• Title/Summary/Keyword: 적출술

Search Result 294, Processing Time 0.021 seconds

A Clinical Study of Uterine Myoma Cases For Total Abdominal Hysterectomy(TAH) (자궁근종에 의한 전자궁적출술 적응증 환자의 보존적 한방치료 증례)

  • Jung, Min-Yung;Sohn, Young-Joo
    • The Journal of Korean Obstetrics and Gynecology
    • /
    • v.19 no.4
    • /
    • pp.256-268
    • /
    • 2006
  • Purpose : The purpose of this study was to investigate the clinical application of Traditional Korean Medicine(TKM) treatment to uterine myoma for TAH. Methods : Two patients were diagonosed as uterine myoma for TAH in other Obstetrics & Gynecology hospital. They were treated by herbal medicine with each diagonosis in our hospital, and the first case was also treated by acupuncture, moxibustion and herbal acupuncture. Results : After TKM, the uterine myoma size of the first case was reduced($12.2^{\ast}7.3cm{\to}9^{\ast}7cm$) significantly. And all the symptom of uterine myoma, Gonadotropin-releasing hormone(Gn-RH)'s side effects were improved. The metrorrhagia of the second case was stopped, and was not repeated during six month. The second symptoms of metrorrhagia were improved. So, the two cases don't need to have a TAH. Conclusion : The results indicate that TKM can be effective for the management of uterine myoma for TAH without operation. Further study will be investigated in TKM for healing uterine myoma for TAH completely.

  • PDF

A case of pelvic paragonimiasis combined with myoma uteri and pelvic inflammatory disease (자궁근종과 골반염에 동반된 골반내 폐흡충증 1례)

  • 이연희;박은희
    • Parasites, Hosts and Diseases
    • /
    • v.31 no.3
    • /
    • pp.295-297
    • /
    • 1993
  • Pcrosonimr westermani is a lung fluke of humans that Is usually found in the lunes but may be fecund elsewhere in many unusual locations. A case of pelvic paragonimiasis was found incidentally by surgical intervention of inamatov disease and myoma uteri. She was a 51-year-old Korean woman complaining of lower abdominal pain and intermittent vaginal spotting. Numerous Porosonimus ova were observed in the reseated omentum in the pelvis after total abdominal hysterectomy. It is suggested that pelvic paragonimiasis may be one of causative agents of pelvic inflammatory disease.

  • PDF

Angiosarcoma in a Chronically Lymphedematous Leg - Stewart-Treves Syndrome - (하지의 만성 림프부종에 발생한 혈관육종 - Stewart-Treves 증후군 -)

  • Chun, Young-Soo;Shim, Hee-Seok
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.15 no.2
    • /
    • pp.178-183
    • /
    • 2009
  • Angiosarcoma is a very rare disease of soft tissue sarcoma, and angiosarcoma arising in a region of chronic lymphedema is referred to as Stewart-Treves syndrome. it typically occurs in postmastectomy lymphedema of the arm and sporadically in a lymphedematous leg. The prognosis, even with wide surgical excision and subsequent radiotherapy, is poor. The authors experienced a case of angiosarcoma in a chronically lymphedematous leg which had undergone hysterectomy due to cervical cancer 17 years ago and lymphedema of leg persists for about 16 years. We report a case of angiosarcoma with a brief review of the literature.

  • PDF

A Case of Multilocular Cystic Nephroma in Childhood (소아 다방성 낭포성 신종 1례)

  • Choi Min Sook;Lee Young-Mock;Kim Ji Hong;Kim Pyung Kil;Jeong Hyeon Joo;Kim Myung Joon
    • Childhood Kidney Diseases
    • /
    • v.5 no.2
    • /
    • pp.225-230
    • /
    • 2001
  • Multilocular cystic nephroma is a rare disease, noninherited benign renal neoplasm occurring in both children and adults. It is necessary to make a differential diagnosis from all renal diseases with a cystic component, such as Wilms tumor, harmatoma or polycystic dysplastic kidney in childhood. There are about only 200 case reports in the world since Walter Edmunds had described it first. We report a case of multilocular cystic nephroma presented with painless abdominal mass, treated with nephrectomy and confirmed with pathology. (J. Korean Soc Pediatr Nephrol 2001 ;5 : 219-24)

  • PDF

A Case of Cerebral Sparganosis Operated by BRW Stereotaxic System (BRW Stereotaxic System을 이용한 뇌실질내 Sparganosis의 정위적 수술 치험례)

  • Kim, Soong-Ha;Baek, Seung-Chan;Ihm, Jowa-Hyuk;Kim, Oh-Lyong;Chi, Yong-Chul;Chai, Byung-Yearn;Cho, Soo-Ho
    • Journal of Yeungnam Medical Science
    • /
    • v.5 no.1
    • /
    • pp.141-145
    • /
    • 1988
  • A patient of cerebral sparganosis is reported : The patient, a 47-year-old female complained of frequent seizures and headache. The disease was involved on right frontal lobe, and the lesion was successfully removed by BRW stereotaxic system. The characteristic features of sparganosis are reviewed.

  • PDF

Emphysematous Pyelonephritis: A Case Report and Review of the Literature (당뇨병 환자에서 발생한 기종성 신우신염 1례)

  • Yoon, Hyun-Dae;Won, Kyu-Chang;Lee, Chan-Woo;Jo, In-Ho;Lee, Hyung-Woo;Yoon, Kyung-Woo;Lee, Heun-Ju;Lee, Hyun-Woo;Cho, Cheol-Kyu;Kim, Young-Soo
    • Journal of Yeungnam Medical Science
    • /
    • v.10 no.2
    • /
    • pp.537-543
    • /
    • 1993
  • Emphysematous pyelonephritis is a necrotizing renal infections characterized by intrarenal and occasional perirenal gas production. Although uncommon (89 cases in the literature), it occurs almost exclusively in diabetic patients (87% of the cases). Prompt and aggressive management is required to salvage these patients. We describe a recent case of a diabetic woman with emphysematous pyelonephritis due to E. Coli, successfully managed with unilateral nephrectomy.

  • PDF

Geographic Variations in Tonsillectomy and Adenoidectomy (T&A) and Appendectomy in Korea (편도적출술 및 아데노이드제거술과 충수절제술의 지역별 변이)

  • Lee, Hong-Ki;Moon, Ok-Ryun;Lee, Key-Hyo
    • Journal of Preventive Medicine and Public Health
    • /
    • v.26 no.3 s.43
    • /
    • pp.430-441
    • /
    • 1993
  • The objectives of this study are two-fold : to identify geographic variations in the rate of tonsillectomy and adenoidectomy (T&A) and appendectomy and analyze the socioeconomic variables and health resources which affect geographic variation in the rate. The nationwide three month's cases of the two surgical procedures in 1991 are obtained from the record of the National Federation of Medical Insurance. The analysis shows two to ten-fold variations in the regional rates for the performance of two common procedures such as T&A and appendectomy. T&A shows a bigger regional variations than appendectomy. As a result of multiple regression, the factor of bed supply has been found significant for the dependent variable of the rate of T&A. The finding of large variations in the rate of surgical procedures throughout the country would have important implications for allocating scarce resources and managing quality of care. Further analysis is needed for the elaboration of the above implications.

  • PDF

Supraglottic Subtotal Laryngectomy (성문상역 부분후두적출술)

  • Kim Kwang-Moon;Jang Gyun;Chun Young-Myung;Kim Gwi-Eon
    • Korean Journal of Head & Neck Oncology
    • /
    • v.3 no.1
    • /
    • pp.71-78
    • /
    • 1987
  • The supraglottic subtotal laryngectomy represents a conservation laryngeal procedure in which the upper portion of the larynx is removed without sacrificing the normal functions of the remaining larynx. The basis for this procedure rests in the embryologic derivation and consequent anatomic compartmentalization of the larynx and its lymphatics, which limit tumor spread. This procedure is performed for carcinoma involving the epiglottis and false cords, and can be extended to include carcinomas of the aryepiglottic fold and the anterior and lateral walls of the pyriform sinus and selected lesions involving the vallecula and base of the tongue. Recently the authors has experienced 4 cases of supraglottic cancer, which were performed supraglottic subtotal laryngectomy. One of which was died because of local recurrence, and the remaining cases were successful with satisfactory rehabilitation without local recurrence and impairment of voice and swallowing.

  • PDF

Postoperative Phonetic Evaluation of Two Cases of Verrucous Carcinoma of the Larynx after Partial Laryngectomy with False Vocal Cord Advancement Flap (후두 우상암에서 후두 부분적출술 및 가성대 전진피판에 의한 성대 재건술 전후의 음성변화 : 2례)

  • 정성민;장주애;김윤정
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.9 no.1
    • /
    • pp.86-90
    • /
    • 1998
  • Verrucous carcinoma is a variant of highly differentiated squamous cell carcinoma and has a predilection for the oral cavity and larynx. It is known to be of good prognosis due to its low regional and distant metastatic potential. Peak incidence is at ages 40-69 while predominantly occuring in males and its association with tobacco smoking has been implicated. The verrucous carcinoma have accordingly been treated by radiotherapy or surgical procedures but there has been considerable controversy regarding the effect of radiotherapy due to the possibility of anaplastic transformation Laser surgery and partial resection are among the commonly used surgical procedures but laser surgery has not yet shown results in improving phonetic abilities. Authors experienced two cases of verrucous carcinoma of the larynx treated by partial laryngectomy and false vocal cord advancement flap who showed no recurrence of disease under stroboscopic examination after two year follow up and when compared to preoperative aerodynamic studies, the expiratory air pressure was decreased and mean air flow rate increased which improved glottal efficiency markedly.

  • PDF

A RESULT OF VOICE PRESERVATION FOLLOWING TREATMENT OF LARYNGEAL CANCER (후두암 치료후 음성보존의 성적)

  • 김형태;김형주;김민식;조승호;서병도
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1991.06a
    • /
    • pp.29-29
    • /
    • 1991
  • 후두암의 치료는 병변의 위치, 크기 등에 따라 치료방법이 다양하고 그 예후 또한 상이하다. 일반적으로 초기 후두암에서는 수술이나 방사선 요법이 비슷한 치료결과를 보이고, 진행된 후두암에서는 수술적 치료가 더 좋은 예후를 나타내는 것으로 알려져 있으나 발성장애를 초래하는 경우가 대부분이다. 저자들은 1986년부터 1990년까지 5년간 강남성모병원에서 후두암치료를 받았던 환자 81명을 대상으로 치료방법에 따른 음성보존 성적을 분석하였다. 1. T1 성대암 환자 18명중 16명 (88.9%)에서 방사선치료 또는 수술로써 음성을 보존할 수 있었다. 2. T2 후두암 환자 11명중 6명은 수술후 음성보존이 가능하였다. 3. 진행암환자 (T3, T4) 50명중 33명에 대해 수술을 시행하였고 이중 16명(48.5%)은 후두부분 또는 근전적출술 및 기관-식도 누공술에 의해 음성기능을 보존할 수 있었다. 4. 진행암환자에서 유도화학요법과 방사선치료의 병용요법만을 받은 17명 모두 6개월 이내에 재발하였고, 수술 혹은 수술과 방사선 치료를 병용한 33명중 27명이 최소한 6개월 이상 평균 2년 이상의 무병상태였다. 5. 후두부분 또는 근전적출술은 총 81명중 28명에서 시행되었고 그중 5명 (17.9%)에서 재발하였다.

  • PDF