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      • KCI등재

        자세교정프로그램에 따른 자세유지 수행과 자기효능감에 관한 연구

        장수경,Jang, Su-Gyeong 대한물리치료과학회 2000 대한물리치료과학회지 Vol.7 No.2

        The purpose of this study is to identify the posture correction program as the development of the posture maintenance performance, and search for the more efficient posture correction program. The data analysis was processed by SPSS. The data was analysed with $x^2$-test, t-test, pearson product moment correlation, and stepwise regression analysis. The finding of this study is as follows: There are the homogeneity between two groups was verified on the know ledges CF=.697, df=2, P>.05), self-efficacy(F=.098, df=2, P>.05) about the posture. The developed posture correction program has proved to enhance the posture maintenance performance(knowledge t=1.60, P<.05 ; posture manintenance t=7.69, P<.01). The type of posture correction program showed some significant differences (t=5.62, P<.01) in the accuracy of movement way among the factors of the posture maintenance performance. The posture maintenance performance affected self-efficacy. Therefore, the major conclusion is as follows: The posture correction program was meaningfully effective on developing the posture maintenance, and with practice created accuracy much more on the posture maintenance movement way. The development of the posture maintenance performance affected the increase of self-efficacy about the posture. The self-efficacy has proved so powerful factor to influence on the posture maintenance performance development. So, the posture correction program should be done systematically and continually, and developing the posture maintenance performance should be done with practice. After the education, it should be reinforced through practice, midterm identification and reeducation and motivated with recognizing the accurate posture measurement. And it should be created the correction program to develop the high self-efficacy about the posture. It needs the strategy to educate the correct posture individually, and to spread to the society for healthy life style.

      • KCI등재

        물리치료 임상실습 교과내용 개선을 위한 조사연구

        장수경,Jang, Su-Gyeong 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.3

        This Study was to investigate elaborated research themes and direction through specifying the problems of clinical practice education and looking for the direction of improvement. It was in the basis of the viewpoint of the educators that professors and therapists who were the subjects of this study. Perform this study, the 15 colleges' professors and the 55 hospitals' therapists was made up questionnaire, and the data was analysing by Chi-square test and percentage. The results were as follow : ${\cdot}$ In a personal history among the general qualities, professors have little clinical practice history(l-5 years, 53.3%), and therapists have little lecture career(1-5 years, 43.6%, have no 49.0%), ${\cdot}$ The 78.6% subjects were unsatisfied of clinical practice systems. ${\cdot}$ The correlation between clinical history, school career and lecture career and the satisfaction level of clinical practice systems has no(P<.005), ${\cdot}$ The subjects were agreed to that clinical practice curriculum should be changed(67.1%), reinforced(82.9%), and specified(90.0%). ${\cdot}$ The clinical practice credits are 11 points averagely. ${\cdot}$ In the clinical practice curriculum, it made no difference in the practicum of diseases, modality, and the therapeutic techniques between professors and therapists. ${\cdot}$ The 100% professors said that the practicum of the patients' assessment is necessary, and the 63.6% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the clinical psychology is necessary, and only the 20.0% therapists were training for that. ${\cdot}$ The 93.3% professors said that the practicum of the patients' management is necessary, and the 50.9% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the medical ethics is necessary, and the 34.5% therapists were training for that. ${\cdot}$ The 46.7% professors said that the practicum of the hospital administration is necessary, but the 54.5% therapists have not training. ${\cdot}$ The 33.3% professors said that the practicum of the pharmacology is necessary, but the 81.8% therapists have not training. ${\cdot}$ The 86.7% professors said that the practicum of the patient's education is necessary, and the 43.6% therapists have training. ${\cdot}$ The 66.7% professors said that the practicum of the prosthesis and brace is necessary, but the 14.5% therapists have not training. ${\cdot}$ The 60.0% professors said that the practicum of the exercise prescription is necessary, but the 25.5% therapists have not training. ${\cdot}$ The 53.5% professors said that the practicum of the emergency treatment is necessary, but the 52.7% therapists have not training. ${\cdot}$ Drawing up the plan about the curriculum of clinical practice, the professors (46.7%) were agreed to national master plan framing by an expert advisor, but the therapists (58.2%) said that the plan that make the most of hospitals' characteristics should be specified. ${\cdot}$ It was found that a clinical special therapists(54.5%) was good as a person in charge of clinical practice education, in that each therapist's own good time (34.5%) was. ${\cdot}$ It made use of the form framing by college(40.0%) as the clinical practice textbook, the form framing by hospital (42.9%) and each therapist(22.9%) as the plan, and the form framing by college (74.3%) as the measurement. ${\cdot}$ The most difficult point in clinical practice education was the lacks of the theory-praciticum linkage(78.2%). ${\cdot}$ It was found that the period of clinical practice was in the second semester-third grade (40.0%) and the desirable period was in the first semester-third grade(50.0%). ${\cdot}$ Professors (53.3%) were a

      • KCI등재

        물리치료 교육과정 분석에 의한 물리치료 교육 이원화의 문제점

        장수경,Jang, Su-Gyeong 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.3

        The Quality of physical therapy school system has conflicts between physical therpist, and reduces the opportunity of seguential education. So this study was investigated in order to made concrete the problems of educational duality, set up the direction of the school system's improvement, as like the four-year system and recognized the necessity. The curriculums of 13 colleges and 5 universities was analyzed. The curriculum analysis was made up the comparison and the analysis by a liberal arts point, a major point, a clinical practice point, total opening subjects, and so on. The analyzing results were as follows. 1. The average rates of a liberal arts vs. a major opening point are 17:83 in college, and are 27:73 in university. 2. It is a serious problem that college are lower than university in a liberal arts. The best method that can solve it is lengthen the number of school years. 3. There is no difference between college and university in a major subject. Rather college has the more subject's numbers than university. 4. There is no difference between college and university in a clinical practice. Above results suggests that there is not different between college and university in a major subject except for a liberal arts point. It is proper that one should be unificate the curriculum according to the sameness between a state examination and a license. Therefore, it is necessary for graduates from college that provides the opportunity of proceeding to a higher school, demands the seguential system of study cultivating and producing a bachelor, and requires the continual education in a clinical field, a bachelor admitting system of continual education, and clinical therapist's qualification. The present physical therapy educational systems should be unificated because of many right reasons. On the other hand, the follw-up study that improving the school system about the four-years and the more physical therapy should be continue from the viewpoint of education.

      • KCI등재

        권정생 동화에 나타난 사랑의 양상과 의미 - 『중달이 아저씨네』와 『빼떼기』를 중심으로 -

        장수경 ( Jang Sukyung ) 건국대학교 동화와번역연구소 2017 동화와 번역 Vol.34 No.-

        이 글은 권정생의 동화 『중달이 아저씨네』와 『빼떼기』를 중심으로 사랑의 구현 양상과 의미에 대해 살펴보았다. 권정생 문학의 주요 흐름은 ‘사랑’인데, 그 사랑의 발현방식은 작품 속에서 무욕과 아량의 양상으로 나타난다. 『빼떼기』에서 화상을 입은 닭을 등장시켜 사람들이 나눔을 실천하는 방식이 관대함을 전제로 한 몫에 대한 분할의 방식을 따를 때 외부적 폭력의 상황에 처하면 사랑의 실천이 불가능한 상황으로 변모된다는 점에 주목한다. 특히 전쟁의 첫희생자인 빼떼기의 죽음은 이 스토리에서 가장 나약하고 불쌍한 존재의 희생이 폭력의 시작점이라는 점에서 비극성을 더한다. 전쟁이나 부조리한 힘이 지배하는 현실에서 인간들은 아량을 통해 사랑을 실천하고자 하지만 이는 물리적 폭력에 의해 번번이 좌절될 수 있다. 이런 점에서 『빼떼기』는 진정한 사랑의 실천이란 어떠한 방식이어야 하는지를 역설적으로 묻고 있다. 『중달이 아저씨네』를 살펴보면 바보스런 인물을 등장시켜 무욕을 전제로 한 사랑이 나와 세계 사이의 진정한 관계를 드러내는 방식임을 보여준다. 이 작품에서 중달이 아저씨는 자신의 몫을 내어줄 때 ‘땅’을 사회적 기준 단위인 ‘한 뙈기 두 뙈기’로 이해하는 방식이 아니라 ‘한 개 두 개’처럼 물건을 셀 때의 기준을 활용한다는 점에서 기존의 전통적인 교환 가치를 해체시킨다. 이 작품에서 진정한 ‘사랑’의 관계란 몫에 대한 분할의 방식이 아니라 나의 것 절반을 내어주고, 나머지를 모두 내어주는 무욕의 태도를 실천할 때 사랑이 완성됨을 형상화하고 있다. 이와 같이 두 작품은 권정생이 사랑을 드러낼 때 무욕의 관점이 훨씬 더 인간적이고 본질적인 사랑의 방식임을 미학적으로 형상화하고 있다. 하지만 이 글은 권정생의 동화 두 편에 한정된 연구라는 점에서 많은 한계를 갖고 있다. 이번 연구에서 부족한 부분은 추후 연구를 통해 보완할 것이다. This article takes a look at the aspect and meaning of Love with the focus on Uncle Jungdal and Bbaddegi, the fairly tales of Kwon Jung-saeng. Main flow of literature of Kwon Jung-saeng is ‘Love’ and the manifestation method of the love is displayed in the tendency of freedom from avarice and generosity in the works. First of all, Bbaddegi displays the point of view of generosity(generosite). This work has the chicken with burning injury to pay attention to the fact that practice of love turns into a situation with impossible to practice love in encountering of the situation of external violence when people follows the method of division for the method to practice sharing. In particular, as the first victim of a war, the death of Bbaddegi is even more tragic in the point that sacrifice of the most vulnerable and pitiful being would be the starting point of violence in this story. Under the reality where war or illegal force controls, humans attempt to practice love through generosity, but this is failed by physical force at all times that Bbaddegi inquires paradoxically what method should be facilitated for practicing of true love. Next, in Uncle Jungdal where the point of view of freedom from avarice(desinteressement) is well displayed, an idiot is emerged to tell that sharing through freedom from avarice would be the method that displays the relationship of true human and the world. In this work, Uncle Jungdal part away with the existing traditional value of exchange in the point that it facilitates the criteria in buying goods like 'one piece, two piece' and so on, not the method of understanding with the social standard unit of land in 'One Parcel, Two Parcel' and so on when its share is divided. This work structures the narrative of irony in that the expression of ‘Love’ in paradoxical way to be available when the passion of freedom from avarice to give a half of mine and then the rest is all given away, not for the method of installment. As such, these two works formulate aesthetically that the point of view on freedom from avarice is much more humane method of love when Kwon Jung-saeng displays the love. However, this article has significant limitation in the point that it is the study limited on two fairly tales of Kwon Jung-saeng. The insufficient parts in this study would be supplemented through the studies at a later time.

      • KCI등재
      • KCI등재

        1950년대 구성되는 기억,아동,문학26) ―『새벗』을 중심으로

        장수경 ( Su Kyung Jang ) 현대문학이론학회 2013 現代文學理論硏究 Vol.0 No.52

        이 논문은 1950년대 어린지 잡지 『새벗』(1952-1959)에 실린 아동텍스트를 중심으로 전중과 전후 공동체의 특정 기억이 어떻게 삭제?망각?생성?의식화되는지 그 양상과 의미를 살펴보는데 목적이 있다. 전중에는 전쟁으로 집과 가족을 잃은 고아들이 거리의 부랑자로 전락해 비참한 삶을 살아가는 모습이 일상의 풍경처럼 되어갔다. 이런 전쟁에 대한 슬픈 기억은 남한에 있는 사람들을 감성적 공동체로 결집시키는 하나의 힘으로 작동한다. 따라서 네이션의 문제는 동화ㆍ소년소설뿐 아니라 만화 등 아동 텍스트에서 주요한 하나의 흐름을 형성했다. 전쟁 중 제일먼저 창간된 어린이 잡지 『새벗』에는 네이션, 아동, 문학의 사회ㆍ정치적인 관계 들이 중첩되어 나타난다. 이 과정에서 월남 작가들이 쓴 작품 중에는 현실의 불안과 분열로 인해 텍스트 내에서 네이션과 충돌을 일으키는 서사들이 발견된다. 아동 텍스트에서 나타나는 서사의 균열은 1950년대 사회ㆍ정치적 상황이 얼마나 억압되어 있었는지를 증명해준다. 이런 서사의 균열은 1950년대 후반부로 오면서 아동문학에서 대체ㆍ치환ㆍ투사의 과정을 거치며 현실에 대한 재현과 새로운 기억을 재창조하려는 방향으로 이동하는 원동력이 된다는 점에서 의미가 있다. In the 1950`s, the ordinary landscape was the line of evacuees and orphans leading miserable lives in the streets as tramps. The sad memory towards the war worked as some kind of strength that concentrated the people in South Korea as an emotional community. Thus, the matter of nation formed a crucial flow in children`s text not just in fairy tales or juvenile novels but cartoons as well. Saebeot, the children`s magazine that was published first during the war contained social and political relations among the nation, children, and literature overlapped. From the works written by Vietnamese writers, we can find the narrations in which the nation collides with the text due to the anxiety and split lying in the reality. The cracks of the narrations shown in the children`s text verify how unstable and suppressed the time of ``1950`s`` and the place of ``South Korea`` were. Around the latter period of the 1950`s, the narrations intending to escape from the frame of the nation went through the process of replacementㆍsubstitutionㆍprojection in children`s literature and became the driving force that turned the reproduction of reality and new memory to the direction of recreation. This article is significant in that it aims to examine the process of constructing children`s literature in the 1950`s centering around the text contained in Saebeot. However, this study could not investigate individual writers or the literary characteristics of each text in detail. Thus, the paper leaves as the follow-up task the work to draw the holistic characteristics of children`s literature after the war by comparing and examining the text contained in other magazines or books published in the same period.

      • KCI등재

        1960년대 『가톨릭소년』과 어린이 교양

        장수경 ( Jang Sukyung ) 건국대학교 동화와번역연구소 2018 동화와 번역 Vol.35 No.-

        이 글은 1960년대 발간된 『가톨릭소년』을 중심으로 그 체제와 내용을 면밀히 검토하여, 1960년대 어린이 교양이 어떠한 내용과 서술체계를 통해 기획, 구성되었는지를 탐색하는 데 목적이 있다. 『가톨릭소년』은 어린이를 위한 종합잡지로 1960년 1월 1일 창간되었다. 잡지의 편집 체제를 살펴보면 종교적인 내용이 1/3, 문예지적 내용이 1/3, 학습과 취미 등 오락적인 내용이 1/3로 구성되어 있다. 특히 이 잡지는 문예지적 성격에 많은 지면을 할애하고, 어린이 문화운동에 관심을 기울였다. 이런 측면은 당대 어린이 교양의 내용이 어떻게 구성되는지를 포착할 수 있다는 점에서 아동문화사에서 중요한 의미를 지닌다. 그 특징을 살펴보면 다음과 같다. 첫째, 『가톨릭소년』에는 우주과학소설이 장기간 연재되었는데, 이는 과학이 발전한 한국의 미래상에 대한 욕망과 연동되어 있었다는 점이다. 미래를 이끌어갈 어린이에게 과학에 대한 흥미와 관심을 제시함으로써 당대의 과학적, 보편적인 지식을 갖추는 것이 현대 교양인의 덕목임을 제시한 것이다. 둘째, 이 잡지에는 ‘명작’, ‘명화’, ‘연극’ 등의 문화예술을 향유하는 방식에 대해 지속적으로 다루면서 현대인이 갖춰야 할 교양에 대한 구성 욕망을 서구 문화의 측면에서 드러낸다. 특히 명작을 소개할 때는 ‘해설-텍스트 줄거리-작가소개’의 방식으로 스토리텔링함으로써 보편적 지성을 갖춰 성장해야 함을 강조한다. 셋째, 『가톨릭소년』은 가톨릭소년 4대 문화사업과 아동문학계의 동정 및 행사를 적극 소개하고 기사화함으로써 독자에게 문화계 정보를 유통하고 확산하는데 기여하였다. 이런 과정을 통해 이 잡지는 어린이들에게 건전한 어린이 문화와 생각의 힘을 키우는 것이 현대 교양인의 덕목임을 강조한다. 이상에서 살펴본바와 같이 『가톨릭소년』은 1960년부터 현재까지 발간되면서 어린이 교양의 덕목으로 지식과 선행의 실천을 제시하고 있음을 알 수 있다. 1960년대 구성된 어린이 교양의 내용은 오늘날까지 어린이 교양교육으로 재생산되고 있다는 점에서 의미를 획득할 수 있다. The purpose of this study is to closely examine the system and contents of Catholic Boys published in the 1960’s and explore how children’s refinement was planned and organized through which contents and system for description in the 1960’s. Catholic Boys is a general magazine for children, and its first issue was published on January 1, 1960. Regarding the magazine’s editing system, 1/3 forms religious contents, another 1/3 is about literary contents, and the rest 1/3 is composed of entertaining contents for learning or hobbies. Many pages of this magazine were particularly used for literary contents and intended for children’s culture movement. It has significant meaning in the history of children’s culture because we can capture how the contents of children’s refinement were organized at that time with this magazine. First, a space science novel was published serially on Catholic Boys for a long period. This is associated with their desire for the future of Korea enjoying scientific development.By suggesting children who would be the future leaders to show concern and interest towards science, this magazine told them it would be the virtue of contemporaries of refinement to be equipped with scientific as well as universal knowledge then. Second, this magazine continuously dealt with how to enjoy culture and arts, for instance, ‘masterpieces’, ‘noted movies’, or ‘plays’, and revealed their desire for the elements of refinement contemporaries should be equipped with in the aspects of Western culture. Particularly, in the introduction of masterpieces, they used the storytelling of ‘exposition-text synopsis-introduction to the writer’ and stressed the fact that children should grow up equipped with universal intelligence. Third, Catholic Boys introduced its 4 major culture projects and also the trends and events in the circles of children’s literature aggressively and wrote articles about them. It did contribute to distributing and spreading information in the circles of culture then to readers positively. With this process, the magazine urges children to realize it is the virtue of contemporaries of refinement to raise the power of thinking and create sound culture for children. As examined above, from 1960 until now, Catholic Boys has been suggesting knowledge and the practice of good deeds as the virtue of children’s refinement. The contents of children's refinement formulated in the 1960's can be regarded significant in that they are still being reproduced for education for children's refinement.

      • KCI등재

        옛이야기의 놀이성과 변신과 성장의 미학

        장수경(Jang, Su-kyung) 원광대학교 인문학연구소 2016 열린정신 인문학연구 Vol.17 No.2

        이 글은 호랑이가 등장하는 옛이야기 중에서 전래동화와 그림책, 교과서 등에서 두루 각색되어 오늘날까지 독자들의 관심과 흥미를 끌고 있는 옛이야기 「해와 달이 된 오누이」와 「팥죽 할멈과 호랑이」의 공통화소를 중심으로 놀이의 양상과 그 의미를 살피는데 목적이 있다. 먼저 「해와 달이 된 오누이」의 내용을 살펴보면 어머니와 호랑이의 속이기 게임, 호랑이와 남매의 속이기 게임, 남매의 변신 놀이가 진행된다. 이들 놀이에서는 미미크리와 알레아, 일링크스 놀이가 두루 나타나는데, 때로는 두 개의 놀이가 상호 결합되면서 인간의 잠재된 욕망을 흥미로운 놀이로 표현한다는 특징이 있다. 놀이의 과정은 애벌레에서 나비로 변태하기까지의 진행과정과 유사한데, 이는 언제나 새로운 존재로 변신하고 싶은 인간의 욕망을 잘 보여준다. 다음으로 「팥죽 할멈과 호랑이」를 살펴보면 할머니와 호랑이의 내기놀이, 할머니와 사물들이 벌이는 가장놀이와 축제, 사물들과 호랑이의 일링크스 놀이가 펼쳐진다. 세 번의 놀이에서는 아곤, 미미크리, 알레아, 일링크스의 네 가지 놀이 요소가 두루 나타난다. 이 작품에서 나타나는 놀이는 성장의 정체(停滯) 단계에서 다음의 성장 단계로 이행(移行)해야 하는 존재의 갈등과 고난의 극복 과정을 긴장감 있게 보여준다는 점에서 성장에 대한 인간의 두려움과 기대의 이중적 욕망을 대변한다. 이상에서 살펴본바와 같이 두 작품은 변신과 성장에 대한 인간의 보편적 욕망을 놀이를 통해 흥미롭게 보여준다는 점에서 의미를 지닌다. 따라서 이런 옛이야기의 놀이적 특성은 오늘날 옛이야기를 다양한 콘텐츠로 변용할 때 하나의 참조점이 될 수 있을 것으로 기대한다. 하지만 본고는 다양한 옛이야기를 전체적으로 분석하지 못하였다는 점에서 충분히 한계를 지니고 있다. 본고에서 다루지 못한 내용은 추후의 논문으로 보충하고자 한다. Among old stories that have a tiger character in them, this paper chose ‘Brother and Sister Who Became the Sun and the Moon’ and ‘Patjuk Grandma and Tiger’, the stories that have been dramatized in fairy tale books, picture books, an textbooks and are attracting attention and interest of readers, and examined the aspects and meanings of play shown in them. First of all, in ‘Brother and Sister Who Became the Sun and the Moon’ has plays such as cheating game of mother and tiger, cheating game of tiger, brother and sister, and transformation game of brother and sister. Many of these games are mimicry, alea, and ilinx and they have the feature that two plays are sometimes combined and express hidden human desire through interesting games. The process of the play is similar to the transformation process from larva to butterfly, which depicts the constant human desire of transforming into a new existence. Next, and ‘Patjuk Grandma and Tiger’ has plays such as the bet between grandma and tiger, the costume play and festival that are held by grandma and objects, and ilinx play of objects and tiger. In the three plays, the four factors of agon, mimicry, alea, and ilinx are shown in various parts. The plays shown in this story show the conflict of existence that one has to evolve from stagnation of growth to the next stage of growth and the process of overcoming difficulty, and in that sense it represents the double-sided desire of human fear and expectation about growth. As can be seen from above, the two stories are significant in that they present the general human desire about transformation and growth in an interesting way through plays. This feature of old stories is expected to be a reference point when we adapt folktales to various contents of today. This paper, however, has the limitation that it did not analyze various old stories from a broader perspective. What was not discussed in this paper will be complemented in the following paper.

      • KCI등재

        결막 표면에 융기된 흑색세포종양의 임상양상

        장수경(Su Gyeong Jang),박병건(Byung Gun Park),박영민(Young Min Park),이종수(Jong Soo Lee) 대한안과학회 2016 대한안과학회지 Vol.57 No.11

        목적: 결막 표면에 융기된 흑색세포 종양의 임상양상 및 특징에 대하여 알아보고자 하였다. 대상과 방법: 세극등 현미경 검사에서 결막 표면의 융기된 흑색세포종양으로, 절제 생검을 시행 받은 환자 33명(남자 16명, 여자 17명), 33안의 의무기록을 후향적으로 분석하였다. 결과: 환자의 종양이 최종진단까지 걸리는 기간은 10년 이내가 76%였으며, 10년 이상은 24%로 15년에서 50년까지 다양하였다. 절제생검결과는 복합모반이 13안(40%), 상피하모반이 9안(27%), 이형성이 동반되지 않은 원발성 후천성 흑색증 8안(24%), 그리고 악성흑색종이 3안(9%)이었다. 복합모반은 각막 이측에 위치한 경우가 54%, 구결막에 위치한 경우가 77%로 가장 많았고 61%가 갈색의 색소성 변화를 보였다. 병변의 평균 직경은 24 mm로, 멜라닌 모반세포가 결막 상피 및 상피하 기칠층에 복합적으로 존재하였다. 상피하모반은 각막 이측(56%), 구결막에 위치(78%)한 경우가 많았고 78%에서 갈색을 띠었다. 이 병변의 평균직경은 28 mm였고, 멜라닌모반세포가 상피하 기질층에서만 관찰되면서 nest shape을 형성하였다. 이형성이 동반되지 않은 원발성 후천성 흑색종은 각막 비측(62.5%), 구결막에 위치(75%)하는 경우가 많았고 갈색의 색소성 변화를 보이는 경우(75%)가 가장 많았다. 평균직경은 30 mm, 조직학적으로 멜라닌 모반세포가 상피층 바닥막에 국한되어 있었다. 악성 흑색종은 3안으로 모두 각막 상측의 검결막에 위치하였고, 검은색소성 변화가 있으면서, 평균 직경이 53 mm로 조직소견상 암세포가 결막 및 결체조직의 전층에 분포하였다. 결론: 결막 표면의 흑색세포종양이 검결막에 위치하면서 병변의 범위가 넓고 표면으로 융기되는 검은색의 색소침착을 보이는 경우악성흑색종으로 의심되기에 조기에 생검 및 적극적인 절제술이 필요할 것으로 생각된다. <대한안과학회지 2016;57(11):1691-1698> Purpose: To investigate the clinical manifestations and characteristics of extruded conjunctival melanocytic mass. Methods: A total of 33 patients who had extruded conjunctival melanocytic mass and who underwent excisional biopsy were retrospectively reviewed. Results: Based on the excisional biopsy results, 13 patients (40%) were diagnosed with compound nevus, nine patients (27%) with subepithelial nevus, eight patients (24%) with primary acquired melanosis without atypia, and three patients (9%) with malignant melanoma. Compound nevus was located on the temporal side of the cornea in 54% of affected cases, bulbar conjunctival in 77%, and was partially pigmented (brown) in 61%. The average size of the melanocytic mass was 24 mm when histological analysis showed melanin nevus cells in the conjunctival epithelial layer and subepithelial stromal layer. Subepithelial nevus was located on the temporal side of the cornea (56%) and in the bulbar conjunctival (78%) and had a brown color (78%). The average size of the melanocytic mass was 28 mm when histological analysis showed melanin nevus cells located only in the subepithelial stromal layer and forming nest shapes. Primary acquired melanosis without atypia was located on the temporal side of the cornea (62.5%) and bulbar conjunctival (75%) and had brown color (75%). The average size of melanin nevus cells located only in the basement membrane of the epithelial layer was 30 mm. Three of these masses were malignant melanoma, and all cases were located on the superior side of the cornea and palpebral conjunctiva. All cases were black and had an average size of 53 mm, with malignant cells observed in all layers of the conjunctiva and connective tissue. Conclusions: A conjunctival melanocytic mass located on the palpebral conjunctiva, extruding onto the surface, and large in size should be suspected as malignant melanoma. In such cases, early biopsy and aggressive resection are required. J Korean Ophthalmol Soc 2016;57(11):1691-1698

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