심한 골절의 예방 뿐 아니라 경제적인 면에서도 효과적일 것이라 사료된다. Objective : This study was performed to evaluate relation sex, age with the bony state and prevention against the further fracture in postmenopausal women with previous Colles fracture. Materials and Methods : In this retrospective study, 195 patients with Colles fracture were researched by medical record, who visited department of Orthostatic surgery in Young-San Hospital from July 2000 to June 2001. We researched sex, age, bone mineral density and medication after fracture in each patient. Bone mineral density was measured at lumbar spine 2, 3 and 4 by DEXA, Lunar DPXIQ #7055^(??), Medison, Wisconsim, U.S.A. Osteopenia was diagnosed T-score from 1.0 to 2.5 and osteoporosis less than -2.5 according to WHO definition. Result : The mean age of total group was 51.3±16.5, women was 56.2±1.9 and men 42.3±17.2. The patients measuring bone mineral density were all women and 9.2%of total group, 14.3% of total women, They were all more than 50 years old and 18.8% of women more than 50years old. The patients under treatment due to bone loss were 7.9% of women, 10.4% of women more than 50 years old. Conclusion : This study showed that most postmenopausal women with previous Colles fracture left osteoporosis, the cause of fracture untreated. The more investigation and investment of mild fracture with osteoporosis must be effective for the prevention severe fracture and the economic gains.
김동호(DH Kim),지정석(JS Chi),김정구(JK Kim),김대원(DW Kim) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.3
To investigate the prevalence of endometriosis and its associated risk factors which influence the development of endometriosis in korean women in special, we have performed prospective case-control study for endometriosis in multicenter since May, 1, 1996. For 14 months from May 1, 1996 to June 30, 1997, 110 women with endometriosis were detected by laparoscopic operation. To conduct a case-control study, 226 patients with no evidence of endometriosis were randomly selected from a group of women who underwent laparoscopic surgery. Information obtained through physical examination and a questionnaire was studied by multivariate logistic regression analysis. The results are as follows: 1. Endometriosis was significantly higher among 30s age group[age 30∼39] 2. Educational and socioeconomic factors did not appear to be associated with the development of endometriosis. 3. Endometriosis was significantly greater in unmarried women than in married women[p=0.0001]. 4. The risk of development of endometriosis was higher in the group of patients with family history of endometriosis[OR=2.5, p<0.05]. 5. There were no ssignificant association between the constitutional factors, weight and height, and smoking and endometriosis. 6. The probability of endometriosis was lower among women with regular exercise[OR=0.6]. 7. Menarche age was not related with the development of endometriosis. 8. The risk for emdometriosis was significantly greater among women with menstrual cycle length 27 or less, moderate degree or more of dysmenorrhea, and longer duration of menstruation[8 day or more]. 9. The number of abortion, age of first pregnancy did no appear to be associated with the presence of endometriosis. 10. There seemed to be a trend for increasing risk among women with no experience of pregnancy and child birth[OR=1.4]. 11. The other factors such as vaginal douch after menstruation, use of oral contraceptives and intrauterine devices did not appear to be related with development of endometriosis.
침윤성 자궁경부암에서 면역조직화학 염색법을 이용한 p53 유전자 발현의 의의
김태철(TC Kim),지정석(JS Chi),김동호(DH Kim),배도환(DH Pai),박언섭(ES Park) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.6
This research was performed to find out if the overexpression of p53 is robust enough to prove its effectiveness as a prognostic factor in invasive cervical carcinomas. A comparative analysis was made of the correlation between prognostic factors of invasive cervical carcinomas such as clinical stage, histologic type, and lymph node metastasis and the values of p53 overexpression attained from paraffin-wax embedded blocks of invasive cervical carcinomas using mmunohistochemical staining. 55 patients aged from 24 to 74 with invasive cervical carcinoma were thoroughly investigated. The overall rate of p53 overexpression was 30.9% (17/55). The rates from each specified age group were: [24 40, 19.1% (4/21)], [41 50, 35.3% (6/17)], [51 60, 40.0% (4/10)], and [60 74, 42.9% (3/7)]. Age group comparison showed that differences in p53 overexpression were of no significance (p>0.05). The rates from each clinical stage were: [stage Ⅰ, 12% (3/25)], [stageⅡ, 50% (8/16)], [stageⅢ, 50% (2/4)], and[stageⅣ, 40% (4/10)]. The overexpression rate seemed to get progressively higher, but not statistically significant (p>0.05). The rates from different histologic types were: 32.7% (16/49) in squamous cell carcinomas and 16.7% (1/6) in adenocarcinomas. Relatively higher rate of p53 overexpression was seen in the patient group with squamous cell carcinomas. The difference, however, was not statistically significant (p>0.05). Out of 55 invasive cervical carcinoma cases, we observed p53 overexpression in 42.9% (3/7) of patient group with lymph node metastasis and in 29.2% (14/48) of patient group without it. No statistically significant difference was found between the two (p>0.05). This research shows that p53 overexpression is not significantly correlated with age and such prognostic factors as clinical stage, histologic type and lymph node metastasis. The effectiveness of p53 overexpression as a prognostic factor seems doubtful. More rigorous research is demanded for the complete proof or disproof of its effectiveness.
이선경 ( Seon Kyoung Lee ),노현경 ( Hyon Kyung Rho ),강규현 ( Kue Hyun Kang ),지정석 ( Jung Suk Jee ),김상용 ( Sang Yong Kim ),조태일 ( Tae Il Joe ),윤귀옥 ( Gui Okh Yoon ) 대한주산의학회 2007 Perinatology Vol.18 No.3
Heterotopic pregnancy with coexistiong intrauterine and extrauterine pregnancy, is a rare event in natural pregnancy. However, in recent years, the increase in the incidence of pelvic inflammatory disease and use of assisted reproductive technology had led to an increase in the frequency of heterotopic pregnancy. When the diagnosis of heterotopic pregnancy is delayed, maternal mortality and morbidity may be increased, and unwanted loss of intrauterine pregnancy may occur. Therefore, the early diagnosis of heterotopic pregnancy is clinically important, and clinicians have to consider the possibility of heterotopic pregnancy and conduct careful and thorough evaluation if suspected. We experienced a case of heterotopic pregnancy in a woman in the absence of the known risk factors. She underwent underwent spontaneous abortion of intrauterine pregnancy at postoperative 4th day, after laparoscopic salpingectomy for left tubal pregnancy. We report this case with brief review of literature.