| 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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| FRO | floor reaction orthosis |
|---|---|
| A2 P2 | aortic second sound; pulmonary second sound |
| BS | Bachelor of Science; Bachelor of Surgery; Bacillus subtilis; Bartter syndrome; base strap; bedside; ... |
| bs | bedside; bowel sound; breath sound |
| ABC | absolute basophil count; absolute bone conduction; acalculous biliary colic; acid balance control; a... |
| FRO | free radical oxidation |
|---|---|
| AD-SoS | Amplitude dependent speed of sound |
| S2 | Sound |
| SPL | Sound Pressure Level |
| SOS | Speed Of Sound |
| to-and-fro sound | Doubling of an abnormal murmur usually in systole and diastole and formerly applied to pericardial rubs. (05 Mar 2000) |
|---|---|
| to-and-fro anaesthesia | Anaesthesia using of a valveless closed anaesthesia circuit in which respired gases pass back and forth through a carbon dioxide absorbent interposed between patient and respiratory reservoir bag. (05 Mar 2000) |
| to-and-fro murmur | Murmur heard in both systole and diastole of the heart, as in aortic stenosis and insufficiency. Synonym: seesaw murmur. (05 Mar 2000) |
| anvil sound | In cases of a large pulmonary cavity or of pneumothorax, a clear metallic sound obtained by striking a coin, held against the chest, by another coin, or by flicking the chest wall with one's fingernail; the sound is heard on auscultating the chest wall on the same side anteroposteriorly. Synonym: anvil sound, bell sound, coin test. (05 Mar 2000) |
| atrial sound | The sound produced in late diastole in association with ventricular filling due to atrial systole and related to reduced ventricular compliance. It is a low frequency oscillation that may be normal at older ages owing to a physiologic decline in ventricular compliance but is nearly always abnormal at younger ages if it is of high intensity or palpable. It is common in ventricular hypertrophy, particularly with hypertension, and is almost invariable during acute myocardial infarction. Fourth heart sounds may arise from the right or left ventricle or both. Synonym: atrial sound. (05 Mar 2000) |
| auscultatory sound | A rale, murmur, bruit, fremitus, or other sound heard on auscultation of the chest or abdomen. (05 Mar 2000) |
| bell sound | In cases of a large pulmonary cavity or of pneumothorax, a clear metallic sound obtained by striking a coin, held against the chest, by another coin, or by flicking the chest wall with one's fingernail; the sound is heard on auscultating the chest wall on the same side anteroposteriorly. Synonym: anvil sound, bell sound, coin test. (05 Mar 2000) |
| Campbell sound | A miniature sound with a short round-tipped beak, especially curved for the deep urethra of the young male. (05 Mar 2000) |
| cannon sound | The loud first heart sound heard intermittently in complete atrioventricular block and in interference-dissociation when the ventricles happen to contract shortly after the atria. Synonym: cannon sound. (05 Mar 2000) |
| cardiac sound | The sounds heard over the cardiac region produced by the functioning of the heart. There are four distinct sounds: the first occurs at the beginning of systole and is heard as a "lubb" sound; the second is produced by the closing of the aortic and pulmonary valves and is heard as a "dupp" sound; the third is produced by vibrations of the ventricular walls when suddenly distended by the rush of blood from the atria; and the fourth is produced by atrial contraction and ventricular filling but is rarely audible in the normal heart. The physiological concept of heart sounds is differentiated from the pathological heart murmurs. (12 Dec 1998) |
| gallop sound | The abnormal third or fourth heart sound which, when added to the first and second sound's, produces the triple cadence of gallop rhythm. See: gallop. (05 Mar 2000) |
| van Buren sound | A standard sound, available in several calibers, with a gently curved tip designed to follow the contour of the deep bulbous urethra in the male; used for urethral calibration or dilation. (05 Mar 2000) |
| McCrea sound | A gently curved sound used to dilate the urethra in infants or children. (05 Mar 2000) |
| cavernous voice sound | The hollow or metallic voice sound heard over a pulmonary cavity. (05 Mar 2000) |
| respiratory sound | A murmur, bruit, fremitus, rhonchus, or rale heard on auscultation over the lungs or any part of the respiratory tract. (05 Mar 2000) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|