| 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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| STANDOUT | soft thresholding and depth cueing of unspecified techniques |
|---|---|
| CAO | chronic airway obstruction; coronary artery obstruction |
| SAO | small airway obstruction; splanchnic artery occlusion; subvalvular aortic obstruction |
| URD | unspecified respiratory disease; upper respiratory disease |
| CIIP | chronic idiopathic intestinal pseudo-obstruction |
| CIIP | Chronic idiopathic intestinal pseudo-obstruction |
|---|---|
| CIP | Chronic intestinal pseudo-obstruction |
| AOD | and other drug |
| DRO | Differential Reinforcement of Other Behaviour |
| MOTT | Mycobacteria Other Than Tuberculosis |
| intestinal obstruction | <surgery> A blockage of the bowel lumen prohibiting the passage of material. Common symptoms include constipation, abdominal swelling and abdominal pain. Treatment includes intravenous fluids, rest, nasogastric suction and surgery in select cases. (27 Sep 1997) |
|---|---|
| intestinal pseudo-obstruction | <radiology> Chronic idiopathic intestinal pseudo-obstruction, autosomal dominant, variable penetrance, insidious onset in child or young adult, intermittent episodes, dysphagia, vomiting, abdominal pain/distention, diarrhoea, constipationn, small bowel involvement most common, megaduodenum, ileus simulating obstruction (12 Dec 1998) |
| other-directed | Pertaining to a person readily influenced by the attitudes of others. (05 Mar 2000) |
| transferases (other substituted phosphate groups) | <enzyme> A class of enzymes that transfers substituted phosphate groups. Registry number: EC 2.7.8 (12 Dec 1998) |
| adynamic ileus simulating bowel obstruction | <radiology> Chronic idiopathic intestinal pseudo-obstrction, pelvic surgery, urinary retention, pancreatitis, acute intermittent porphyria, ceroidosis, neonatal adynamic ileus (12 Dec 1998) |
| airway obstruction | Any hindrance to the passage of air into and out of the lungs. (12 Dec 1998) |
| bile duct obstruction, extrahepatic | Impairment of bile flow through the hepatic, cystic, or common bile ducts or vater's ampulla. This is sometimes called surgical jaundice. (12 Dec 1998) |
| biliary obstruction | <gastroenterology, surgery> A blockage of the bile ducts can occur by a stone, tumour, pancreas (pancreatic tumour or swelling), bile duct inflammation, bile duct cysts, trauma, bile duct stricture or enlarged lymph nodes in the area. When bile duct obstruction occurs, bile accumulates in the liver and jaundice develops due to the accumulation of bilirubin in the bloodstream. (27 Sep 1997) |
| bladder outlet obstruction | Any condition that results in the failure of urine to pass from the bladder and out the urethra. One of the most common causes of this in males is benign prostate enlargement. (27 Sep 1997) |
| bowel obstruction | A blockage of the bowel lumen prohibiting the passage of material. Common symptoms include constipation, abdominal swelling and abdominal pain. Treatment includes intravenous fluids, rest, nasogastric suction and surgery in select cases. (27 Sep 1997) |
| gastric outlet obstruction | <paediatrics, surgery> A congenital disorder in which the pylorus is thickened causing obstruction of the gastric outlet (to the duodenum). More common in males, pyloric stenosis. Symptoms of projectile vomiting begin several weeks after birth. Incidence: approximately 1 in 4,000 live births. (27 Sep 1997) |
| gastrojejunal loop obstruction syndrome | <syndrome> A complication of gastrojejunostomy, caused by acute or chronic obstruction of the afferent loop due to hernia, intussusception, kinking, volvulus, etc. It is characterised by pain and vomiting of bile-stained fluid and includes acute afferent loop obstruction and bilious vomiting. (12 Dec 1998) |
| ventricular outflow obstruction | Occlusion of the ventricular outflow or inflow tract on either side of the heart. It may result from a congenital defect or predisposing heart disease, or as a complication of surgery or tumours of the heart or its vessels. (12 Dec 1998) |
| renal artery obstruction | Narrowing or occlusion of the renal arteries. It is due usually to atherosclerosis, fibromuscular dysplasia, thrombosis, embolism, or external pressure. It may result in renovascular hypertension. (12 Dec 1998) |
| closed-loop obstruction | Obstruction of a segment of intestine by rotation on a fixed point (volvulus); frequently impairs venous circulation of the affected bowel segment, resulting in strangulation and gangrene; the segment of intestine contained in a hernia can also become a closed-loop obstruction when sufficient compression occurs at the neck of the sac. (05 Mar 2000) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|