• 제목/요약/키워드: Uterus myoma

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자궁근종과 병기점수간의 연관성분석 (A Study on the Oriental Symptom Scores of Uterus Myoma)

  • 김규곤;강창완;이인선
    • 한국데이터정보과학회:학술대회논문집
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    • 한국데이터정보과학회 2006년도 PROCEEDINGS OF JOINT CONFERENCEOF KDISS AND KDAS
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    • pp.235-240
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    • 2006
  • 자궁근종은 부인과 질환 중 자궁 및 여성 골반내에서 발생하는 양성종양 중 발생빈도가 가장 높은 것으로 특히 30세이후에 발생빈도가 높아지는 질환으로 알려져 있다. 최근, D대학 한방부인과에서는 실제 자궁근종환자가 가지고 있는 증상에 대한 분석을 수행한 바 있으며, 이를 좀더 발전시켜 자궁근종 증상지표를 개발하는 연구를 시행하였다. 본 연구에서는 자궁근종 발생여부와 환자들이 가지고 있는 병기 점수간의 연관성을 파악하여 자궁근종과 관련되는 주 병기 변수를 확인함으로써 이를 통한 자궁질환 연구에 기초를 제시하고자 한다.

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자궁근종 원인에 대한 DSOM 변수의 연관성분석 - 대조군 : 임상시험 피시험자 - (A Study on Association of DSOM Symptom Scores for Uterus Myoma in Oriental Medicine(II) - Control Group : Clinical Demonstration Data -)

  • 조혜숙;엄윤경;유주희;강종근;공복철;김종원;김규곤;;이인선
    • 대한한방부인과학회지
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    • 제19권4호
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    • pp.159-173
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    • 2006
  • Purpose : The purpose of this study is to find out relation between DSOM scores and an attack of uterus myoma in oriental medicine. Methods : We analyze the medical records for 386 patients including 257 uterus myoma patients who visited Dongeui University Oriental Medical Center from May 2001 to June 2006. We investigate the DOSM symptom scores which effect uterus myoma patients using logistic regression model. Results : Logistic regression analysis indicate that 14 items of DSOM were associated with the myoma, and the results show that correct rate is equal to 79.79%, sensitivity is 83.66%, specificity is 72.09%. Conclusion : There is fair relation between DSOM scores(14 items of DSOM) and an attack of uterus myoma in oriental medicine.

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자궁근종 발생에 대한 DSOM 모든 변수의 연관성분석 - 대조군 : 한방부인과 외래환자와 임상시험 피시험자 - (Study on Association of All DSOM Fluents for Uterus Myoma in Oriental Medicine - Control Group : Outpatient and Clinical Demonstration Data -)

  • 이용태;지규용;김종원;전수형;김규곤;이인선
    • 동의생리병리학회지
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    • 제21권1호
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    • pp.250-257
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    • 2007
  • Uterus myoma is a benign tumor of smooth muscle in the wall of the uterus, In oriental medicine, we used to made an effort to management this patients without surgical operation. Doctors have treated patients of uterus myoma mainly by checking over each symptom they have. Then we think that patients have some symptoms in relation to an etiological cause. So I have carried out this study to investigate association of DSOM scores and an attack of uterus myoma in oriental medicine. We chose 3 groups, the first one is 257 uterus myoma patients who visited Dongeui University Oriental Medical Center from May 2001 to June 2006, the second one is 558 outpatients who didn't have uterus myoma from May 2005 to June 2005, the third one is 129 clinical trials who volunteered for Sasang constitutional medicine. Then we made up 3 groups to checkup DSOM, and investigated the All DSOM Fluents which effect uterus myoma patients using regression model. Logistic regression analysis indicate as follows ; In comparison with 558 outpatients data, blood stasis(血瘀), dryness(燥) is associated positively and insufficiency of Yang(陽虛), spleen(脾), phlegm(痰) negatively, and mean of the index for pathogenic factor(病機指標 平均) of deficiency of qi(氣虛), heart(心) negatively. In comparison with 129 clinical trials data, blood stasis(血瘀) is associated positively and phlegm(痰) negatively, and mean of the index for pathogenic factor(炳機指標 平均) of deficiency of Yin(陰虛), liver(肝), diarrhea positively, heart(心) negatively. 3. In investigation of DSOM items, items of blood stasis(血瘀), deficiency of Yin(陰虛), coldness(寒) is associated positively and items of heart(心), spleen(脾), Phlegm(痰) negatively.

자궁근종 치료환자를 대상으로 한 DSOM 진단정확도에 대한 연구 (Study on Accuracy of DSOM Diagnosis about Uterus Myoma Patients)

  • 엄윤경;김종원;지규용;이용태;김규곤;이인선
    • 동의생리병리학회지
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    • 제20권3호
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    • pp.740-747
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    • 2006
  • This study was undertaken to clinically inspect the accuracy of DSOM-diagnosis System of Oriental Medicine, which were used for the object diagnosis of oriental medicine in the dept. of oriental OB&GY, oriental medical hospital of Dong-Eui University- about uterus myoma patients. We analyzed the prescription and consequence of diagnosis about 16 patients -who had uterus myoma, were treated more than one month, were improved in myoma size, dysmenorrhea, menorrhagia- in the oriental medical hospital of Dong-Eui University from January to December 2004. The calculation consequence of disease mechanism was as follows. The stagnation of Ki(氣滯), liver(肝), heart.(心) was 10 patients 71.4%, some deficiency(虛證), wet syndrome(濕), cold syndrome(寒) was 9 patients 64.3%, blood stasis(血奈) was 8 patients 57.1%. The agreement of consequence about DSOM and diagnosis was 13 patients, 92.9%.

자궁근종의 치료효과에 관한 임상적 연구 (Clinical Study on Curative Effect of Uterus Myoma)

  • 엄윤경;조혜숙;유주희;강종근;김규곤;이인선
    • 동의생리병리학회지
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    • 제20권4호
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    • pp.1073-1077
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    • 2006
  • The purpose of this study is to find out oriental medical management and treatment of uterus myoma patients by investigating and analyzing them. We analyzed the results of medical records for 132 patients who were diagnosed as uterus myoma and visited Dong-Eui University Oriental Medical Center from March 2001 to December 2004. We investigated the frequency of symptom, the company frequency of symptom, the variety of treatment method. The frequency of symptom was dysmenorrhea 79 persons 59.85%, menorrhagia 61 persons 46.21%, subjective symptom of mass 12 persons 9.09%, infertility 4 persons 3.03%, lumbago 24 persons 18.18%, dysuria 10 persons 7.58%, dyschezia 22 persons 16.67'/), and the average number was 2.33. We investigated the company frequency of symptom, silent patients were 16 persons 12.12%, 116 persons 87.88(/) had myoma symptom. The treatment method; The frequency of taking herb medicine was 115 persons 87.12% and the average period was $50.65{\pm}5757$. The frequency of taking pill medicine was 56 persons 42.42% and the average period was $54.34{\pm}74.02$. The frequency of taking acupuncture treatment was 83 persons 62.88% and auricular acupuncture treatment was 30 persons 22.73%. We could find out the possibility of oriental medical management and treatment of uterus myoma.

자궁근종, 자궁선근증을 동반한 여성 불임환자 1례의 임상보고 (A Case Report of Woman Infertility Caused by Myoma of Uterus and Adenomyosis)

  • 조성희;최찬헌
    • 동의생리병리학회지
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    • 제28권3호
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    • pp.355-358
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    • 2014
  • It is not yet clear that treatment for infertility with uterine myoma or adenomyosis. And myomectomy has the risk of side effects and reducing pregnancy rate. Therefore myoma or adenomyosis who want to be pregnant is ecessary. In this study, the patient who had uterine myoma and adenomyosis was treated by Oriental medical treatments such as herbal medicine and acupuncture. After treatment, the patient's menstrual condition was improved and became pregnance. This case report shows that the Oriental medical treatment is effective for infertility patients with uterine myoma or adenomyosis.

자궁근종(子官筋腫)을 수반(隨伴)한 노년기(老年期) 초임(初任) 1례(例) - 초음파진단(超音波診斷)을 중심(中心)으로 - (A Study on One Case of Elderly Primigravida with Myoma Uteri - by Ultrasonic Diagnosis -)

  • 한혜진;문수형;김수희;김강석
    • 보험의학회지
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    • 제2권1호
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    • pp.260-266
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    • 1985
  • Pregancy is a part of women's life and is common process experienced by most women. On the other hand, a few cannot be pregnant. There are many reasons of infertility and myoma uteri of pelvic mass is a rare reason of infertility. Complication of pregnancy accompanied with myoma uteri is largely affected by the size or location of mass and the incidence by myoma uteri in pregnancy rarely happened, but mass with long pedunculus causes torsion as uterus is getting bigger. In labor myoma uteri causes the abnormal condition of fetal presentation and results in the abnormal childbirth. In case of myoma uteri, maternal mortality is low and there by medical hazards also decrease, but as the life insurance medical is the extensive prediction science, we believe that the prediction of perinatal or the condition of afterbirth by knowing the location, size of myoma uteri contributes to the medical examination. We experienced one case of Elderly primigravida with myoma uteri in Med Dept of Dae Han Kyouk life Insurance Co. Ltd. which the insured with medical examination believe herself as menopause. So we report the observations with studies.

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가미귀출리경탕과 좌궁단이 자궁근종에 미치는 영향에 대한 임상적인 연구 (Study on the Effects of Composition Consisting of GGT and JG D in the Treating and Preventing for Myoma of the Uterus)

  • 류경호;김경철;이용태
    • 동의생리병리학회지
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    • 제17권4호
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    • pp.923-929
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    • 2003
  • The purpose of this study is to examine various Oriental Medical approaches to uterine myoma treatments which have been previously proposed, and find out an appropriate method with the verification of its clinical acceptance. The treatment with GGT(Gami-gwichulikyeong-tang) and JGD (Jagungdan) has been applied to uterine myoma patients visiting Sangdang Oriental medical clinic. After the treatment, 81 cases showing significant results are selected and analyzed in terms of patients' age, social environment, previous history of treatment, condition of uterine myoma, chief complaint, and the comparison between menstrual phases before the treatment and those after it. As for the size change, no-change is dominant. For the change chief complaint take a favorable turn is better after the treatment. Color of menstruation, pathologic blood drainage, hypermenorrhea or menorrhagia. dysmentorrhea show high percentage of improvement. The results above show GGT and JGD are effective treatments for uterine myoma patients. These two are also similar to the typical prescription of Jingga, which is Gwichulpajing-tang. Thus GGT and JGD are effective to the treatment for Jingga and Jingga is one of the most valid Oriental Medical approaches to uterine myoma.

고본지붕탕을 활용한 기허형 월경 과다 치험 2례 (2 Cases of Qi Deficiency Type Menorrhagia with Gobonjibung-tang)

  • 장세란;김동철
    • 대한한방부인과학회지
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    • 제27권3호
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    • pp.168-174
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    • 2014
  • Objectives: The purpose of this study is to report the effect of Gobonjibung-tang on menorrhagia diagnosed as Qi deficiency. Methods: The patients had menorrhagia caused by adenomyosis and multiple uterus myoma. We diagnosed them as Qi deficiency and treated with Gobonjibung-tang for two weeks from a week before the menstruation. And during the rest period they were treated with Bojungikgi-tang or Ikgibohyeol-tang. After three menstrual cycles, we observed whether the amount of menstruation keep reduced for two menstrual cycles. Results: Amount of menstruation were reduced during three menstrual cycles with taking herbal medicine and two menstrual cycles without taking herbal medicine. As a result of contacting with patients 4~6 months after treatment, the amount of menstruation was maintained at a reduced state. Conclusions: Gobonjibung-tang is effective in patients with menorrhagia diagnosed as Qi deficiency and the effect is continuous.

Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

  • Shehata, Ayman;Hussein, Naglaa;El Halwagy, Ahmed;El Gergawy, Adel;Khairallah, Mohamed
    • Clinical and Experimental Reproductive Medicine
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    • 제43권1호
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    • pp.51-53
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    • 2016
  • Uterine fibroids are benign tumors of the myometrium with a diverse range of manifestations. Fibroids can dramatically increase in size during pregnancy due to the increase in estrogen levels. After delivery, the fibroids usually shrink back to their pre-pregnancy size. Uterine myomas may have many complications, including abnormal uterine bleeding, infertility, pressure on nearby organs, degeneration, and malignant transformation. No previous reports have indicated that a fistula may develop between a uterine fibroid and the bowel loops, although previous studies have documented the occurrence of fistulas from the uterus to the bowel following myomectomy or uterine artery embolization performed to treat a myoma. In our case report, we document the rare complication of a fistula occurring between a degenerated myoma in the posterior wall and the ileum 1 week postoperatively in a patient who underwent a Caesarean section but did not have a history of uterine artery embolization.