자궁경을 이용한 자궁각임신 치료

김정식 ( Jeong Sig Kim ),남계현 ( Kye Hyun Nam ),이해혁 ( Hae Hyeog Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.12

Objective: The purpose of this study introduces a safe, effective method for treating cornual pregnancy. Methods: Between April 2005 and December 2008, seven patients with cornual pregnancy underwent hysteroscopic surgery at a minimally invasive surgery clinic. An 18F Foley catheter was inserted after dilating the cervix; then, the uterine cavity was irrigated with 300 mL of H2O2 solution to prevent excessive bleeding. The cornual gestation was removed by hysteroscopy without complications under ultrasonographic guidance. Results: The serum β-human chorionic gonadotropin levels were monitored postoperatively and decreased optimally in all patients. All tissues removed from the uterus were confirmed to be gestational products. The estimated blood loss was less than 30 mL. All patients were discharged on the first or second postoperative day. Conclusion: Hysteroscopic removal of a cornual pregnancy with H2O2 is very practical and safe.

자궁경수술로 성공적으로 치료된 점막하 낭성자궁선근종 2예

김남숙 ( Nam Sook Kim ),김주명 ( Joo Myung Kim ),김미라 ( Mi La Kim ),이시원 ( Si Won Lee ),주관영 ( Kwan Young Joo ),김혜선 ( Hye Sun Kim ),김희숙 ( Hy Sook Kim ),홍성란 ( Sung Ran Hong ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.2

Two women presented with history of vaginal bleeding and abnormal transvaginal ultrasound findings. Saline infusion sonohysterography was done for preoperative evaluation and this imaging study revealed centrally located uterine mass with internal cystic portion. Our initial impression was submucosal myoma with cystic degeneration and hysteroscopic removal of the mass was performed. During the procedure, dark brownish cystic fluid was drained. The excised submucosal mass was pathologically diagnosed as adenomyosis and clinically as submucosal adenomyotic cyst. Submucosal adenomyotic cyst should be part of the differential diagnosis of submucosal uterine masses with cystic portion. We report two cases of submucosal adenomyotic cyst successfully treated with hysteroscopic resection and brief review on this topic.

자궁경을 이용한 점막하 자궁근종 제거술의 예후

김경선 ( Kyoung Seon Kim ),오성택 ( Sung Tack Oh ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.6

Objective : To examine the outcome after operative resectoscopic resection of submucosal myomas in symptomatic women. Methods : Forty eight symptomatic women with submucosal myomas underwent operative resectoscopy for resection of the submucosal myomas. A few months after the myomectomy, I compared postoperaive status of the patients to preoperative status of the patients. Results : No operative or postoperative complications occurred and all patients were discharged within 4 days. The follow-up period was 11.12±6.44 months(mean±SD). The age of the patients was 37.69±9.22 years(mean±SD) at the time of the operation. Twelve women out of 16 conceived(pregnancy rate of 75%)and all of them subsequently delivered at term. Thirty two women(menorrhagia of 28 and backache of 4) had been rid of their chief complaints that they had suffered from preoperatively. Conclusion : The results of this study indicate that operative resectoscopy achieved a pregnancy rate 75%. These results suggest that operative resectoscopy is an effective procedure to resect submucosal myomas in infertile symptomatic women.

폐경 후 자궁 출혈에 대한 자궁경의 효과

신철화 ( Cheol Hwa Sin ),김수아 ( Soo Ah Kim ),기원석 ( Weon Suk Ki ),정효영 ( Hyo Young Jeoung ),송수영 ( Soo Young Song ),정혁 ( Hyuk Jung ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.9

골반경하 질식 자궁적출술전 자궁경술의 유용성에 대한 연구

김산 ( San Kim ),정혁 ( Hyuk Jung ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.6

Objective : Recent advances in laparoscopic surgery have allowed to substitute Laparoscopic Assisted Vaginal Hysterectomy for classical abdominal hysterectomy. The purpose of this study was to evaluate the effectiveness and the value of hysteroscopic proc

자궁내 유착에 대한 자궁경 유착박리술 후 생식능력에 영향을 미치는 요인: 수술 후 생존출산율

한우석 ( Woo Suk Han ),김민경 ( Min Kyoung Kim ),임승연 ( Seung Yeon Im ),박원일 ( Won I Park ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.10

Objective The purpose of this study is to assess the impact of various factors of hysteroscopic lysis of intrauterine adhesion on live-birth rate after surgery. Methods Medical records of 54 patients suffering from infertility or recurrent spontaneous abortion were retrospectively analyzed. The independent variables were degree of intrauterine adhesion, surgical technique, use of intrauterine Foley catheter, insertion of intrauterine device, and dose of postoperative estradiol. Multivariate analysis as well as univariate analysis was performed. Results Among the 54 patients, 17 patients gave live-birth. The degree of intrauterine adhesion was found to be a sole factor affecting the live-birth rate by univariate and multivariate analysis. The mechanical dissection with scissors had been resulted a higher live-birth rate against resectoscopic electrosurgery, but the difference was not statistically significant. Conclusion The degree of intrauterine adhesion is the most important factor affecting the live-birth. The uses of intrauterine Foley catheter, insertion of intrauterine device and dose of postoperative estradiol have little impact.

자궁경 수술 합병증의 빈도 및 안전성에 대한 고찰

박성환 ( Sung Hwan Park ),김형태 ( Hyung Tae Kim ),박훈량 ( Hoon Ryang Park ),고영훈 ( Young Hoon Ko ),김주원 ( Joo Won Kim ),김철 ( Chul Kim ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12

Objective : to evaluate the incidence of complications of hysteroscopic surgery. Methods : A total of 150 patients who was done by hysteroscopic surgery from February 1997 to February 2000 were retrospectively analyzed at Choon Hae Hospital, Pusan, Korea. We classified complications into 6 groups-infection, surgeon-related complication, distension-media related complication, energy source related complication, hemorrhage and others. Results : Overall complication rates were 6% (9 to 150). Surgeon-related complication rate was 1.3% (2 of 150), media-related complication rate was 0.7% (1 of 150), hemorrhage was 4% (6 of 150). And there's no complications of infection, energy-source related, or others. Conclusion : Hysteroscopy is a safe procedure if you know the complications of hysteroscopy & its mechanisms.

초음파상 계류 유산으로 오인된 낭성변성을 동반한 점막하 자궁근종의 자궁경 수술

신종승 ( Jong Seung Shin ),박원일 ( Won Il Park ),신소영 ( So Young Shin ),오선옥 ( Sun Ok Oh ),이진용 ( Jin Yong Lee ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.3

Imaging studies, notably ultrasound or MRI may aid in clinical evaluation. However, in some circumstances such imaging studies can be misleading. Here we are reporting with a brief review, an experienced case where uterine submucosal myoma with cystic deg

임신 초기 자궁내 장치의 자궁경 수술적 제거 후 성공적 분만 1 예

배유영 ( You Young Bae ),김호룡 ( Ho Ryong Kim ),김형호 ( Hyoung Ho Kim ),강용필 ( Yong Pil Kang ),선진규 ( Jin Gyu Sun ),기광수 ( Kwang Soo Kee ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.6

In the case of pregnancy complicated by intrauterine device, complications such as ectopic pregnancy, septic abortion, preterm delivery are increased significantly. Especially in relation to intrauterine pregnancy, IUD should be removed to prevent complication. But when the tail is missed, therapeutic abortion has been done as an alternative method conventionally. Recently we experienced a case of hysteroscopic removal of IUD complicated by intrauterine pregnancy of 9th week without any harm to the G -sac or embryo. And she delivered healthy girl weighing 2950 gm. So we report this case with the review of articles related.

자궁강 내 병변의 진단에서 식염수 주입 초음파 자궁조영술과 자궁경 검사의 비교 연구

이소명 ( So Myung Lee ),장유진 ( Eu Gene Chang ),박수영 ( Soo Young Park ),정광필 ( Kwang Pil Jeong ),조문경 ( Moon Kyoung Cho ),오성택 ( Sung Tack Oh ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.4

Objective: To compare the diagnostic accuracy and acceptability of saline infusion sonohysterography (SIS), and hysteroscopy for detecting intracavitary abnormalities in women with abnormal uterine bleeding. Methods: Seventy-eight patients with abnormal uterine bleeding were selected from the Department of Obstetrics and Gynecology in Chonnam University Hospital. The findings at SIS were compared with the hysteroscopic and histologic findings. The agreement of diagnosis between SIS and hysteroscopy was calculated. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated. Results: SIS had a sensitivity of 84% and a specificity of 85% for a diagnosis of endometrial polyp. Hysteroscopy had a sensitivity of 86% and a specificity of 96% for diagnosis of endometrial polyp. SIS had a sensitivity of 75% and a specificity of 86% for a diagnosis of submucosal myoma. Hysteroscopy had a sensitivity of 100% and a specificity 99% for a diagnosis of submucosal myoma. SIS had a sensitivity of 91% and a specificity of 96% for a diagnosis of submucosal myoma. Hysteroscopy had a sensitivity of 100% and a specificity 91% for a diagnosis of endometrial hyperplasia. Conclusions: The diagnostic accuracy of SIS was significant to that of hysteroscopy in diagnosing intracavitary abnormalities, Moreover, SIS in a safe, convenient, cost effective, easily accessible and acceptable investigative modality.