Résumé
OBJECTIVE: The aim of this study is to determine prognostic factor affecting the mode of delivery in women with one previous low transverse cesarean section by comparing success group with failure group in Vaginal birth after cesarean (VBAC). METHODS: In this retrospective study, 79 patients with one previous low transverse cesarean section who attempted vaginal birth at Jeon-Ju Jesus Presbyterian hospital from January 1, 1997 to December 31, 2007. Information was collected and analyzed to see if there is significant difference between success group and failure group in VBAC. and the significance was set at P<0.05. RESULTS: The VBAC success rate turned out to 88.6%. There was one case of uterine rupture which was associated with hypoxic -ischemic encephalopathy in neonate. But, there was no case of the fetal death or mother death. There were significant difference between two groups in gestational age, expected fetal body weight, cervical dilation, Bishop score, thickness of lower uterine segment. CONCLUSION: The prognostic factors on success of VBAC can be aid in deciding the mode of delivery after cesarean section. Patient being chosen under strict indication, can enhance the VBAC trial and success rate.
Sujets)
Femelle , Humains , Nouveau-né , Grossesse , Césarienne , Mort foetale , Poids du foetus , Âge gestationnel , Lipides , Mères , Parturition , Protestantisme , Composés d'ammonium quaternaire , Études rétrospectives , Rupture utérine , Accouchement par voie vaginale après césarienneRésumé
OBJECTIVE: We studied clinical characteristics of patients have endometriosis to provide basic knowledge for diagnosis, treatment, and futher study of endometriosis. METHODS: We have performed a retrospective clinical study on 163 patients diagnosed with endometriosis during laparotomy, cesarean section, laparoscopic surgery at our medical center from January, 2000 to December, 2004. RESULTS: Incidence of endometriosis was 4.38%. The more frequent occurrence was noted in the young women with low parity and in the nulliparous women. Most frequent symptom comprised dysmenorrhea and lower abdominal pain. 33.7% of patients were asymptomatic. And 82.3% of the patients were in stage III and IV. The frequent sites involved were ovaries, Cul-de sac, uterus, tubes, peritoneum and rectum in order. Frequently combind gynecologic disease were uterine myoma, benign ovarian tumor. In Stage III & IV, there are more patients, who had abnormal elevated serum CA 125 level than patients of stage I & II. CONCLUSION: Early diagnose and appropriate management of Endometriosis for young women can lowered the development of hihger stage case and it is important for fertility and better life quality.
Sujets)
Femelle , Humains , Grossesse , Douleur abdominale , Césarienne , Diagnostic , Dysménorrhée , Endométriose , Fécondité , Maladies de l'appareil génital féminin , Incidence , Laparoscopie , Laparotomie , Léiomyome , Ovaire , Parité , Péritoine , Qualité de vie , Rectum , Études rétrospectives , UtérusRésumé
Malignant melanoma is a neoplasm of the skin and mucous membrane. Extragenital malignant melanoma that metastasizes to the ovary is seen rarely, and in only a few cases has the diagnosis been made before autopsy. The most common histologic feature that should raise the question of metastatic melanoma is the presence of numerous epitheloid cells with abundant eosinophilic cytoplasm. Despite advances in chemotherapy and immunotherapy the efficacy of treatment of advanced melanoma remains limited and the prognosis of metastatic disease remains guarded. We describe a case of malignant melanoma metastatic to the ovary and right axillae occurring one year and four months after diagnosis of cutaneous malignant melanoma on the patient's back.
Sujets)
Femelle , Autopsie , Aisselle , Cytoplasme , Diagnostic , Traitement médicamenteux , Granulocytes éosinophiles , Immunothérapie , Mélanome , Muqueuse , Ovaire , Pronostic , PeauRésumé
Adenoma Malignum (Minimal Deviation Adenocarcinoma) is a rare type well-differenciated adenocarcinoma of uterine cervix. Despite benign histologic appearance, this tumor have usually clinical malignancy. It is quite difficult to diagnosis, and the prognosis is poor. We report of this case with a brief review of literature that Adenoma Malignum was diagnosed early on transvaginal Doppler ultrasonography and MR Imaging and performed hysterectomy.
Sujets)
Femelle , Adénocarcinome , Adénomes , Col de l'utérus , Diagnostic , Hystérectomie , Imagerie par résonance magnétique , Pronostic , Échographie-dopplerRésumé
Adenoma Malignum (Minimal Deviation Adenocarcinoma) is a rare type well-differenciated adenocarcinoma of uterine cervix. Despite benign histologic appearance, this tumor have usually clinical malignancy. It is quite difficult to diagnosis, and the prognosis is poor. We report of this case with a brief review of literature that Adenoma Malignum was diagnosed early on transvaginal Doppler ultrasonography and MR Imaging and performed hysterectomy.