| 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. |
||
| NEJM | New England Journal of Medicine |
|---|---|
| proc | proceedings, procedure; process |
| FDSRCSEng | Fellow in Dental Surgery of the Royal College of Surgeons of England |
| FRCSEng | Fellow of the Royal College of Surgeons of England |
| RBF | regional blood flow; regional bone mass; renal blood flow |
| NEJM | New England Journal of Medicine |
|---|---|
| NIAID | National Institute of Allergy and Infectious Disease |
| CMA | Cow's milk allergy |
| F.A. | Food Allergy |
| LAA | Laboratory Animal Allergy |
regiones capitis (머리, 두부
| new england | The geographic area of new england in general and when the specific state or states are not indicated. States usually included in this region are maine, new hampshire, vermont, massachusetts, connecticut, and rhode island. (12 Dec 1998) |
|---|---|
| allergy and immunology | A medical specialty concerned with the hypersensitivity of the individual to foreign substances and protection from the resultant infection or disorder. (12 Dec 1998) |
| regional | <anatomy> Pertaining to, limited to or affecting a certain region or regions. (18 Nov 1997) |
| regional anaesthesia | Use of local anaesthetic solution(s) to produce circumscribed areas of loss of sensation; a generic term including conduction, nerve block, spinal, epidural, field block, infiltration, and topical anaesthesia. Synonym: conduction analgesia. (05 Mar 2000) |
| regional anatomy | An approach to anatomical study based on regions, parts, or divisions of the body (e.g., the foot or the inguinal region), emphasizing the relationships of various systemic structures (e.g., muscles, nerves, and arteries) within that area; distinguished from systemic anatomy. Synonym: topographic anatomy, topology. (05 Mar 2000) |
| regional eneteritis | Crohn's disease, a chronic inflammatory disease of the intestine primarily in the small and large intestines but which can occur anywhere in the digestive system between the mouth and the anus. Named after burrill crohn who described the disease in 1932. The disease usually affects persons in their teens or early twenties. It tends to be chronic, recurrent with periods of remission and exacerbation. In the early stages, it causes small scattered shallow crater-like areas (erosions) called apthous ulcers in the inner surface of the bowel. With time, deeper and larger ulcers develop, causing scarring and stiffness of the bowel and the bowel becomes increasingly narrowed, leading to obstruction. Deep ulcers can puncture holes in the bowel wall, leading to infection in the abdominal cavity (peritonitis) and in adjacent organs.when only the large intestine (colon) is involved, the condition is called crohn's colitis. When only the small intestine is involved, the condition is called crohn's enteritis. When only the end of the small intestine (the terminal ileum) is involved, it is termed terminal ileitis. When both the small intestine and the large intestine are involved, the condition is called crohn's enterocolitis (or ileocolitis). Abdominal pain, diarrhoea, vomiting, fever, and weight loss can be symptoms. Crohn's disease can be associated with reddish tender skin nodules, and inflammation of the joints, spine, eyes, and liver. Diagnosis is by barium enema, barium X-ray of the small bowel, and colonoscopy. Treatment includes medications for inflammation, immune suppression, antibiotics, or surgery. (the disease is also called granulomatous enteritis). (12 Dec 1998) |
| regional enteritis | A subacute chronic enteritis, of unknown cause, involving the terminal ileum and less frequently other parts of the gastrointestinal tract; characterised by patchy deep ulcers that may cause fistulas, and narrowing and thickening of the bowel by fibrosis and lymphocytic infiltration, with noncaseating tuberculoid granulomas that also may be found in regional lymph nodes; symptoms include fever, diarrhoea, cramping abdominal pain, and weight loss. Synonym: chronic cicatrizing enteritis, Crohn's disease, distal ileitis, regional ileitis, terminal ileitis, granulomatous enteritis. (05 Mar 2000) |
| regional enterocolitis | The changes of regional enteritis involving both the colon and the small intestine. (05 Mar 2000) |
| regional granulomatous lymphadenitis | <disease> A self-limiting bacterial infection of the regional lymph nodes (lymphadenitis) caused by afipia felis, a gram-negative bacterium recently identified as bartonella henselae. It usually arises one or more weeks following a feline scratch, with raised inflammatory nodules at the site of the scratch being the primary symptom. It results in tender and enlarged lymph glands above the site of injury. A chronic benign adenopathy, especially in children and young adults, commonly associated with a recent cat scratch or bite and caused by bacteria including Bartonella henselae and Alipia felis; the lymphadenopathy usually resolves spontaneously within a period of several months, but complications involving central nervous system, liver, spleen, lung, and skin have been seen. Synonym: benign inoculation lymphoreticulosis, benign inoculation reticulosis, cat-scratch fever, regional granulomatous lymphadenitis. (05 Mar 2000) |
| regional health planning | Planning for health resources at a community or regional level. (12 Dec 1998) |
| regional hypothermia | Reduction of the temperature of an extremity or organ by external cold or perfusion with cold blood or solutions. (05 Mar 2000) |
| regional involvement | <oncology> The spread of cancer from its original site to nearby surrounding areas. Regional cancers are confined to one location of the body. Regional involvement in breast cancer could include spread to the lymph nodes or to the chest wall. (12 Mar 1998) |
| regional lymphadenitis | Inflammation of a group of lymph nodes receiving drainage from a site of infection. (05 Mar 2000) |
| regional medical programs | Coordination of activities and programs among health care institutions within defined geographic areas for the purpose of improving delivery and quality of medical care to the patients. These programs are mandated under u.s. Public law 89-239. (12 Dec 1998) |
| perfusion, regional | Neoplasm drug therapy involving an extracorporeal circuit with temporary exclusion of the tumour-bearing area from the general circulation during which high concentrations of the drug are perfused to the isolated part. (12 Dec 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|