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배병주(BJ Bai),박신근(SK Park),김성연(SY Kim),박종배(JB Park),김순자(SJ Kim) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.6
1. The incidence of uterine rupture was 1:167 delivery 2. The age distribution was rupture from 20 to 46 years of age and about 60% in 4th decade. According to parity, 20 of these 42 cases were over 4. 3. The other obstetric past histories except previous cesarean section were marked with numerous spontaneous abortion, difficult delivery, deep cervical laceration and placenta perfecta. 4. On the classfication of uterine rupture according to cause there were 15 spontaneous rupture with no previous surgery, 11 spontaneous rupture with previous uterine surgery and 16 traumatic uterine rupture. 5. On the anatomical classfication complete uterine rupture were 11 of 17 uterine ruptures and incomplete were 6 of 17 cases. 6. On the gestational duration at uterine rupture, 28 of all 42 cases were ruptured at the pregnancyat 38-42 weeks. 7. On the duration of labor at uterine rupture 34 of all cases were less than 18 hours. 8. The places of uterine rupture were home (14 cases) local clinic (7cases) S.R.C.H (7 cases) and midwife(5 cases). 9. Laparotomy (19 of 32 cases ) was performed within 6 hours after uterine rupture. 10. The most important symptoms were severe abdominal pain, shock, vaginal bleeding and abdominal distention. Hematuria were checked in 12 of 42 cases. Hb. was over 8.0 gm% in 16 of 17 cases (3rd period). 11. Amount of the tranfused blood were less than 7 pints in 14 of 17 cases (3rd peirod)
현 발육부전 및 난소난관농양을 동반한 흔적자궁각의 1 예
박광수(KS Park),이광열(KY Lee),장병준(BJ Jang),김춘택(CT Kim),박승보(SB Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.5
A case of rudimentary uterine horn associated with agenesis of one kidney, experienced at Fatima Hospital, Daegu. Recently, presenting here with a brief review of some literatures.
박찬무,배병주,곽현모,황영환 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.6
여성 불임시술 이후에 발생된 자궁외임신 6,169례를 대상으로 몇가지 측면에서 분석하여 얻어진 결론은 다음과 같다. 1. 평균연령은 31.0세, 평균임신횟수는 3.9회, 그리고 평균 생존자녀수는 2.4명이었으며 전체의 75.3%가 인공유산의 경험이 있었다. 2. 불임시술일부터 자궁외임신 발생까지의 기간은 최단기간이 12주, 최장기간이 10년 8개월이며 평균기간은 3년 1개월이었다. 3. 환자의 증상은 하복통이 96.1%, 자궁출혈이 39.2%이었고, shock상태로 내원한 환자가 4.9%(305례)이었다. 4. 186례(3.2%)가 타병명으로 입원하였다가 개복수술후에 자궁외임신으로 확진되었으며, 전체의 47.7%가 Douglas 와천자에 의하여 진단되었다. 5. 전체환자의 94.2%가 난관임신이었으며, 76.3%가 distal segment에서 12.7%가 proximal segment에서 착상되었다. 자궁각임신이 4.9%이고 난소임신도 있었는데 0.5%이고 난소임신도 있었는데 0.5%이었다. 6. 수술방법은 전체의 71.7%가 환측난관절제술이거나 환측 난관난소절제술이었으며, 양측 난관절제술이나 이를 동반할 수술은 단지 21.4%에 지나지 않았다. 주수술과 병행한 충수절제술 적시 5.3%로 비교적 낮게 나타났다. 7. 불임시술방법별 자궁외임신 발생율은 복강경전기소작방법에서 86.2%로 가장 많이 발생하였으며, 복강경링 방법에서는 12.5%로 적게 발생하였고 미니랩에서도 1.0%가 발생하였다. 8. 수술당시에 육안적 소견으로 자궁외임신 발생원인을 보면 루공형성이 49.6%, 난관제소통이 24.9%, 그리고 불완전소작이 22.1%로 나타났으며, 복강경단극소작에서는 루공형성이, 양극소작에서는 불완전소작이 주원인으로 나타났다. 9. 자궁외임신 환자중 임신중절수술과 동시에 불임수술을 받은 례는 48.2%이며, 불임시술일부터 자궁외임신까지의 평균기간은 2년 4개월이었다. 특히 양극소작에서 1년미만에 많이 발생하였으며 단극소작이나 링방법에서는 1년이후에 많이 발생하였다. 10. 불임수술후 10주이내에 자궁외임신 발생은 90례인데 1주만에 4례나 발생하였고, 6주이내에 54례나 발생하였다. 이는 기왕에 발생된 자궁외임신 상태에서 시술의가 불임시술을 한 것으로 사료된다. This study was undertaken for the clinico-statistical analysis on a total of 6,169 women with ectopic pregnancies following tubal sterilization, who had been treated by 407 hospitals/clinics under the support of Korean government and Korea AVS during the last seven years, from January 1981 to December 1987. These are the cases of the highest incidence among the major complications following female sterilization, for whom requests were made to the Expert Review Committee of Korean Association for Voluntary Sterilization to determine their eligibility for reimbursement of medical expenses. The following features were the result of the study: 1. The median age of these 6,169 patients was 31.0 years with the most frequent age group of 25 - 34 (73.4 %). The youngest was 19 and the oldest 46. 2. The average gravidity and number of living children were 3.8 and 2.3 respectively. 3. Seventy seven percent of the total patients has experienced induced abortion more than once and average number of previous induced abortion was 1.5. 4. Eighteen percent of the total patients presented themselves within one year of their surgery and 59.3 percent presented 2 years after undergoing sterilization, with the shortest interval being 2 months, the longest 10 years and 8 months, and the mean 3 years and 1 month. 5. The majority of the patients presented with lower abdominal pain (96.1 %) and vaginal bleeding/spotting (39.2 %). 6. Ninety six percent of the total patients was correctly diagnosed preoperatively, while 3.2 % was diagnosed after explo-laparotomy. Culdocenthesis was performed in 47.7 %, pregnancy test in 3.7 %, and ultra-sonogram in 2.5 %. Many patients were diagnosed by dual methods of diagnosis. 7. The most frequent implantation site of ectopic pregnancy was fallopian tube (94.2 %). 76.3 % of the ectopic gestation was located in the distal and fimbrial segment and 12.7 % in the proximal segment. 8. Regarding the treatment of ectopic pregnancy, 71.1 % of the patients underwent either unilateral salpingectomy or bilateral salpingo-oophorectomy.Only 5.3% underwent bilateral dalpingectomy or bilateral salpingo-oophorectomy.Only 5.3% of the patients had an incidental appendectomy. 9. In the types of sterilization preceding ectopic pregnancy, the greatest number of the patients,86.2%,underwent a laparoscopy coagulation technique,12.5% underwent laparoscopy banding technique,1.0% mini-lap, and 0.3% other method of tubal ligation. 10. As for the cause of ectopic pregnancy,2.3% of the total cases could not be identified the causes by the surgeons.However, the surgeons reported that 49.6% was caused by the formation of tuber-peritoneal fistula,24.9% tubal recanalization,and 22.1%,inadequate occlusion.Fistual formation was reported to be main cause of ectopic pregnancy among the patients having undergone laparoscopy coagulation with unipolar current and inadequate occulsion was by coagulation with bipolar current. 11. Almost a half of the patients underwent sterilization associated with pregnancy termination at the same time and 50.8% presented within two years of undergoing sterilization, with the mean interval being 2 years and 4 months, which intimated the cause of ectopic pregnancy owing to incomplete coagulation in combined procedures,particularly in the cases undergoing bipolar coagulation.