| 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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| KF, K-F | Kayser-Fleischer [rings] |
|---|---|
| ABC | absolute basophil count; absolute bone conduction; acalculous biliary colic; acid balance control; a... |
| CHARGE | coloboma, heart disease, atresia choanae, retarded growth and retarded development and/or CNS anomal... |
| A&P | anterior and posterior; assessment and plans; auscultation and percussion |
| C&P | compensation and pension; complete and pain free [joint movement]; cystoscopy and pyelography |
| GORD | Gastro-oesophageal reflux disease |
|---|---|
| L.O.S. | Lower Oesophageal Sphincter |
| LOSP | Lower oesophageal sphincter pressure |
| OA | Oesophageal atresia |
| OD | Oesophageal dysfunction |
acute angle
| oesophageal webs and rings | <radiology> Congenital web, web secondary to bullous disease, cervical web, Plummer-Vinson (Patterson-Kelly) syndrome, mucosal (Schatzki) ring (12 Dec 1998) |
|---|
| heterocyclic compounds with 4 or more rings | A class of organic compounds containing four or more ring structures, one of which is made up of more than one kind of atom, usually carbon plus another atom. The heterocycle may be either aromatic or nonaromatic. (12 Dec 1998) |
|---|---|
| Donders' rings | An obsolete term for the iridescent ring's or haloes observed by a cloudy cornea due to acute glaucoma. (05 Mar 2000) |
| Liesegang rings | Coloured ring's of precipitated silver chromate formed when a drop of concentrated silver nitrate is added to the surface of a gel (such as gelatin, agar, or silica gel) containing potassium dichromate. (05 Mar 2000) |
| oesophageal and gastric varices | Submucosal varices of the lower oesophagus or gastric fundus mucosa, frequently caused by the development of portal collateral vessels consequent to portal hypertension. (12 Dec 1998) |
| reflux, oesophageal | A condition wherein stomach contents regurgitate or back up (reflux) into the oesophagus (a long cylindrical tube that transports food from the mouth to the stomach). The food in the stomach is partially digested by stomach acid and enzymes. Normally, the partially digested acid content in the stomach is delivered by the stomach muscle into the small intestine for further digestion. In oesophageal reflux, stomach acid content refluxes backwards up into the oesophagus, occasionally reaching the breathing passages, causing inflammation and damage to the oesophagus, as well as to the lung and larynx (the voice box). The overall process is medically termed gastroesophageal reflux disease (gerd). 10% of patients with gerd develop a barrett's oesophagus which can increase the risk of cancer of the oesophagus. (12 Dec 1998) |
| cervical oesophageal web | <radiology> Post-cricoid web, M=F, 5% of UGI patients, anterior (antero-lateral), with or without dysphagia, Treatment: endoscopic disruption (lysis) see: oesophageal webs and rings (12 Dec 1998) |
| sliding oesophageal hiatal hernia | Displacement of the cardioesophageal junction and the stomach through the oesophageal hiatus. (05 Mar 2000) |
| speech, oesophageal | A method of speech used after laryngectomy, with sound produced by vibration of the column of air in the oesophagus against the contracting cricopharyngeal sphincter. (12 Dec 1998) |
| superior oesophageal sphincter | <anatomy, muscle> This is the horizontal muscle located at the top of the oesophagus. (13 Nov 1997) |
| diffuse oesophageal spasm | A disorder characterised by episodic contractions of the oesophagus. The oesophageal spasms fail to effectively propel food to the stomach. Symptoms may be confused with angina. Common symptoms include chest pains, epigastric pain, heartburn, pain on swallowing and difficulty swallowing. Treatment includes the use of sublingual nitroglycerin and calcium channel blockers. (27 Sep 1997) |
| inferior oesophageal sphincter | A sphincter supposedly present at the oesophagogastric junction; this is in fact an extrinsic sphincter formed by the surrounding musculature of the oesophageal hiagus of the right crus of the diaphragm; causes a normally-occuring constriction at the oesophagogastric junction observable with a barium swallow. Synonym: sphincter constrictor cardiae. (05 Mar 2000) |
| intramural oesophageal dissection | <radiology> Submucosal dissecting haematoma, haematemesis, chest pain, double-barreled lumen, Treatment: none (supportive) see: oesophageal trauma (12 Dec 1998) |
| oesophageal | Related to the oesophagus. (12 Dec 1998) |
| oesophageal achalasia | Constriction of the lower portion of the food pipe (oesophagus) due to inability of the muscles to relax. Symptoms include difficulty swallowing, chest pain, vomiting and heartburn. Treatment includes oesophageal dilation using special instruments or medications (for example nitroglycerin, calcium channel blockers). (27 Sep 1997) |
| oesophageal acidity test | <investigation> A test which measures the frequency and duration of stomach acid that enters the oesophagus. After swallowing a thin tube into your stomach the tube is attached to a monitoring device. The pH is then monitored over time. This test is used to diagnose gastrooesophageal reflux disease. (27 Sep 1997) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|