• 제목/요약/키워드: Perineum

검색결과 72건 처리시간 0.019초

회음부를 침범한 근위형 유상피육종 - 증례보고 - (Proximal-type Epithelioid Sarcoma Involving Perineum - Case Report -)

  • 박용구;박호철
    • 대한골관절종양학회지
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    • 제7권2호
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    • pp.64-67
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    • 2001
  • 유상피육종은 전형적인 형태인 경우에는 비교적 젊은 사람의 손이나 발과 같은 말단부에 호발하는 종양이다. 그러나 근위형의 경우는 주로 청장년층의 골반, 회음부 또는 생식기에 발생한다. 형태학적으로 종양세포는 뚜렷한 유상피 형태를 취하거나, rhabdoid형태를 보이며, 심한 세포학적 이형증과 함께, 다결절 형태로 성장한다. 면역조직화학적 검사에서는 특징적으로 cytokeratin, epithelial membrane antigen, vimentin이 양성이다. 본 보고는 32세 남자의 회음부에 발생한 근위형 유상피육종을 기술하였다. 형태학적으로 전형적인 근위형 유상피 육종의 조직학적 소견을 관찰하였으며, 병리조직학적 감별점과, 환자의 예후에 관하여 토론하였다.

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Positive Effects of Perineum Moxibustion on Gynecological Problems of Infertile Women

  • Mok, Eun-Sang
    • 한국발생생물학회지:발생과생식
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    • 제20권1호
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    • pp.41-49
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    • 2016
  • Moxibustion, which has a more than 4,000-year long history of use in East Asia, has been widely used for gynecological diseases. To investigate the effects of perineum (CV1) moxibustion on gynecological function, infertile women of childbearing age applied CV1 moxibustion for 30 days on a fixed schedule. The subjects had on average $2.4{\pm}1.1$ cases of infertility-related disabilities. After CV1 moxibustion treatment, on average, the subjects showed improvements in $1.5{\pm}1.0$ cases of their gynecological problems. In addition, 14.7% of the subjects got pregnant within $29{\pm}1.4$ days after the treatment. This result shows that application of moxibustion on the CV1 and uterus is an effective treatment for gynecological diseases and that it can improve the function of gynecologic organs.

아로마테라피가 산모의 회음부 치유에 미치는 효과 (Clinical trial of Aromatherapy on Postpartum Mother′s Perineal Healing)

  • 허명행;한선희
    • 대한간호학회지
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    • 제34권1호
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    • pp.53-62
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    • 2004
  • Purpose This study was designed to verify the effect of aromatherapy on a postpartum mother's perineal healing. Method The research design was a clinical trial. The methods of aromatherapy were applied sitz bath or soap application using essential oils with Lavender, Myrrh, Neroli, Rose, Grapefruit, Mandarin, Orange, and Roman Chamomile. The subjects of this experiment were postpartum mothers who delivered vaginally with an episiotomy. They were allocated to one of three groups; the aroma-sitz bath group, aroma-soap application group or control group. To evaluate the effect of aromatherapy, the perineal healing status was measured using the REEDA scale and smears of episiotomy wound were obtained. The data were analyzed by repeated measures of ANOVA, ANCOV A, x$^2$- test, and multiple response analysis via SPSS program. Results The REEDA scale was significantly low in the experimental group at postpartum 5th and 7th days (P=.009, P=.003), respectively. Most were observed ‘few’(5-10 bacteria per field) bacteria in the smears of episiotomy wound. The one bacteria was identified in the 50.8% of subjects in pretest and two bacteria in the 60.3% in posttest. Most frequently identified bacteria were Escherichia coli and Enterococcus faecalis. Conclusion In conclusion, these findings indicate that postpartum aromatherapy for perineal care could be effective in healing the perineum perineal care could be effective in healing the perineum.

질에 발생한 공격성 혈관점액종 1예 (Case of Aggressive Angiomyxoma of the Vagina)

  • 조향정;김병륜;조해중;홍기연;문형배
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.209-211
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    • 2008
  • Aggressive angiomyxoma is a rare neoplasm that arise from soft tissue of the perineum and usually affects young woman. It has a high risk of local recurrence due to infiltrative lesion. This tumor should be distinguished from benign and malignant tumor or tumor like lesion of the perineum. We experienced a case of an aggressive angiomyxoma on soft tissue of the vaginal wall in 43-year-old woman and reported it with a brief review of literature.

남성용 소변기 설치계획에 관한 연구 (A Study on the Installation Planing of Sanitary Ware)

  • 이용의
    • 한국실내디자인학회논문집
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    • 제18호
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    • pp.3-8
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    • 1999
  • In accordance with the growing up to a fine-built national physique on national economic rapid growth, It should be made a partial amendment on the Installation planing of sanitary ware. If users who regard have no problem as using facilities in a unisex toilet, It'll be not only falling down the separation of toilet booth with substantial sanitary problems step by step as follow. 1. The urinal should be pay due regard to such a shape which intercepts stream before the point of dispersion and variations in splash effects according to angles between stream and contact urinal surface with deferent of age and health of users 2. Urinal should be fit for the perineum height of male and so It could be install differently according to the Anatomical Percentile of users.

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자연주의 출산한 여성의 출산실태와 회음부 손상: 일개 자연주의 출산병원 의무기록을 중심으로 (Childbirth outcomes and perineal damage in women with natural childbirth in Korea: a retrospective chart review)

  • 김경원;이선희
    • 여성건강간호학회지
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    • 제27권4호
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    • pp.379-387
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    • 2021
  • Purpose: This study aimed to determine the actual state of childbirth in Korean women with natural childbirth and the degree of damage to the perineum during childbirth. Methods: This retrospective study analyzed the medical records of mothers who had natural childbirth at a hospital in Seoul, Korea in 2018. Data from 358 women with cephalic births at greater than 37 gestational weeks were analyzed. To determine natural childbirth characteristics and the degree of damage to the perineum, descriptive statistics were done. The difference in the degree of perineal injury according to obstetric characteristics was analyzed using independent t-test and one-way analysis of variance. Results: The mean age was 33.18±3.68 years, and 49.2% were primiparas, while 39% gave birth with a doula. The degree of perineal damage differed by age (F=9.15, p<.001), parity (t=19.13, p<.001), number of births in multiparity (F=3.68, p=.027), previous vaginal delivery in multiparity (F=3.00, p=.032) and birthing posture (F=7.44, p<.001). Having received therapeutic procedures (t=-4.62, p<.001), specifically fluid administration (t=-2.72, p=.007), oxygen supply (t=-2.76, p=.006) and epidural anesthesia (t=-2.77, p=.006) were statistically significant for perineal damage. There were no differences, however, by gestational period, doula use, water room use in labor, baby head circumference, or birth weight. Conclusion: Study findings suggest that support for older women, primiparas, and those who require therapeutic procedures may help to decrease the possibility of perineal damage during childbirth. As perineal damage was also associated with birthing posture, this should be considered when providing intrapartum nursing care.

개에 발생한 요막관 잔존 (Urachal remnant in a Dog)

  • 김상기
    • 한국임상수의학회지
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    • 제21권2호
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    • pp.197-199
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    • 2004
  • A 2-month-old intact female English Cocker Spaniel weighting 2.8 kg was presented with pollakiuria and urinary incontinence. On the inspection, moisture around the perineum and hindlegs was observed with a mild urine odor. No other abnormalities were detected on physical examination. Retrograde vaginourethrography revealed the urachal remnant. The vesicourachal diverticulum was surgically removed without complications.

회음부 암성통증에 대한 외톨이 신경절 블록과 상 하복 신경총 블록 -증례 보고- (Blockade of Ganglion Impar and Superior Hypogastric Plexus Block for Perineal Cancer Pain -Case report-)

  • 한승연;윤덕미
    • The Korean Journal of Pain
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    • 제12권2호
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    • pp.238-241
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    • 1999
  • Intractable pain arising from disorders of the viscera and somatic structures within the pelvis and perineum often poses difficult problems for the pain pratitioner. The reason for this difficulty is that the region contains diverse anatomic structures with mixed somatic, visceral, and autonomic innervation affecting bladder and bowel control and sexual function. Clinically, sympathetic pain in the perineum has a distinctly vague, burning, and poorly localized quality and is frequently associated with the sensation of urgency. Although various approaches have been proposed for the management of intractable perineal pain, their efficacy and applications are limited. Historically, neurolytic blockade in this region has been focused mainly on somatic rather than sympathetic components. The efficacy of neurolytic ganglion impar block has been demonstrated in treating perineal pain without significant somatovisceral dysfunctions for patient with advanced cancer in 1990. The introduction of superior hypogastric plexus block in 1990 demonstrated its effectiveness in patients with cancer related pelvic pain. In our report, five patients had advanced cancer (rectal caner 3; cervix cancer 1; metastases to sacral portion of renal cell cancer 1). Localized perineal pain was present in all cases and was characterized as burning and urgent with 9~10/10 pain intensity. After neurolytic block of ganglion impar, patients experiened incomplete pain reduction (7~8/10), as determined by the VAS (visual analogue scale), and change in pain site. We then treated with superior hypogastric plexus block, which produced satisfactory pain relief (to less than 4/10), without complication.

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보스턴 테리어에서 발생한 음경골 이형성과 편측 잠복고환증을 가진 회음부 요도하열 (A Case of Perineal Hypospadias with Os Penis Deformity and Unilateral Cryptorchidism in a Boston Terrier)

  • 박우영;배춘식;김휘율;조기래;박우대
    • 한국임상수의학회지
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    • 제26권2호
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    • pp.185-188
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    • 2009
  • 6개월령의 보스톤 테리어가 미측 음경 돌출과 불완전 형성된 포피, 이분화된 음낭, 잠복고환과 음경골 이형성을 나타내었다. 신체검사상, 요도구멍은 회음부 표면에 위치하였고 섬유성 띠는 귀두로부터 회음부에 있는 요도구멍까지 연결되어 있었다. 또한, 잘못 위치한 요도구멍을 통한 상행성 감염에 의하여 요도염을 나타내었다. 교정수술은 외부생식기 전체와 잠복고환을 절제하기 위하여 시행되었다. 포피, 음경 그리고 잠복고환은 성공적으로 절제되었다. 수술 후 요도구멍을 주기적으로 세척하고 항생제를 투여한 이후, 재발성 요도염은 사라졌다. 만약, 요도구멍의 위치가 재발성 요도염의 원인과 요실금의 주요 원인이 아니라면, 요도구멍을 재형성할 필요가 없는 이 치료법을 이용할 것을 제안한다.

전북지역 사육 소에서 첫 럼피스킨 발생 보고 (The first outbreak of lumpy skin disease in Jeollabuk-do, Korea)

  • 추금숙;정우리;양승혁;이명찬;손구례
    • 한국동물위생학회지
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    • 제46권4호
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    • pp.339-348
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    • 2023
  • The outbreak of lumpy skin disease (LSD), caused by LSD virus (LSDV), in Jeollabuk-do was first confirmed at a Korean cattle farm in Buan-gun on October 24, 2023. Afterwards, thirteen cases (twelve cases in Gochang-gun and a case in Imsil-gun) were further confirmed, resulting in a total of fourteen cases over 25 days until November 17, 2023. Clinical examination were conducted on infected and co-habitting cattle from the LSD-affected farms with particular focus on the presence of nodules throughout the body such as head, neck, chest, femur, head, and perineum. As a results, abnormal clinical signs were observed in fifteen cows: loss of appetite in six cows, high fever in three cows, eye mucosal nodules in a cow, nasal mucosal nodules in six cows, nodules on perineum in five cows, scrotum nodules in two cows, papillary nodules in a cow, and/or skin nodules in eleven cows. By the PCR methods, the common gene of capripox virus and/or the specific gene of LSDV were detected in 35 of the 69 cows tested this study. In the Farm1, capripox virus-specific gene, LSDV wild strain-specific gene, and LSDV vaccine strain-spcific gene were simultaneously detected in affected cows, indicating the cattle farm was affected by various strain of LSDV. As a result of combining clincal examination and PCR test, it was found that clinically and subclinically infeted cows coexist in the LSDV-infected farms. These finding in this study will be a great help in diagnosis and prevention of the LSD in Korean cattle farms.