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韓國 授乳女性의 膣細胞호르몬像

The Vaginal Cytohormonal Patterns of Korean Lactating Women

전남의대잡지 1969년 6권 3호 p.327 ~ 342
김복일,
소속 상세정보
김복일 (  ) - 전남대학교 의과대학 산부인과학교실

Abstract


The vaginal cytologic examination according to Papanicolaou smear wascarried out in 404 cases of Korean lactating women with the following, results;
1. The atrophic type of the cytohormonal patterns accounted only 9(14.5 %) out of 62 cases, in which the examination was done within 72 hours after delivery, but at the puerperal stage after 72 hours it increased to 30(60 %)out of 50 cases. Throughout the entire puerperal stage, there could be recognized, though low in incidence the pattern, eliciting luteal, function, but none of androgenic type.
2. The post-partum cell showed also higher: incidence in the puerperal stage after 72 hours (15 of 50 cases), than within 72 hours after delivery.(10, of 62 -cases), it was noteworthy that it could -be found in 9(4.3%) of 210 cases even after 6 months.
3. Proliferation in the cytological finding became statistically significant for the first time in the lactating women whose, lactation lasted more than 12 months compared, that of those less than 12 months. And at this stage too luteal function increased in intensity than before and the androgenic type made the first appearance.
4. At 12 months post-partum the proliferation in women, whose hemo globin value was over 10.5gm%, was statistically significant to that of those, whose hemoglobin was under 10.5 gm%.
5. The proliferation seemed to be more pronounced in the age-group of 31 and 40 years than of younger age though statistically not significant.
6. Grades of proliferation lave-no definite relationship with the educational level aid the parity of the subject.
7. The vaginal cytologic pattern of 138 menstruating women revealed that 91 cases(65.9%) showed high proliferation and 47 cases(34.1%) moderate proliferation. In 154 non-menstruating cases, it was high in 46 casses(29.5%), moderate in 66 cases(42.8%) and atrophic in 42 cases (27.3%). The above data have shown that all the vaginal cytologic pattern is not proliferative in menstruating women and also all is not the atrophic one in non-menstruating women.
8. It was found that under the same cytohormonal pattern the uterline atrophy showed higher incidence than the vaginal atrophy.

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