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일측성 질폐쇄와 동측의 신장 무발생을 동반한 중복자궁 2 례
박문철(MC Park),김용욱(YW Kim),이종민(CM Lee),이선(S Rhee),이지성(JS Lee),최유덕(YD Choi) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.6
Uterus didelphys with an obstructed hemivagina is frequently associated with ipsilateral renal agenesis. The most common clinical presentation is that of the onset pelvic pain and/or dysmenorrhea shortly after menarche, in association with the finding of a vaginal/pelvic mass. When a communication between the two sides exists, symptoms of abnomal vaginal discharge and bleeding are common. Early accurate diagnosis followed by the excision of the obstructing vaginal septum combined with conservative treatment of associated endometriosis offers complete relief of symptoms while preserving reproductive capacity. We present two cases of uterus didelphys with unilateral obstructed hemivagina and ipsilateral renal agenesis carring on proper management with a brief review of concerned literatures.
이은혜(EH Lee),이상희(SH Lee),신명철(MC Shin) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.6
Varix of the intrafetal umbilical vein is a rare abnormality showing abnormal focal dilatation of the intraabdominal part of the umbilical vein. In most reported cases the varix had involved the intraamniotic umbilical vein whereas intrafetal varix had remained largely unrecognized. Some authors suggest that varix of the umbilical vein carries increased risk of adverse fetal outcome. We report a case of varix involving the intrafetal umbilical vein detected on prenatal sonography at 36 weeks gestation with the good prognosis.
난포막세포종 양상을 보인 난소 저등급 간질성 육종 1 예 - 일명:악성 난포막세포종 -
이창익(CI Lee),오현양(HY Oh),명나혜(NH Myung),조정희(JH Jo),이민철(MC Lee),김동희(DH Kim),고경심(KS Ko),박충학(CH Park) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.11
Theca cell tumors of the ovary have been generally regarded as almost invariably benign neoplasms. Even though several case reports of the malignant variant of this tumor have appeared in the world literature, but the term malignant thecoma is controversial and doubtful. If a thecoma ever becomes malignant, the tumor cells dedifferentiate so that they can not be recognized any longer as theca cells;instead, they proliferate as a stromal sarcoma or fibrosarcoma. We have experienced a rare case of ovarian low-grade stromal sarcoma with thecomat ous features in a 66-year-old postmenopausal woman. The clinicopathologic finding and a review of literature on ovarian stromal sarcoma and malignant thecoma were described brie fly.
Lee, J.,Mc Laughlin, J.,Sohn, J. Academic Press 2017 Journal of mathematical analysis and applications Vol.447 No.2
<P>- (a - bq(2))(b - aq(2))q/1 - abq(4) - (1 - a(2)q(2))(1 - b(2)q(2))q(3)/1 - abq(6) - (a - bq(4))(b - aq(4))q(3)/1 - abq(8) - ... . (C) 2016 Elsevier Inc. All rights reserved.</P>
이권해,조태호,이민철,구자두,고영익,윤길중 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.2
1988년 4월 1일부터 1989년 5월 31일까지 순천향대학병원 산부인과에 내원한 자궁외임신환자 32명을 대상으로 혈청 β-hCG와 혈청 progesterone을 측정하였고, 그 중 22명의 환자에서 수술시 복강내 혈액에서 β-hCG를 측정하여 파열형과 비파열형으로 나누어, 혈청 progesterone의 측정이 자궁외임신의 진단적 가치와 혈청 progesterone과 혈청 β-hCG, 혈청 progesterone과 다글라스와 β-hCG를 파열형과 비파열형으로 나누어 비교분석하여 자궁외임신에서의 황체기능에 대한 연구결과 다음과 같은 결과를 얻었다. 1. 자궁외임신의 위치와 파열여부를 보면, 연구대상은 32예로 모두 난관임신이었으며, 부위별로 보면 난관 팽대부가 23예(71.8%), 체부가 5예(15.6%), 협부와 간질부는 각각 2예로 팽대부가 가장 많았으며, 파열여부로 보면 파열형이 19예(59.4%), 비파열형이 13예(40.6%)였다(Table 1). 2. 각 군별 평균치를 보면, Table 2에서 보는바와 같이, 파열형에서 혈청과 복강내 혈액의 β-hCG는 각각 2906.37 ± 720.17 mIU/ml, 8187.67 ± 1257.25mIU/ml이었고, 비파열형에서 β-hCG는 각각 1376.62 ± 480.67mIU/ml, 8239.20 ± 2210.46mIU/ml였다. 그리고 혈청 β-hCG 및 복강내 β-hCG를 파열형, 비파열형으로 나누어 보면 통계학적 차이는 없었다. 종합하여 보면 혈청 β-hCG는 2606.52 ± 578.38mIU/ml이고, 복강내 β-hCG는 8205.14 ± 1129.51 mIU/ml로 복강내 혈액에서의 β-hCG가 혈액에서보다 현저히 높았다(P$lt;0.0001). 그리고 자궁외임신에서 progesterone 평균치는 4.67로 정상임신시 보다 현저히 낮았으며, 파열형(5.18 ± 0.84ng/ml)이 비파열형(4.27 ± 0.94ng/ml)보다 조금 더 높았으나 통계학적 의의가 없었다(p=0.392). 3. 비파열형에서 혈청 progesterone치와 혈청 β-hCG와의 상관관계는 Y=0.001X + 2.94(r=0.49, P=0.09)였고, 혈청 progesterone치와 다글라스와 β-hCG와 상관관계는 Y=0.0001X + 2.71(r=0.352, P=0.318)로 다글라스와 β-hCG보다 혈청 β-hCG가 비교적 상관관계가 있으나 통계학적 의의는 없었다(Fig. 1). 4. 파열형에서 혈청 progesterone치와 혈청 β-hCG와의 상관관계는 Y=0.0005X + 3.85(r=0.39, P=0.10)이고, 혈청 progesterone치와 다글라스와 β-hCG와의 상관관계는 Y=0.0004X + 2.72(r=0.54, P=0.07)로써 다글라스와 β-hCG와 비교적 상관관계가 있으나 통계학적 의의는 없었다. 5. 전체 자궁외임신에서 혈청 progesterone치와 혈청 β-hCG와의 상관관계는 Y=0.0002X + 4.08(r=0.21, P=0.24)로써 혈청 progesterone치와 다글라스와 β-hCG와 상관관계는 Y=0.0002X + 3.10(r=0.41, P=0.06)로써 다글라스와 β-hCG와 상관관계가 있으나 통계학적 의의는 없었다. The purpose of this study was to know whether the serum progesterone level can serve as a diagnostic tool for ectopic pregnancy and to know luteal function for ectopic pregnancy. In attempt to evaluate luteal function in ectopic pregnancy, we measured serum β-hCG, cul-de-sac and serum progesterone level of 32 women with ectopic pregnancies who were admitted to Department of Obstetrics & Gynecology, Soonchunhyang University Hospital from April 1, 1988 to May 31, 1989. The results were obtained as follows: 1. The mean value of β-hCG level in ruptured ectopic pregnancy was 2906.37 ± 720.17 mIU/ml (Mean ± S.E.M) in serum and 8187.67 ± 1257.25 mIU/ml in cul-de-sac. The mean value of β-hCG level in unruptured group was 1376.62 ± 480.67 mIU/ml in serum and 8239.20 ± 2210.46 mIU/ml in cul-de- sac. When comparing the β-hCG level in serum of the ruptured group with that of the unruptured group, we had no significant value. Also when comparing the β-hCG level in cul-de-sac of the ruptured group with that of the unruptured group, we has no significant value. However, the β-hCG level in cul-de-sac (8205.14 ± 1129.51 mIU/ml) was significantly higher than serum β-hCG (2606.52 ± 578.38 mIU/ml)(p $lt; 0.001). The mean value of serum progesterone level in ectopic pregnancy was 4.67 ng/ml which was significantly lower than the value of serum progesterone in normal intrauterine pregnancy. The mean value of serum progesterone level in ruptured group (5.18 ± 0.84 ng/ml) was slightly higher than unruptured group (4.27 ± 0.94 ng/ml), but there was no significance. 2. In unruptured group, the serum β-hCG and serum progesterone levels were slightly correlated, but had no significance (r=0.49, p=0.09), and the cul-de-sac β-hCG and serum progesterone levels also had no significance. (r=0.35, p=0.32). 3. In ruptured group, the correlation between serum progesterone and serum β-hCG was no significance (r=0.39, p=0.1), and serum progesterone and cul-de-sac β-hCG was slightly correlated, but had no significance.(r=0.54,p=0.07) 4. In all ectopic pregnancies,the correlation between serum progesterone and serum β-hCG was no significance(r=0.03,p=0.24), and serum progesterone and cul-de-sac β-hCG was slightly correlated,but had no significance.(r=0.41,p=0.06).