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최유덕(Yu Duk Choi),이경훈(Gyoung Hoon Lee),김용욱(Yong Wook Kim),이광범(Kwang Beom Lee),서은정(Eun Jung Seo),손문성(Moon Sung Son),안현경(Hyun Gyoung Ahn),석원익(Won Eik Seok),최영진(Young Jin Choi),김광준(Gwang Jun Kim),김석영(Suk 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.10
Objective : The birth weight distributions are obtained to be classified according to the duration of pregnancy, and then compared with other results already published in literature to verify the difference. Methods : A total of 17,291 deliveries in Gachon medical center hospital from January 1996 to December 1999 is retrospectively reviewed. The data of 28∼42th week of gestation are analysed, and the 10th, 25th, 50th, 75th and 90th percentiles of birth weight are determined for each week and also according to sex and parity. Furthermore the 10th, 50th, 90th percentiles are compared with those from other reports. Results : 1. The 10th, 50th, 90th percentiles of birth weight classifed according to gestational age are as follow : in 28th week of pregnancy, 1,068, 1,240 and 1,812 g; in 32th week, 1,470, 1,890 and 2,266 g; in 36th week, 2,170, 2,720 and 3,240 g; in 40th week, 2,910, 3,370 and 3,870 g; in 42th week, 2,977, 3,475 and 4,023 g. 2. The mean birth weight of the male neonates is greater than that of the female ones from 37th week to 41th week (p<0.01). 3. Comparisons of 10th, 50th, 90th percentiles of birth weight with Park groups show that there is an increase of birth weight by 100∼144 g. Conclusion : Comparison of the birth weight-gestational age table with ones published by other groups shows that infants tend to be heavier.
최유덕 ( Yu Duk Choi ),이순표 ( Soon Pyo Lee ),석원익 ( Won Ik Seok ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.2
Objective : To review the safety and effectiveness of a new vaginal hysterectomy method, Minilaparatomically Assisted Vaginal Hysterectomy (MAVH), tried on benign diseases with?indication of abdominal hysterectomy. Materials & Methods : The analysis of th
최용민(Yong Min Choi),노성혁(Seong Hyeok Noh),정희환(Hee Hwan Chung),이종민(Jong Min Lee),김용욱(Yong Yook Kim),이선(Sun Lee),김영진(Young Jin Kim),이지성(Jee Sung Lee),황병철(Byung Chul Whang),박찬용(Chan Yong Park),최유덕(Yu Duk C 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.2
Objective: To evaluate how resection margin involvement after LLETZ affect treatment of CIN and microinvasive cervical cancer, and several factors affecting the resection margin involvement. Method: Retrospective analysis was performed in 160 patients that underwent LLETZ at Gachon Medical College, Gil Medical Center from March, 1997 to September , 1998. The several factors affecting the resection margin involvement were analyzed. Result: The following results were obtained. 1. 127 patients were diagnosized finally with CIN, 30 patients with microinvasive SCC and 3 patients with chronic inflammation. 2. The rate of the negative resection margin involvement was 81% and that of the positive was 19%. 3. No case among 129 cases with the negative resection margin had residual lesion, but 9 cases among 31 cases with the positive resection margin had residual lesion. As a whole, the rate of residual lesion was 6.2%. 4. In CIN, 3 cases of 19 cases with the positive resection margin had residual lesion, but none with the negative resection margin had. 5. The degree of histopathology, glandular involvement, menopause, colposcopic evaluation were correlated with the resection margin involvement but delivery mode and HPV infection not correlated. Conclusion: LLETZ is a enough method to reduce unnecessary hysterectomy in the treatment of CIN, if followed up, in spite of the positive resection margin because of low rate of lesidual lesion, and is a effective method in the treatment of microinvasive cervical cancer when the case with negative resection margin and no lymphovascular invasion was followed up.
복강경하 질식 전자궁적출술 (LAVH) 570예에 대한 임상적 고찰
최장열 ( Jang Yeul Choi ),송정인 ( Jung In Song ),황병철 ( Byung Chul Whang ),이순표 ( Soon Pyo Lee ),최유덕 ( Yu Duk Choi ),박찬용 ( Chan Yong Park ),윤성준 ( Seong Jun Yoon ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.10
Objective : To evaluate the clinical outcome and characteristics of laparoscopy assisted vaginal hysterectomy (LAVH) in gynecologic patients. Methods : From September, 2001 to February, 2004, total 570 cases of patients were performed LAVH at Gacheon medi
김광준(Gwang Jun Kim),최수란(Su Ran Choi),이순표(Soon Pyeu Lee),황병철(Byung Chul Whang),이의돈(Eyi Don Lee),김석영(Suk Young Kim),윤성준(Sung Jun Yoon),한은애(Eun Hye Han),안정렬(Jung Rerl Ahn),최유덕(Yu Duk Choi),최승헌(Seung Hyun 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.6
Objective : To analyze cytogenetic results of prenatal genetic amniocentesis. Methods : From January 1997 to December 2000, We analyzed 1,390 cases of midtrimester amniocentesis which were done at Gil medical center of Gachon medical school according to its indications and maternal age. Results : Chromosomal aberrations were found in 88 cases (6.3%). Of all our chromosomal aberrations, 29 cases (2.1%) of normal variants and 59 cases (4.2%) of abnormal karyotypes were found. 37 cases of autosomal numerical abnormal karyotypes and 7 cases of sex chromosomal abnormal karyotypes were diagnosed. In abnormal karyotype group, the incidence was high after 40 years of maternal age and in abnormal ultrasound findings, but no such correlations were found in normal variant group. Conclusion : In analysis of midtrimester amniocentesis, it would be better to analyze separately abnormal karyotype group and normal variant group.
양막파수가 안된 양수과소증 임신에서 경복부 양수주입술이 주산기 예후에 미치는 영향
김광준 ( Gwang Jun Kim ),윤성준 ( Sung Jun Yoon ),최수란 ( Su Ran Choi ),이순표 ( Soon Pyeu Lee ),황병철 ( Byung Chul Whang ),최유덕 ( Yu Duk Choi ),이의돈 ( Eyi Don Lee ) 대한주산의학회 2002 Perinatology Vol.13 No.1
연구배경:양수과소증은 양막파열, 태아기형, 태반기능의 부전과 연관되어 발생할 수 있으며, 그 예후가 좋지 못한 것으로 알려져 있다. 이에 대한 치료법으로 양수주입술이 고안되었으나 그 효과에 대해서는 논란의 여지가 있으며, 장기적인 효과에 대해서는 연구가 부족한 실정이다. 목적:환자-대조군연구를 통해 양수주입술의 장기적 효과를 확인하고자하였다. 대상 및 방법:양수과소증으로 진단받은 73명의 단태임신 산모를 대상으로 하였으며 양막파열이 되었거나, 초음파검사상 중증태아기형이 확인된 경우는 제외시켰다. 양수 주입술 시행에 동의하여 양수주입을 시행한 21명을 연구군으로, 52명을 대조군으로 하였고, 양수주입은 31차례 시행되었다. 진단 시 평균 양수지수는 양수주입군 4.2(±1.6), 대조군 4.6±1.4로 유의한 차이가 없었으며, 그 외 산모의 나이, 제태연령, 분만력등에서 두 군간 차이가 없었다. 결과:주입된 양수의 양은 평균 536ml(200~700)이였고, 소요시간은 61(±39.2)분이였으며, 주입후 양수지수는 평균 양수지수는 4.2에서 10.0으로 유의하게 상승되었다. 하지만 임신 결과 지표는 두 군간 유의한 차이를 보이지 않았으며 다음과 같다: 1) 출생시 평균 제태기간은 양수주입군 36.3(±3.5)주, 대조군 37.2(±2.9)주였다. 2) 평균 체중은 양수주입군 2.54(±0.9)kg, 대조군 2.51(±0.8)kg였다. 3) 신생아 활력지수가 6점이하인 경우는 양수주입군이 1분-3/17, 5분-0/17, 대조군이 1분-6/44, 5분-1/49였다. 4) 수술적 분만빈도는 양수주입군이 0.79, 대조군이 0.65였다. 5) 두 군 모두 2예의 태아사망이 있었다. 결론 : 양수과소증에서 경복부 양수주입술의 장기적 효과는 관찰되지 않았다. Objective:The aim of this study was to evaluate the peripartum efficiency of amnioinfusion in oligohydramnios without preterm premature rupture of membrane. Methods:73 singleton pregnant women with oligohydramnios were enrolled in this study. Women with preterm premature rupture of membrane were excluded. 21 women were treated with transabdominal amnioinfusion 31 times and 52 women were closely observed without amnioinfusion. Mean amniotic fluid index, mean gestational age, mean maternal age and the parity at the time of diagnosis was not statistically different in both groups. Results:Mean amounts of infused artificial amniotic fluid was 536ml(200-700), the mean time consumed was 61(±39.2)min. After infusion, mean amniotic fluid index was increased significantly from 4.2(±1.6) to 10.0(±2.9). But we found no statistically significant differences in pregnancy outcomes. The outcomes are as follows:1)Mean gestational age at birth was 36.3(±3.5) weeks in amnioinfusion group and 37.2(±2.9) weeks in control group. 2) Mean birth weight was 2.54(±0.9)kg versus 2.51(±0.8)kg. 3) The proportions of poor Apgar score at 1 minute and 5 minute were not significantly different. 4) Cesarean section rate was 0.79 versus 0.65. 5.There were two still births in both groups. Conclusion:Transabdominal amnioinfusion in oligohydramnios has little effects in improving longterm pregnancy outcomes.
김광준(Gwang Jun Kim),김용욱(Yong Yook Kim),최유덕(Yu Duk Choi),최태행(Tae Haeng Choi),손문성(Moon Sung Son),김재유(Jae Yoo Kim),신종호(Jong Ho Sin) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.1
We experienced a case of Ebstein's anomaly prenatally by fetal sonography. Ebstein's anomaly is a rare congenital heart defect characterized by abnormally downward displacement of the septal and posterior leaflets of the tricuspid valve. In the absence of tricuspid regurgitation, this condition may be completely asymptomatic. On the other hand, symptomatic newborns often develop life-threatening congestive heart failure. A 30-year-old multiparous woman was referred for the evaluation of fetal cardiac defect at 26th gestational week from a private clinic. Fetal ultrasonography showed markedly enlarged right atrium and downward displacement of tricuspid valve into the right ventricle. After discussion with the patient, the pregnancy was terminated and Ebstein's anomaly was confirmed by autopsy.
김용욱(Yong Yook Kim),김석영(Suk Young Kim),황병철(Byung Chul Whang),이종민(Jong Min Lee),최유덕(Yu Duk Choi),한양석(Yang Seok Han),이지성(Ji Sung Lee),노성혁(Seong Hyeok Noh),김장수(Jang Su Kim),최태행(Tae Haeng Choi),최용민(Yong Mi 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.7
Objective : To study the prevalence, indications, and outcome of cesarean hysterectomy in women delivered at the Gil Medical Center, Gacheon Medical School. Method : This is a retrospective study of all cases of cesarean hysterectomy performed between January 1995 and December 1999. Results : The incidence of cesarean hysterectomy was 0.4% (122/31,481). Cesarean hysterectomy was performed in 100 of 17,829 cesarean sections (0.6%) and in 22 of 13,652 vaginal deliveries(0.2%). The higher the age and the parity of patients, the higher the incidence of cesarean hysterectomy was noted. The most common indication of cesarean hysterectomy was uterine atony(50 cases, 41.9%), followed by 25 cases of placenta previa with adhesive placenta(20.5%), 14 cases of adhesive placenta(11.5%), 11 cases of uterine myoma with pregnancy(9.0%), 9 cases of uncontrolled bleeding with placenta previa(7.4%), 7 cases of uterine rupture(5.7%) and 6 cases of extension of uterine incision(4.9%). All patients who had cesarean hysterectomy received transfusion from 0 pint to 78 pints. Live births were 115 cases(94.3%) and 3 infants were still birth(2.5%). Four infants were dead during early neonatal period(3.3%), so perinatal mortality rate was 5.7%. The postoperative complications were bladder injury, ureteral injury, febrile morbidity, disseminated intravascular coagulopathy, hematoma, wound disruption, postpartum cardiomyopathy, and vaginal stump bleeding. There was two maternal deaths due to acute, severe hemorrhage and DIC. Conclusion : Cesarean hysterectomy remains a necessary procedure for life saving during abdominal and vaginal deliveries. The procedure itself is usually associated with considerable perioperative morbidity. Obstetricians should identify patients at risk and anticipate the procedure and complications.