| 영문 | Dilatation and Curettage(D & C) | 한글 | 자궁긁어냄술, 자궁목확장 |
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| 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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| AAP | air at atmospheric pressure; American Academy of Pediatrics; American Academy of Pedodontics; Americ... |
|---|---|
| AAO | American Academy of Osteopathy; American Academy of Ophthalmology; American Academy of Optometry; Am... |
| APM | Academy of Parapsychology and Medicine; Academy of Physical Medicine; Academy of Psychosomatic Medic... |
| AAN | AIDS-associated nephropathy; alpha-amino nitrogen; American Academy of Neurology; American Academy o... |
| PRO | peer review organization; physician review organization; Professional Review Organization; pronation... |
| AAO-HNS | American Academy of Otolaryngology Head and Neck Surgery |
|---|---|
| MEDPAR | Medicare Provided Analysis and Review |
| AAFP | American Academy of Family Physicians |
| AAN | American Academy of Neurology |
| AAP | American Academy of Pediatrics |
institution (기관, 제도
acute angle
| academy | Origin: F. Academie, L. Academia. Cf. Academe. 1. A garden or grove near Athens (so named from the hero Academus), where Plato and his followers held their philosophical conferences; hence, the school of philosophy of which Plato was head. 2. An institution for the study of higher learning; a college or a university. Popularly, a school, or seminary of learning, holding a rank between a college and a common school. 3. A place of training; a school. "Academies of fanaticism." 4. A society of learned men united for the advancement of the arts and sciences, and literature, or some particular art or science; as, the French Academy; the American Academy of Arts and Sciences; academies of literature and philology. 5. A school or place of training in which some special art is taught; as, the military academy at West Point; a riding academy; the Academy of Music. Academy figure, a drawing usually half life-size, in crayon or pencil, after a nude model. Source: Websters Dictionary (01 Mar 1998) |
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| national academy of sciences | A united states organization of distinguished scientists and engineers established for the purpose of investigating and reporting upon any subject of art or science as requested by any department of government. The national research council organised by nas serves as the principal operating agency to stimulate and support research. (12 Dec 1998) |
| rate setting and review | A method of examining and setting levels of payments. (12 Dec 1998) |
| peer review | Scrutiny by one's peers (equals). Peer-reviewed articles appearing in medical journals have been scrutinised by members of the biomedical community before publication. (12 Dec 1998) |
| peer review, health care | The concurrent or retrospective review by practicing physicians or other health professionals of the quality and efficiency of patient care practices or services ordered or performed by other physicians or other health professionals . (12 Dec 1998) |
| peer review, research | The evaluation by experts of the quality and pertinence of research or research proposals of other experts in the same field. Peer review is used by editors in deciding which submissions warrant publication, by granting agencies to determine which proposals should be funded, and by academic institutions in tenure decisions. (12 Dec 1998) |
| review | 1. A second or repeated view; a reexamination; a retrospective survey; a looking over again; as, a review of one's studies; a review of life. 2. An examination with a view to amendment or improvement; revision; as, an author's review of his works. 3. A critical examination of a publication, with remarks; a criticism; a critique. 4. A periodical containing critical essays upon matters of interest, as new productions in literature, art, etc. 5. An inspection, as of troops under arms or of a naval force, by a high officer, for the purpose of ascertaining the state of discipline, equipments, etc. 6. The judicial examination of the proceedings of a lower court by a higher. 7. A lesson studied or recited for a second time. Bill of review, a commission formerly granted by the crown to revise the sentence of the court of delegates. Synonym: Reexamination, resurvey, retrospect, survey, reconsideration, revisal, revise, revision. Origin: F. Revue, fr. Revu, p. P. Of revoir to see again, L. Revidere; pref. Re- re- + videre to see. See View, and cf. Revise. Source: Websters Dictionary (01 Mar 1998) |
| review, academic | A more or less comprehensive review of the literature on a specific subject, with usually an extensive critical analysis and synthesis of the literature. (12 Dec 1998) |
| review literature | Published material which provides an examination of recent or current literature. Reviews can cover a wide range of subject matter of various levels of completeness or comprehensiveness based on analyses of publications on the subject. The review may reflect the state of the art. It also includes reviews as a literary form. The presence of research findings or case reports does not preclude designation as a review. (12 Dec 1998) |
| review, multicase | A type of review literature giving demographic, laboratory, and clinical data on a group of persons or animals ranging from most of the known cases of a rare condition in large populations on whom the results of research will lead to the establishing of epidemiological analyses or predictions of the occurrence and natural history of diseases. It is differentiated from review of reported cases in that the latter generally reports a single case as a supplement to a presentation, however brief and limited, of other cases known to have been reported. (12 Dec 1998) |
| review of reported cases | Literature reporting - to the best of the author's ability - all known cases of a disease. The study is usually generated by the investigator's encounter with patients with a given disease and includes the investigator's own cases. The range of time will encompass historical cases and recent cases. The review usually cites the literature in which the known cases were published and may or may not include clinical and laboratory data. (12 Dec 1998) |
| review, tutorial | A type of review citing literature that will give the user a general and reasonably thorough coverage of a subject with which he may or may not be familiar. It often substitutes as a refresher course for a physician to update his or her awareness or as a crash course for a student unfamiliar with the subject. (12 Dec 1998) |
| physician payment review commission | A commission created by the consolidated omnibus reconciliation act of 1985, enacted in 1986, and given the mandate to advise congress on medicare-physician payment. The commission members are appointed by the u.s. Office of technology assessment. (12 Dec 1998) |
| concurrent review | Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment. (12 Dec 1998) |
| professional review organizations | Organizations representing designated geographic areas which have contracts under the pro program to review the medical necessity, appropriateness, quality, and cost-effectiveness of care received by medicare beneficiaries. Peer review improvement act, pl 97-248, 1982. (12 Dec 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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