| 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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| AJKD | American Journal of Kidney Diseases |
|---|---|
| JOC | Journal of Oncologic Clinical(?) |
| AEM | Academic Emergency Medicine [journal]; analytical electron microscopy; ambulatory electrocardiograph... |
| AM | Academic Medicine [journal]; actomyosin; acute myelofibrosis; adult male; adult monocyte; aerospace ... |
| BMJ | bones, muscles, joints; British Medical Journal |
| JAMA | Journal of the American Medical Association |
|---|---|
| NTP | National Toxicology Program |
| NEJM | New England Journal of Medicine |
| ACA | Active cutaneous anaphylaxis |
ocular
| journal article | The predominant publication type for articles and other items indexed for nlm databases. (12 Dec 1998) |
|---|---|
| genetic toxicology | <study> This is the study of chemicals which can damage the genetic structure of living organisms (including humans) and thus cause problems such as mutations, cancer and birth defects. (09 Oct 1997) |
| toxicology | <study> The scientific study of the chemistry, effects, and treatment of poisonous substances. (09 Oct 1997) |
| musculoskeletal, neural, and ocular physiology | Activities and functions of the musculoskeletal system, the nervous system, and the eye and their parts. (12 Dec 1998) |
| pectoral and abdominal anterior cutaneous branch of intercostal nerves | The ventral primary rami of spinal nerves T7-T11 (seventh to eleventh intercostal nerves), which supply the abdominal as well as the thoracic wall; innervate intercostal, subcostal, serratus posterior inferior, transversus abdominis, external and internal oblique, and rectus abdominis muscles, and provide sensory branches to the periphery of the diaphragm, and parietal pleura and peritoneum. Synonym: rami cutanei anteriores pectoralis et abdominalis nervorum intercostalium, ramus cutaneus anterior (pectoralis et abdominalis) nervorum thoracicorum, anterior cutaneous nerves of abdomen, pectoral and abdominal anterior cutaneous branch of intercostal nerves. (05 Mar 2000) |
| accommodation, ocular | The dioptric adjustment of the eye (to attain maximal sharpness of retinal imagery for an object of regard) referring to the ability, to the mechanism, or to the process. It is the effecting of refractive changes by changes in the shape of the crystalline lens. Loosely, it refers to ocular adjustments for vision at various distances. (12 Dec 1998) |
| adaptation, ocular | The adjustment of the eye to variations in the intensity of light. Light adaptation is the adjustment of the eye when the light threshold is increased; dark adaptation when the light is greatly reduced. (12 Dec 1998) |
| albinism, ocular | Albinism affecting the eye in which pigment of the hair and skin is normal or only slightly diluted. The classic type is x-linked (nettleship-falls), but an autosomal recessive form also exists. Ocular abnormalities may include reduced pigmentation of the iris, nystagmus, photophobia, strabismus, and decreased visual acuity. (12 Dec 1998) |
| anterior ocular segment | That portion of the eye comprising the cornea, iris, lens, and their associated chambers and adnexa. (05 Mar 2000) |
| cardinal ocular movements | Eye rotations to the right and left, upward to the right and left, and downward to the right and left, to diagnose positions of gaze. (05 Mar 2000) |
| Ramsden's ocular | An eyepiece of a microscope, consisting of two planoconvex lenses with convexities turned to each other. (05 Mar 2000) |
| vestibular ocular reflex | <clinical sign> Reflex movement of the eyes in the opposite direction to that which the head is moved, e.g., the eyes being lowered as the head is raised, and the reverse (Cantelli's sign); an indication of functional integrity of the brainstem tegmental pathways and cranial nerves involved in eye movement. Synonym: vestibular ocular reflex. (05 Mar 2000) |
| reflex, vestibulo-ocular | A reflex wherein impulses are conveyed from the cupulas of the saemicircular canals and from the otolithic membrane of the saccule and utricle via the vestibular nuclei of the brainstem and the median longitudinal fasciculus to the oculomotor nerve nuclei. It functions to maintain a stable retinal image during head rotation by generating appropriate compensatory eye movements. (12 Dec 1998) |
| refraction, ocular | Refraction of light effected by the media of the eye. It also includes the determination of the refractive state and refractive correction. (12 Dec 1998) |
| goniometre ocular | <microscopy> A special type of ocular fitted with crosslines and a graduated head which rotates the crosslines to facilitate the measuring of angles, as in crystallography. (05 Aug 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|