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이건화,김동균,나현식,배준용,최준호,김양기,김기업,어수택,김동훈,황정화,구동억,Lee, Gun-Wha,Kim, Dong-Kyun,Na, Hyun-Sik,Bae, Jun-Yong,Choi, Jun-Ho,Kim, Yang-ki,Kim, Ki-up,Uh, Soo-taek,Kim, Dong-hoon,Hwang, Jung Hwa,Goo, Dong-Erk 대한결핵및호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.1
폐격리증 치료의 고식적인 방법에는 폐엽 절제술이 있고 덜 침습적인 방법으로는 기형혈관을 동맥색전술로 폐색시키는 방법이 있다. 최근 국내에서 폐격리증을 동맥색전술만으로 치료한 증례가 있으나 모두 소아에서 치료한 경우였다. 저자들은 17세 남자 환자에서 폐격리증을 젤폼과 코일을 이용한 동맥 색전술로 특별한 합병증 없이 치료 하였고 6개월 후 흉부전산화 단층촬영으로 추적 관찰 하였기에 문헌 보고하는 바이다. Pulmonary sequestration is a very rare congenital malformation in which a mass of pulmonary tissue is detached from the normal lung and receives its blood supply from a systemic artery. It may be clinically asymptomatic or it has a wide spectrum of various clinical manifestations. The clinical therapeutic approach is to resect the sequestered lobe to prevent frequent complication such as infection. The arterial embolization of feeding artery is a new technique and a less invasive treatment than conventional surgical removal. We have experienced a 17-year-old male with pulmonary sequestration whose complaints were pain in left lower chest. He was diagnosed by computed tomography and aortography and successfully treated with embolization of feeding artery. We report a case of pulmonary sequestration treated with arterial embolization instead of surgery.
폐색전증에서 나선형 컴퓨터 전산화 단층촬영의 관찰자간의 일치도에 관한 연구
김양기 ( Yang Ki Kim ),이영목 ( Young Mok Lee ),김기업 ( Ki Up Kim ),어수택 ( Soo Taek Uh ),김용훈 ( Yong Hoon Kim ),박춘식 ( Choon Sik Park ),황정화 ( Jung Hwa Hwang ),김동훈 ( Dong Hun Kim ),구동억 ( Dong Erk Goo ),최득린 ( Deuk 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.59 No.5
김도하(Do Ha Kim),김홍자(Hong Ja Kim),박능화(Neung Hwa Park),이근찬(Geun Chan Lee),정영화(Young Wha Chung),이영상(Young Sang Lee),구동억(Dong Erk Goo),윤현기(Hyeon Ki Yoon),성규보(Kyu Bo Sung),유은실(Eun Sil Yu),서동진(Dong Jin Suh) 대한내과학회 1998 대한내과학회지 Vol.54 No.2
N/A Objectives : Liver biopsy is an essential tool to confirm suspected diagnosis and to guide specific therapy in patients with liver disease. But, the standard percutaneous needle biopsy is contraindicated in patients with coagulopathy and large amount of ascites. The transjugular approach has been developed for these problem cases, but its efficacy and safety has not been adequately tested in Korea. Methods : We retrospectively analysed 21 transjugular liver biopsy cases, and the success rate of procedure, the adequacy of obtained specimen for diagnosis and procedure related complications were reviewed. Results : The major reasons for trasjugular liver biopsy were coagulopathy(71%) and massive ascites(19%). Liver tissue was obtained successfully in 20 of 21 cases. The mean number of specimens was 3.4±1.1 per case and the mean size of specimen was 1.8±0.7mm Pathologists reviewed and judged as adequate for diagnosis in 13 cases(65%), helpful in 6 cases(30%), and inadequate in 1 case. Minor complications such as neck pain, hematoma at puncture site, or transient fever occurred in 5 cases (23.8%) but there was no major complication or procedure-related mortality. Conclusion: Transjugular liver biopsy is a safe and valuable technique that provides adequate diagnostic informations in about two thirds of patients for whom conventional percutaneous biopsy is contraindicated.
복강경하 자궁상부절제술 후 발생한 자궁동맥 가성동맥류의 색전술에 의한 치료
이미라 ( Mi Ra Lee ),김민정 ( Min Jeong Kim ),전혜지 ( Hye Ji Jeon ),최슬아 ( Sl A Choi ),김윤숙 ( Yun Sook Kim ),배동한 ( Dong Han Bae ),구동억 ( Dong Erk Goo ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.2
Laparoscopic supracervical hysterectomy is relatively new and minimally invasive surgery. The advantages of this operation are conserving the cervix. But it has complications like intraoperative bleeding, ureteral injury, bowel perforation and postoperative hematoma. Pseudoaneurysm can be acquired in association with trauma, previous surgery, trophoblastic disease. When a punctured artery does not seal completely, blood may escape and dissects the adjacent tissues, and collects in perivascular areas. If this maintains in communication with the parent vessel, a pseudoaneurysm could result. Typically the lesions are discovered because the patients have symptoms related to delayed rupture of the pseudoaneurysm, causing severe hemorrhage. Radiologic techniques have provided the opportunity to diagnose and treat pseudoaneurysm. We experienced a case of severe hemorrhage in the cervix four weeks following laparoscopic supracervical hysterectomy attributed to a pseudoaneurysm of the uterine artery and treated with arterial embolization.
소아에서 부비동점막 이상 소견 : 뇌자기공명영상에서 우연히 발견되는 빈도
최득린,홍현숙,박재성,이혜경,권귀향,김대호,구동억 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2
Purpose: Magnetic resonance imaging (MRI) is known to be the most accurate in the depiction of the paranasal sinus abnormalities. The frequency of incidental observation of paranasal sinus abnormality is reported as very high in previous CT studies. We postulated that the prevalence of the abnormality would be higher if the study was based on MRI studies. We evaluate the prevalence of the incidental paranasal sinus abnormalities seen on MRI. Materials and Methods: We reviewed 287 MRI'S that were obtained for the reasons other than the evaluation of paranasal sinus disease between June 1, 1995 and May 31, 1998. The diagnosis of sinus abnormality was entertained whenever the abnormal signal intensity was seen along the sinus wall or within the sinus cavity on T2 weighted axial images. We analyzed the overall incidence of sinus abnormality, age distribution and monthly distribution. Also, we evaluated the site of involvement and the severity f abnormality. The severity of abnormality was divided into the 5 grades; mild mucosal thickening, severe mucosal thickening, retention cyst, air-fluid level, and total opacity. Results : The abnormality was observed in 39% of the study population. It was seen most frequently in the age group of 4 to 5 years with the relatively high incidence in patients aged between 2 and 8 years. There was no significant difference in the incidence between males and females. The prevalence was highest in May with relatively high incidence between December and May. The maxillary sinus was most commonly involved. Conclusion : The paranasal sinus abnormality is frequently observed in brain MRI as an incidental finding in children. The incidence of abnormality is relatively high in children aged between 2 to 8 years. The abnormality was observed more frequently between December and May.
무명정맥에서 상대정맥으로 이탈된 자가팽창형 stent의 경피적 제거
구동억 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Self expandable stents are being used increasingly in conjunction with balloon dilatation for trearment of innominate vein stenosis. Stent misplacement or migration is a complication of the procedure, and may be symptomatic and warrant repositioning or removal. We report the case of a patient whose innominate vein stenosis was managed with self expandable stent and was complicated by embolization of stent into the superior vena cava. This report illustrates percutaneous endovascular removal of a migrated stent from the superior vena cava using a Goose neck snare
최효경,구동억,방선우,이문규,조경식,오용호 울산대학교 의과대학 1993 울산의대학술지 Vol.2 No.2
It may be difficult to differentiate renal cell carcinoma involving collecting system from renal pelvis urothelial tumor invading into renal parenchyma. The purpose of this study was to find out CT differential points of two diseases. 15 cases suggested invasion into other compartment in CT images were selected and evaluated about the presence or absence of hydronephrosis, CT renal function, renal contour changes due to mass and tentative diagnosis. Renal cell carcinoma was characterized by no hydronephrosis(80%), normal CT renal function (100%) and outward bulging mass(100%). However, renal pelvis urothelial tumor showed hydronephrosis(70%), abnormal CT renal function(60%) and preserved reniform shape(100%). In conclusion, renal contour changes and CT renal function are reliable criteria in differentiating two diseases.