• 제목/요약/키워드: Ovarian Cyst

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만성 골반통 여성의 한의학적 치료에 관한 국내 임상 연구 고찰 (A Review of the Clinical Study on Korean Medicine Treatment for Women with Chronic Pelvic Pain)

  • 문혜연;이윤재;소민지;유옥철;최성률
    • 대한한방부인과학회지
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    • 제31권3호
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    • pp.50-60
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    • 2018
  • Objectives: The purpose of this study was to investigate the treatment methods of chronic pelvic pain, which have no definite treatment methods, and to provide basic data on clinical trials and clinical practical guideline in Korean Medicine related to chronic pelvic pain. Methods: The key words such as 'pelvic pain', 'pelycalgia' are used for the research through 'OASIS, KTKP, RISS, DBpia, KISS'. Total 6 studies were analyzed. Results: 6 studies were chronic pelvic pain case reports. Case reports 6 studies covered a total of 11 cases. Of these, 4 cases related to adenomyosis, 3 cases of endometriosis, and 2 cases of ovarian cyst. However, there were many cases in which the causative disease was not clear. In addition, the majority of the studies reported on the progress of hospitalization, and all studies used herbal medicine, acupuncture and moxibustion. The duration of treatment ranged from 5 to 30 days for hospitalization and 5 months for outpatient treatment. The most commonly used meridian is Conception Vessel (任脈), and SP6 (三陰交) was the most frequently used acupuncture treatment. The herbal medicine Banchong-san (蟠蔥散) was generally prescribed. Conclusions: The effect on treatment of Korean Medicine for chronic pelvic pain had mostly positive results. However, the number of searched studies, which are insufficient for design or analysis of study, is very limited. We hope that this study will be useful for further clinical studies of chronic pelvic pain.

임신유우(姙娠乳牛)의 혈청중(血淸中) Vitamin E 농도(濃度) (Serum Vitamin E Levels in Pregnant Dairy Cows)

  • 용만중
    • 대한수의학회지
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    • 제14권2호
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    • pp.201-205
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    • 1974
  • Blood serum from 30 pregnant cows, 6 non-Pregnant cows (one month after delivery), 6 sterile cows (ovarian cyst), and 6 heifers (16 months old) were analyzed for total vitamin E concentration by the ferric chloride-bipyridyl reaction. The pregnant group was determined periodically throughout pregnancy. The results obtained were as follows: 1. The mean value of serum vitamin E level in pregnant group was $0.651{\pm}0.068(SE)mg/100ml$, in non-pregnant group $0.647{\pm}0.119(SE)mg/100ml$, in sterile group $0.488{\pm}0.053(SE)mg/100ml$, and in heifer group $0.083{\pm}0.016(SE)mg/100ml$. Samples below 0.19mg/100ml were net observed and most of the pregnants (83.3%) showed the values of 0.40 to 0.99mg/100ml during pregnancy 2. The difference of vitamin E level between pregnant group and non-pregnant group was net significant, but these trio groups showed a significantly higher value than that of sterile group. On the other hand, in heifer group was recognized significantly lower value compared with adult groups. 3. The change of serum vitamin E level in pregnant group revealed the tendency of decrease as gestation progresses and significantly dropped at the eighth month, thereafter, the value was rose slightly at the tenth month of gestation but no differences were observed. The coefficient of correlation between months and serum vitamin E levels during pregnancy was r=-0.956(p<0.01), and a regression equation was Y (serum vitamin E levels, mg/100ml)=1.034-0.063x(month).

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한우에서FSH-P와SUPER-OV에 의한 체내 수정란 생산에 관한 연구 II.계절 및 채란일에 따른 체내 수정란 생산에 영향을 미치는 요인 (Studies on In Vivo Embryo Production by FSH-P and SUPER-OV in Korean Native Cattle III. The Factors Influencing In Vivo Embryo Production on Days and Seasons of Flushing)

  • 김흥률;김덕임;박철진;김창근;정영채;이종완
    • 한국수정란이식학회지
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    • 제12권1호
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    • pp.57-66
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    • 1997
  • This study was carried out to establish an effective and practical system for commercialization of embryo production techniques by analyzing several factors influencing in vivo embryo production on days and seasons of flushing in Korean native cattle. In vivo embryos were flushed 226 times from 128 donors. The results obtained for the factors influencing in vivo embryo production on days and seasons of flushing were as follows :1.The percentages of fertilized, transferable and freezable embryos by seasons were significantly different in both FSR-P and SUPER-OV(P<0.01). The percentages of them were highest in sunrrner with FS H-P and highest in autumn with SUPER -OV.2. The production of transferable and freezable embryos by flushing days was highest in 8 days with FSH-P, and there was no difference between 7 and 8 days for SUP ER-OV. 3. The failure rates of recovery were 17.0% in SUPER-OV and 21.2% in FSH-P, respectively. The donors superovulated but failed recovery were 8.5% in SUPER-OV and 12.9% in FSH-P, respectively. Nonsuperovulated donors was 8.4% and donors giving less than 2 eggs at recovery was 8.4% in both FSH -P and SUPER-OV 4. The donors returned to normal estrus after superovulation were 34.1% after 1 cycle,39.4% after 2 cycles, and 16.7% after 3 cycles by FSH-P, respectively. For SUPER-OV, they were 55.3, 33.0 and 9.6%, respectively. Generally, normal estrus after the treatment of superovulation was earlier and the occurrence of ovarian cyst was also lower in SUP ER-OV than in FSH-P.5.The percentages of blastocyst in embryos flushed at 7~8 days after estrus were 21. 9% and 54.3% in FSH -P and SUPER-OV, respectively. The development of embryos was faster in SUPER-OV than in FSH-P.(Key words : in vivo embryo, flushing days, superovulation, FSH-P, SUPER-OV)

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Delayed postpartum regression of theca lutein cysts with maternal virilization: A case report

  • Kim, Sanghwa;Lee, Inha;Park, Eunhyang;Rhee, Yeo Jin;Kim, Kyeongmin;Aljassim, Aminah Ibrahim;Park, Joo Hyun;Lee, Jae Hoon;Yun, Bo Hyon;Seo, Seok Kyo;Cho, Sihyun;Choi, Young Sik;Lee, Byung Seok
    • Clinical and Experimental Reproductive Medicine
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    • 제48권4호
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    • pp.380-384
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    • 2021
  • Theca lutein cysts are rare, benign lesions responsible for gross cystic enlargement of both ovaries during pregnancy. This condition is also termed hyperreactio luteinalis. Elevated human chorionic gonadotropin (hCG) levels or states of hCG hypersensitivity seem to promote these changes, which in up to 30% of patients produce clinical signs of hyperandrogenism. Given the self-limiting course of theca lutein cysts, which are subject to spontaneous postpartum resolution, conservative treatment is the mainstay of patient management. Described herein is a rare case of theca lutein cysts with maternal virilization that failed to regress by 9 months after childbirth. Surgical intervention was eventually undertaken, necessitated by adnexal torsion.

조피볼락의 생식주기 (Reproductive Cycle of a Rockfish, Sebastes schlegeli)

  • 백재민;한창희;김대중;박철원;회전귀미
    • 한국수산과학회지
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    • 제33권5호
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    • pp.431-438
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    • 2000
  • 본 실험은 조피볼락 (Sebastes schlegeli)의 생식년주기와 생식주기에 따른 sex steroid hormone들의 계절적인 변화를 밝히기 위하여 GSI와 HSI의 연간 변동과 생식소 조직학적인 연간 변화와 sex steroid hormone ($estradiol-l7{\beta}, 17{\alpha}, 20{\beta}-dihydroxy-4-pregnen-3-one, testosterone$, 그리고 $11-ketotestosterone$)의 혈중 수준의 연간 변화를 조사하였다. 암컷의 생식주기는 다음과 같이 5단계로 구분할 수 있었다: 1) 회복기 (6월${\~}$9월): 혈중 $estradiol-l7{\beta}$의 수준이 점차 증가 하였다. 2) 난황형성기 (9월~2월): 난모세포의 난황 형성이 관찰되며, GSI 값과 혈중 $estradiol-l7{\beta}$수준이 증가하였다; 3) 임신기 (2월${\~}$4월): 난소내에 발생중인 자어가 관찰되며, 2월에서 3월에 이르러 혈중 $17{\alpha}, 20{\beta}-dihydroxy-4-pregnen-3-one$와 testosterone의 수준이 증가하였다: 4) 출산기 ($4{\~}5$월): GSI 값이 급격히 감소하면서 난소내에는 자어들의 출산된 흔적이 보였다: 5) 휴지기 ($5월$${\~}$7월) GSI값과 혈중 steroid hormone의 수준이 낮은 값을 유지하였다. 수컷의 생식년주기는 6단계로 나눌 수 있었다: 1) 정자형성 초기(4월${\~}$6월): GSI의 값과 혈중 steroid hormone의 수준이 점진적으로 증가하였으며, 정원세포의 포낭이 수가 증가하고 일부의 정모세포의 포낭들도 관찰되었다; 2) 정자형성 중기 (6월${\~}$9월): GSI의 값과 혈중 steroid hormone의 수준이 증가하고 많은 포낭내의 생식세포들이 활발하게 정자형성을 하고 있었다: 3) 정자형성기 후기 (9월${\~}$11월): GSI와 steroid hormone의 수준이 높은 값을 유지하고 있었으며, 정자들이 정세관 내강으로 방출되었다; 4) 정자 방출기 (11월${\~}$12월): 전세관의 내강이 확장되고 이 내강내에는 성숙된 정자들로 가득차 있었다: 5) 퇴화기 (12월${\~}$2월): GSI의 값이 점차로 감소하면서 정모세포의 포낭수도 점차로 감소하였다: 6) 휴지기 (2월${\~}$4월): 정소조직의 변화는 보이지 않았으며, GSI와 steroid hormone의 수준이 낮은 값을 유지하였다. 11월에 정소들의 정세관 내강에 성숙된 정자들로 가득차 있었고 난소내강에 정자괴들이 관찰되는 것으로 보아 이종의 교미시기는 11월과 12월사이라고 할 수 있다.

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감성돔, Acanthopagrus schlegeli (Bleeker)의 성분화 (Sex Differentiation of the Black Sea Bream, Acanthopagrus schlegeli (Bleeker))

  • 이영돈;강법세;이정재
    • 한국어류학회지
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    • 제6권2호
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    • pp.237-243
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    • 1994
  • 감성돔을 대상으로 부화직후에서 양성생식소단계에 이르기까지 성분화과정을 규명하기 위해 시원생식세포의 출현과 원시생식소의 형성 그리고 자웅 성분화과정을 조직학적으로 조사하였다. 1. 시원생식세포 (primordial germ cell) 는 부화후 3 일 전장 2.4 mm된 전기 자어의 장관과 척색사이 체벽중배엽상피 위에서 크기 $6.8{\sim}7.2\;{\mu}m$인 3~4개의 세포가 섬유성 간충직에 묻혀 식별되었다. 2. 부화후 21일 전장 6.4 mm 개체에서, 색소세포가 다소 집착된 복막체강상피에 생식원세포(proto-gonial cell)가 위치한다. 3. 부화후 59일 전장 20.8 mm 개체에서, 섬유성 간충직으로 선상의 원시생식소를 따라 생식원세 포들은 후복막쪽으로 이동한다. 4. 부화후 186일 전장 7.8 cm 개체에서, 섬유질이 풍부하고 호산성 과립세포가 다수 분포하는 선상의 원시생식소에 유사분열중인 생식원세포들이 나타나고 있다. 5. 부화후 254일 전장 9.5 cm 개체에서, 섬유질이 풍부한 생식소내에 정모세포, 정세포 무리들이 나타나고 있다. 6. 부화후 13개월 전장 10.5 cm 개체에서, 생식소는 피층과 수층으로 구분된다. 피층에는 소수의 정모세포 무리들과 원생식세포 무리들이 나타나고, 수층에는 섬유질이 풍부한 간충직 조직과 소수의 원생식세포들이 드문드문 분포하고 있다. 7. 부화후 16개월 전장 14.7 cm 개체에서, 생식소는 섬유성 결합조직에 의해 정소부위와 난소부위로 구분되며, 정소부위에는 포낭내에 정원세포들이 분포하고, 난소부위에는 난소강과 주변인기 난모세포들로 구성된다.

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개 비유선 및 비피부 유래 종양의 발생현황분석(2003-2006) (Retrospective Analysis of Canine Tumors(non-mammary and non-cutaneous) in Korea(2003-2006))

  • 배일홍;강민수;지향;유미현;윤진원;김형진;김대용
    • 한국임상수의학회지
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    • 제24권4호
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    • pp.542-549
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    • 2007
  • During a designated period(Jan. 2003$\sim$Jun. 2006), a total of 2,051 biopsy and necropsy cases submitted to Veterinary Medical Teaching Hospital of Seoul National University and local practitioners were diagnosed as canine tumors based on microscopic evaluation in the Department of Veterinary Pathology, College of Veterinary Medicine, Seoul National University. Four hundred and twenty of 2,051 tumor specimens excluding mammary(883, 43.1%) and cutaneous(748, 36.5%) tumors were included in this retrospective study. They were composed of genital tumors(189, 45.0%) followed by alimentary(113, 26.9%), hematopoietic(52, 12.4%), urinary(20, 4.8%), bone & joint(15, 3.6%), ocular & otic(9, 2.1%), respiratory(6, 1.4%), endocrine(6, 1.4%), and miscellaneous(10, 2.4%). Particular top ten tumor most frequently diagnosed were seminoma(48, 11.4%) followed by fibrous epulis(38, 9.0%), lymphoma(38, 9.0%), leiomyoma(33, 7.9%), fibroma(26, 6.2%), ovarian cyst(19, 4.5%), melanoma(15, 3.6%), papilloma(14, 3.3%), cystic endometrial hyperplasia(13, 3.1%), granulosa cell tumor(13, 3.1%) in descending order comprising 257(61.2%). The affected age of the animals with ten frequent tumors ranged from 3 months to 17 years old with a mean of 9.2 years old(n=218). There were no significant sex prevalence except female leiomyoma. The top seven anatomical sites of tumors inclusive were gingiva(62, 14.8%), testis(61, 14.5%), ovary(48, 11.4%), vagina(40, 9.5%), uterus(36, 8.6%), lymph node(30, 7.1%), and spleen(21, 5.0%).

부인과(婦人科) 냉증환자(冷症患者)의 변증유형(辨證類型)과 사상체질(四象體質)과의 관계에 대한 소고(小考) (Study for Relationship between the Type of Differentiation of Symptoms and Signs of Oriental Gynecology and Sasang Constitution (In the Field of the Patiehts who chiefly complained Feeling of Cold))

  • 이인선;김종원;이상훈
    • 사상체질의학회지
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    • 제9권2호
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    • pp.263-281
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    • 1997
  • We studied the relationship between each type which was figured out by the question paper given to the patients who chiefly complained feeling of cold and Sasang constitution. The results are as follows. 1. Diagnoses in woman's disease with feeling of cold(冷病) are abdomnal mass(uterine myoma, ovarian cyst), dysmenorrhea, leukorrhea and infertility, orderly in number. They have commoness in the origin of disease which are stagnation of Qi(氣滯) and blood stasis(血瘀), cold(寒), damp(濕) and we can find the causes of feeling of cold are stagnation of blood(血瘀) and harmness of damp(水毒). 2. In the type of survey through the question paper, the largest number of the origin of that disease is cold, the next is blood stasis and dificiency of Qi(氣虛), dificiency of blood(血虛), stagnation of Qi, damp phlegm(濕痰) etc. 3. (1)The numbers by constitutional assortment of object are like this. Taeumin are 23 persons,Soumin 14 and Soyangin 6, so we can find the feeling of cold turn up evenly in all constitution but the number of Soyangin was relatively small. (2)The inclination of constitutional type is the highest in Soumin and they often have and feel strongly disorders of their body. (3)We could find the corelation of theoretical background of Sasang Medicine in constitutional type of survey. 4. (1)The numbers by constitutional assortment of the patients with feeling of cold and numbness(冷痺症) are like this. Taeumin are 16 persons, Soumin 7 and Soyangin 3, as are like the distribution of 3-(1). (2)The inclination of constitutional type is the highest Soumin, so they have multiple type of differentiation of symptoms and signs and their symptoms is old and severe, therefore they need long time for cure. In all, except the symptom with feeling of cold caused by dificiency of the blood and insufficiency of yang(氣虛와 陽虛) that we meet frequently on clinic is numerous, the number of that caused by stagnation of Qi and blood(氣滯와 血滯) alike dysautonomia is also large. And we can find the feeling of cold turn up evenly in all constitution but the number of Soyangin was relatively small. Within the case of Soumin, they have both dificiency of Qi and blood, have complex source, so their symptoms are old and severe and they need long time for cure. In Taeumin, they are of large number with dificiency of Qi and we think thst that are concerned with the symptom of exterior cold.

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소아복부 종괴의 방사선학적 고찰 (Radiologic Evaluation of Intraabdomenal Masses in Childhood)

  • 권혁포;변우목;황미수;김선용;장재천;박복환
    • Journal of Yeungnam Medical Science
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    • 제5권1호
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    • pp.33-42
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    • 1988
  • 최근 5년간의 소아의 복부종괴 23예를 발생빈도, 부위 및 방사선학적 소견을 중심으로 비교분석하여 다음과 같은 결론을 얻었다. 1. 전체 23예중 신경아세포종이 6예로 가장 많았고 그 다음이 Wilms 종양 5예, 담도낭종, 난소종양, 수신종 등의 순위였다. 2. 발생연령별로 분석해 본 결과 6세 이하가 78%(14예)를 차지했고 특히 후복강 종양은 6세 이하에 집중되어 있었다. 3. 부위별로는 후복강 종양이 60%(14예)로 가장 많았다. 4. 방사선학적 소견을 분석하여 본 결과 1) 단순 복부촬영상 신경아세포종의 50%에서 특징적인 석회와 음영을 볼 수 있었고 후복강 종양의 대부분에서 비특이적인 석회화 음영을 볼 수 있었다. 2) 초음파 소견상 저에코, 고에코 또는 혼합에코 등의 종괴 내부성상을 알 수 있었으나 종괴의 정확한 해부학적 위치를 파악할 수 없는 경우가 많았다. 3) 경정맥 신우 조영촬영상 신우신배의 비정상적인 소견과 신장의 전위 소견으로부터 신장내 종양과 신장의 다른 부위의 종양을 구분할 수 있었다. 4) 전산화 단층촬영상 종괴 내부의 성상뿐만 아니라 종괴의 해부학적인 위치, 주위 구조와의 관계, 임파절이나 다른 부위로의 전이유무를 알 수 있었다.

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도살빈우의 번식장애사례 조사연구 (Investigational Studies on Reproductive Failures of Slaughtered Cows)

  • 이용빈;임경순
    • 한국가축번식학회지
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    • 제6권1호
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    • pp.19-30
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    • 1982
  • 1. The cows slaughtered at age of 3, 4, 6, 7, 8, and 9 years old were 1.5, 1.5, 15.0, 62.5 and 4.4% respectively. 2. The cows slaughtered at 351-450kg and more than 500kg were 60 and 28% respectively. 3. Best, very good, good and bad cows in nutritional condition were 1.6, 25.8, 62.9, and 9.7% respectively. Among the six cows which were bad nutrition, the two were with severe endometritis, the three were normal in genital function and one was on 70 days of pregnancy. 4. Holstein cows(55.2%) showed higher reproductive failure than the Korean cows(33.3%). 5. The slaughted ratio of the Korean cattle and Holstein cows was 36 and 64% respectively. 6. Pregnant cows were about 16% among the slaughtered one. 7. Reproductive failures were composed of 46% in uterus, 32% in ovaries, 8% in udder, 6% in oviduct, 4% in cervix of uterine, 2% in vagina and 2% inmummified fetus. 8. Forty six percentages of uterine diseases were as follows; horn, 13%, body of uterus, 32% and ovary diseases were 32%, that is, 12% of ovary atrophy, 8% of ovarycyst and 6% of lutealcyst. 9. The cows of reproductive failures were commonly infected with 1.6 kinds of diseases. 10. According to classification, six type of ovaries were as follows; normal, 58%, ovary-cyst, 11%, luteum cyst, 4%, coexistence of follicles and corpus luteum, 16%, weak function of ovaries, 10% and ovarian atrophy, 1%. 11. Major axis, minor axis and thickness of right ovary were larger than those of left one both in Korean cattle and Holstein cows. Holstein cow had generally larger size of ovary than these of the Korean cattle.. 12. The left and right oviducts showed no difference in length, but Holstein had longer oviduct than Korean cow. 13. There was no difference in the length of uterine horn between right and left in the Korean cows, but the right was longer than the left in Holstein cows. 14. Holstein had longer horn and body of uterine than the Korean cows. 15. The weight of right ovary was heavier than that of left in both breeds, but there was no differences in weight of left ovary between two breeds and right ovary of Holstein breed was heavier than that of the Korean cow. 16. The weight of right oviduct and uterine born was heavier than that of the left, and Holstein had heavier oviducts and uterine horns than the Korean cows. 17. Holstein had heavier uterine body and cervix of uterine than the Korean cows. 18. The length of reproductive systems of Korean cow is as follows; Major and minor diameter and thickness ofovary are 3.6${\pm}$0.7, 2.3${\pm}$0.4 and 1.6${\pm}$1.4 cm in left and 3.7${\pm}$0.6, 2.5${\pm}$0.5 and 1.8${\pm}$0.5 cm in right. Oviduct is 28.4${\pm}$3.1 cm in left and 27.8${\pm}$3.3 cm in right. Uterine horn is 27.4${\pm}$4.5 cm in left and 27.7${\pm}$4.9 cm in right. Uterine body and cervix are 3.4${\pm}$1.1 and 6.5${\pm}$1.7 cm. 19. The length of female reproductive systems ofHolstein cow is as follows; Major and minor diameter and thickness of ovary are 3.9${\pm}$1.3, 2.3${\pm}$0.5, and 1.5${\pm}$0.6 cm in left and 4.0${\pm}$0.8, 2.8${\pm}$0.6 and 1.8${\pm}$0.6 cm in right. Oviduct is 29.4${\pm}$4.2 cm in left and 29.3${\pm}$4.1 cm in right. Uterine horn is 30.2${\pm}$7.4 cm in left and 32.6${\pm}$8.4 cm in right. Uterine body and cervix are 4.5${\pm}$2.5 and 7.8${\pm}$2.9 cm. 20. The weight of reproductive systems of Korean cow is as follows; Ovary is 8.4${\pm}$4.1 g in left and 9.3${\pm}$3.6g in right. Oviduct is 1.5${\pm}$0.5 g in left and 1.6${\pm}$0.5 g in right. Uterine horn is 109${\pm}$27 g left and 118${\pm}$32 g in right. Uterine body and cervix are 30.4${\pm}$14.1 and 76.7${\pm}$38.4g. 21. The weight of reproductive systems of Holstein cow is as follows; Ovary is 8.2${\pm}$3.1 g in left and 12.5${\pm}$5.6 g in right. Oviduct is 1.7${\pm}$0.6 g in left and 1.9${\pm}$0.9 g in right. Uterine horn is 199${\pm}$14.2 g in left and 221${\pm}$111.2g in right. Uterine body and cervix are 58.2${\pm}$46.5 and 126.7${\pm}$103.3 g.

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