| 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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| ECVAM | European Centre for the Validation of Alternative Methods |
|---|---|
| biophys | biophysics, biophysical |
| BPP | biophysical profile; bovine pancreatic polypeptide; bradykinin potentiating peptide |
| BPS | beats per second; Behavioral Pharmacological Society; biophysical profile score; bits per second; bo... |
| BOD | Biochemical Oxygen Demand; 생물학적 산소 요구량 ; 1 L 수중의 유기물을 Bacteria 가 20 ℃에서 5일간 분해하는데 소비... |
| BOD | Biochemical Oxygen Demand |
|---|---|
| bNED | Biochemical no evidence of disease |
| JAMA | Journal of the American Medical Association |
| NEJM | New England Journal of Medicine |
acute angle
| biophysical profile | <radiology> Parameters (30 minute observation period): reactive NST, foetal breathing movement: breathing period at least 60 seconds, foetal body movement, greater than 3 discrete movements of limbs/trunk, foetal tone: upper and lower limbs usually flexed with head on chest, greater than 1 episode of extension with return to flexion, amniotic fluid volume: largest pocket greater than 1 cm in vertical diameter without containing loops of cord score: 2 points if normal; 0 points for abnormal results: 8-10 = maximal score, 0-4 = severe foetal compromise; delivery indicated, 33% sensitivity; 17% positive predictive value (12 Dec 1998) |
|---|---|
| journal article | The predominant publication type for articles and other items indexed for nlm databases. (12 Dec 1998) |
| replica methods | <technique> Methods in the preparation of specimens for transmission electron microscopy. The specimen (for example: a piece of freeze fractured tissue) is shadowed with metal and coated with carbon and then the tissue is digested away. The replica is then picked up on a grid and it is the replica that is examined in the microscope. (18 Nov 1997) |
| communication methods, total | Utilization of all available receptive and expressive modes for the purpose of achieving communication with the hearing impaired, such as gestures, postures, facial expression, types of voice, formal speech and non-speech systems, and simultaneous communication. (12 Dec 1998) |
| Crede's methods | Instillation of one drop of a 2% solution of silver nitrate into each eye of the newborn infant, to prevent ophthalmia neonatorum, resting the hand on the fundus uteri from the moment of the expulsion of the foetus, and gently rubbing in case of haemorrhage or failing contraction; then, when the afterbirth is loosened it is expelled by firm compression or squeezing of the fundus by the hand, use of manual pressure on a bladder, particularly a paralysed bladder, to express urine. Synonym: Crede's manoeuvres. (05 Mar 2000) |
| seroepidemiologic methods | Epidemiologic studies based on the detection through serological testing of characteristic change in the serum level of specific antibodies. Latent subclinical infections and carrier states can thus be detected in addition to clinically overt cases. (12 Dec 1998) |
| feeding methods | Methods of giving food to humans or animals. (12 Dec 1998) |
| biochemical | Relating to biochemistry, characterised by, produced by or involving chemical reactions in living organisms. (18 Nov 1997) |
| biochemical conversion process | The use of living organisms or their products to convert organic material to fuels. (05 Dec 1998) |
| biochemical genetics | The study of genetics in terms of the chemical (biochemical) events involved, as in the manner in which DNA molecules replicate and control the synthesis of specific enzymes by the genetic code. (05 Mar 2000) |
| biochemical mechanism | This is the general term for any chemical reaction or series of reactions, usually mediated by enzymes, which produce a given physiological effect in a living organism. (09 Oct 1997) |
| biochemical metastasis | The transportation and induction of abnormal immunochemical specificities in apparently normal organs. (05 Mar 2000) |
| biochemical oxygen demand | The amount of oxygen aerobicorganisms need to carry out oxidative metabolism in watercontaining organic matter, such as sewage. (09 Oct 1997) |
| biochemical phenomena | Biochemical functions, activities, and processes at organic and molecular levels in humans, animals, microorganisms, and plants. (12 Dec 1998) |
| biochemical profile | A combination of biochemical tests usually performed with automated instrumentation upon admission of a patient to a hospital or clinic. (05 Mar 2000) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|