| 영문 | Dilatation and Curettage(D & C) | 한글 | 자궁긁어냄술, 자궁목확장 |
|---|---|---|---|
| 설명 | 자궁이란 태아가 수태되어서 분만전까지 발육하고 성장하는 공간이다. 자궁속에 병변이 있어 임신이 계속될 수 없거나 아니면 다른 이유로 임신되어 있는 태아를 제거하고자 할 경우에 사용되는 방법이다. 여기서 긁어내기 위하여는 우선 자궁의 입구에 해당하는 자궁목을 확장시켜야 한다. 여기에는 급속히 확장을 시도하는 법과 서서히 확장을 시도하는 2가지 방법이 있다. 자궁목을 급속히 확장할 때는 헤가르 목관확장기(Hegar's dilatator)를 사용한다. 이것은 작은 금속막대로 작은 크기부터 큰 크기까지 다양한 크기가 있어서 우선 작은 막대로 시작하여 점점 큰 크기의 막대를 자궁목에 넣어서 자궁목을 확장시킨다. 서서히 확장시킬 때는 Laminaria tent를 목관에 삽입하는 방법을 사용한다. Laminaria tent란 해초로 만든 작은 막대로 수분을 흡수하면 점점 늘어나는 성질이 있다. 이것을 자궁의 목에 넣으면 이것이 수분을 흡수하여 늘어나므로 천천히 자궁의 목이 늘어난다. 자궁목이 충분히 늘어나면 그 속으로 끝이 숟가락처럼 생긴 기구를 넣어서 자궁속의 병변이나 임신된 태아를 긁어내는데 여기에 사용되는 숟가락처럼 생긴 기구를 큐렛이라고 한다. 초기 임신중절 즉 유산과 같은 임신과 관련된 경우뿐만 아니라, 비임신 자궁의 자궁내막조직의 채취 및 제거를 위해서도 행해지는 수기이다. 이는 원칙적으로 마취하에 실시되는 것으로 자궁목관을 확장하고 기구로 자궁 내용물을 제거하고 큐렛으로 자궁내벽을 깨끗이 한다. 자궁천공이나 자궁목의 파열 등의 위험이 따르며, 수술후 감염 또는 출혈 등에 대한 주의가 필요하다. |
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| ABC | absolute basophil count; absolute bone conduction; acalculous biliary colic; acid balance control; a... |
|---|---|
| CHARGE | coloboma, heart disease, atresia choanae, retarded growth and retarded development and/or CNS anomal... |
| A&P | anterior and posterior; assessment and plans; auscultation and percussion |
| C&P | compensation and pension; complete and pain free [joint movement]; cystoscopy and pyelography |
| C&S | calvarium and scalp; conjunctiva and sclera; culture and sensitivity |
| PU | Pressure ulcers |
|---|---|
| GDU | gastro-duodenal ulcers |
| ACCESS | Access to Community Care and Effective Services and Support |
| EPSDT | Early and Periodic Screening Diagnosis and Treatment |
acute angle
| bosch yaws | A form of New World cutaneous leishmaniasis caused by Leishmania braziliensis guyanensis in the Amazon delta; a small proportion of cases are said to metastasize to the nasal mucosa with espundia-like involvement. Synonym: bosch yaws, bush yaws, forest yaws. (05 Mar 2000) |
|---|---|
| bush yaws | A form of New World cutaneous leishmaniasis caused by Leishmania braziliensis guyanensis in the Amazon delta; a small proportion of cases are said to metastasize to the nasal mucosa with espundia-like involvement. Synonym: bosch yaws, bush yaws, forest yaws. (05 Mar 2000) |
| ringworm yaws | Round, scaling, and crusted lesions that resemble ringworm. (05 Mar 2000) |
| guinea corn yaws | A form of yaws in which the lesions resemble grains of Indian corn. (05 Mar 2000) |
| crab yaws | <dermatology> Yaws of the feet with keratoderma of the palms and soles and ulcer formation. Synonym: crab yaws, dumas, tubba, tubbae. (05 Mar 2000) |
| yaws | <medicine> A disease, occurring in the Antilles and in Africa, characterised by yellowish or reddish tumours, of a contagious character, which, in shape and appearance, often resemble currants, strawberries, or raspberries. There are several varieties of this disease, variously known as framboesia, pian, verrugas, and crab-yaws. Origin: African yaw a raspberry. Source: Websters Dictionary (01 Mar 1998) |
| foot yaws | <dermatology> Yaws of the feet with keratoderma of the palms and soles and ulcer formation. Synonym: crab yaws, dumas, tubba, tubbae. (05 Mar 2000) |
| forest yaws | A form of New World cutaneous leishmaniasis caused by Leishmania braziliensis guyanensis in the Amazon delta; a small proportion of cases are said to metastasize to the nasal mucosa with espundia-like involvement. Synonym: bosch yaws, bush yaws, forest yaws. (05 Mar 2000) |
| apthous ulcers | These small sensitive painful craters in the mouth are common canker sores. There are many possible causes of apthous ulcers and frequently the cause is unknown. (12 Dec 1998) |
| gastric ulcers | <radiology> Criteria for benignity: projection beyond luminal contour, depth greater than width, smooth fading of gastric folds, lesser curvature (not reliable), concomitant duodenal ulcers, Hampden's line (1-mm lucent line), persistent pooling of barium in crater see also: Carman meniscus sign (12 Dec 1998) |
| recurrent aphthous ulcers | <dermatology> Roundish pearl-coloured specks or flakes in the mouth, on the lips, etc, terminating in white sloughs, better known as thrush and the specks are called aphthae. Synonym: thrush, candidiasis. Origin: Sing. Of Aphthae. L, fr. Gr. (mostly in pl, Hipp) an eruption, thrush, fr. To set on fire, inflame. (25 Jun 1999) |
| mouth ulcers | Circular painful ulcers with a surrounding red margin that are usually 1-2mm in diameter (can be up to 1.0 cm). Heal in 1-2 weeks but can be recurrent. Often caused by a virus in the Herpes family. Synonym: aphthous ulcers. (27 Sep 1997) |
| postbulbar duodenal ulcers | <radiology> Peptic ulcer disease, only 5% of benign ulcers are postbulbar, Zollinger-Ellison syndrome (gastrinoma), 25% postbulbar, benign tumour (especially leiomyoma), malignant tumour, primary duodenal carcinoma, invasion (nnodes, pancreas, colon, kidney, gall bladder), malignant melanoma, Crohn's disease, TB, aorticoduodenal fistula, simulators: ectopic pancreas, duodenal tics (12 Dec 1998) |
| stress ulcers | An ulcer of the duodenum in a patient with extensive superficial burns, intracranial lesions, or severe bodily injury. Synonym: stress ulcers. (05 Mar 2000) |
| oesophageal ulcers | Circular erosions in the lining of the oesophagus. (27 Sep 1997) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|