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이정형(JH Lee),유병규(BK Yoo),김용학(YH Kim),최상림(SL Choi),성문수(MS Sung),김현찬(HC Kim) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.1
One hundred and seventy patients undergoing elective abdominal hysterectomy were placed on a comparative study to evaluate the efficacy of preoperative fasigyn (group A, n=50) versus perioperative cefuroxime sodium and amikacin sulfate (group B, n=70) prophylaxis in diminishing the postoperative infection rate. The control (group C, n=50) did take any antibiotics. The three groups of patients were comparable with regard to preoperative clinical features, associated medical disorders and intra/postoperative conditions, etc. The febrile morbidity was noticed in 6%, 2.9%, and 12% of group A, B, and C, respectively. Significant pelvic infections complications (pelvic and vaginal cuff cellulitis) were observed in 4%, and 6% of group A and C. No case of pelvic abscess were encountered among three groups. Abdominal wound infection, moderate degree, was found in 4%, and 2% of group A and C, but none in groups B. Urinary tract infection (mostly asymptomatic bacteriuria), the most frequent complication in this study, was found in 16%, 7%, and 26% of group A, B, and C, respectively. No remarkable difference of hospital stay was found among three groups but more cases of infections complications were treated by additional other antibiotics in group A and C. The incidence febrile morbidity was relatively low and serious consequence of infections complications were rare in this study and the efficacy of perioperative short course of combination of cefuroxime sodium and amikacin sulfate could be demonstrated.
Min, JH,Kim, HJ,Kim, BJ,Lee, KW,Sunwoo, IN,Kim, SM,Kim, BJ,Kim, SH,Park, MS,Waters, P,Vincent, A,Sung, JJ,Lee, KH SAGE Publications 2009 Multiple sclerosis journal: clinical and laborator Vol.15 No.9
<P><B>Background and objectives</B></P><P>Optic neuritis or longitudinally extensive myelitis in Sjogren syndrome (SS) suggests a neuromyelitis optica spectrum disorder (NMOSD). However, brain abnormalities of SS remain to be elucidated for the association with neuromyelitis optica (NMO).</P><P><B>Methods</B></P><P>Twelve primary SS patients (all women, 42?±?13.2?years) who had recurrent central nervous system (CNS) manifestations with brain involvement were retrospectively identified. Brain MRI, and neurologic and serologic findings were analyzed with the measurement of anti-aquaporin-4 antibody (AQP4-Ab).</P><P><B>Results</B></P><P>All patients showed brain lesions characteristic of NMO as follows: 1) the involved sites adjacent to the third and fourth ventricles and in the posterior limb of the internal capsule, 2) unique configurations, such as the longitudinal course from the internal capsule to the midbrain, large cerebral or cerebellar lesions over 3?cm, and cavity-like formations. AQP4-Ab was positive in six of eight patients tested, and all the seropositive patients showed lesions with increased diffusion, suggestive of vasogenic edema. Four patients met the revised criteria of NMO, and nine had features of NMOSDs. Of the remaining three patients showing only brain involvement, one had AQP4-Ab.</P><P><B>Conclusions</B></P><P>This study demonstrates that SS patients with recurrent CNS involvement have brain abnormalities characteristic of NMO and AQP4-Ab in Korea. The presence of AQP4-Ab in one SS patient with only brain involvement may suggest that the coexistence of NMO should be explored in SS patients with recurrent CNS manifestations, even without optic neuritis or myelitis.</P>
수술 및 진단적 복강경수술 450 예에 대한 임상적 고찰
류진희(JH Ryu),권용일(YI Kwon),박태철(TC Park),상미란(MR Sang),이근호(KH Lee),권동진(DJ Kwon),이진우(JW Lee),김수평(SP Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.7
Objective : Pelviscopic surgery has been reported to reduce inpatient hospital time and cost in addition to minimizing tissue damage and bleeding. To evaluate the efficacy of pelviscopic surgery in gynecologic patients, we reviewed and analyzed 450 cases of operative and diagnostic pelviscopy from January, 1997 to December, 1998. Methods : From January, 1997 to December, 1998, total 450 patients were received laparoscopic surgery on dept. OBGY of Uijungbu St. Mary`s Hosp. We reviewed the chart and analyzed these cases about age, parity, diagnostic name, operation title, duration of hospitalization, side effect, operation time. Results : The results of this study were summarized as follows : 1. The average age of patients was 33.3 years old and the great incidence occurred in 26∼30 years group [28.4%]. 2. The average parity of patients was 1.07 . 3. The common indication were ovarian cyst[34.7%], myoma uteri [21.2%], ectopic pregnancy[13.6%], pelvic endometriosis[12.7%]. In diagnostic pelviscopy, the most common indication was infertility[43.2%] and ovarian cyst [40.4%] was the most common indication in operative pelviscopy. 4. The major types of operative pelviscopy were cystectomy, total laparoscopic hysterectomy[TLH], laparoscopy assisted vaginal hysterectomy[LAVH], salpingectomy,adnexectomy, electrocauterization. 5. The mean duration of hospitalization was 3.06 days. 6. The major complication of surgery were intestinal injury, postoperative paralytic ileus, bleeding at resection site, but, they were controlled without difficulty. Conclusion : Now, the use of pelviscopic surgery are increased in gynecologic surgery. Pelviscopic surgery is useful and recommended for the treatment of gynecologic disease, because this is safe and has many advantages.
김현찬,성문수,박호,조종희 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.3
제왕절개분만후 모성열성이환에 관여하는 위험요인을 조사하고자 최근 3년간(1983년 8월1986년 7월) 인제의과대학부속 부산백병원 산부인과에서 시행한 제절 508예의 임상기록을 조사하여 일련의 임상적상황과 열성이환과의 관계를 분석한바 다음과 같이 요약할 수 있었다. 1. 제절후 총열성이환의 빈도는 12.0%(61/508)이었다. 2. 응급, 일차, 초산, 조산의 제절, 빈혈 및 수혈, 파막시간의 연장, 분만진통이 있는 경우, 전신마취 등 각각의 경우에 제절후 모성열성이환율은 보다 높게 나타났으며, 위험요인이 중복되었을 경우(파막 및 진통시간의 연장) 열성이환의 위험은 더욱 증가되었다. 3. 위험요인(진통 및 파막)이 중복된 경우에 예방적 항생제를 사용하지 않고 제절한 경우에는 21.7%의 높은 열성이환율을 보였다. 4. 열성이환의 원인을 조사한바 자궁내막염(42.7%), 비뇨기감염(16.4%), 수술부위감염(16.4%), 불명열(13.0%), 정맥염(6.6%), 상기도감염(4.9%)의 순으로 나타났다. During a 3-year period, 508 women delivered of their infants by Cesarean section were analyzed to determine the type and rate of maternal febrile morbidity, and to identify risk factors which predispose to it. The overall febrile morbidity rate was 12.0 % and the most common one was endometritis (42.7 %), in order, wound infection and urinary tract infection (16.4 %, respectively), FUO (13.0 %), phlebitis (6.6 %), and URI (4.9 %). Significant factors that predispose to febrile morbidity were Cesarean section in case of emergency, primary, primigravida, preterm, prolonged duration of membrane rupture, and labor pain, anemia or transfusion, general anesthesia, respectively. Patient with combined risk factors (labor and membrane rupture) had and increased febrile morbidity (21.7 %). Based on these findings, the followings seem to be suggested; Attempt to reduce emergency operation, and emergency operation should be performed as soon as possible during delivery. Patient with multiple combination of risk factors may benefit from antibiotic prophylaxis.