겨드랑이다한증 환자에서 흉부교감신경의 차단부위(T3-4와 T4)에 따른 임상결과

최순호,이삼윤,이미경,차병기 대한흉부외과학회 2008 Journal of Chest Surgery (J Chest Surg) Vol.41 No.4

Background: Video-assisted thoracic sympathicotomy is a definitive minimally invasive treatment for axillary hyperhidrosis. Different techniques exist for controlling axillary hyperhidrosis, but they are temporary and expensive. We compared the results after using two different levels of sympathicotomy for treating axillary hyperhidrosis: T3-T4 and T4. Material and Method: Between June 2002 and May 2007, 30 patients with isolated axillary hyperhidrosis underwent either T3-T4 or T4 thoracoscopic sympathicotomy in the Department of Thoracic & Cardiovascular Surgery at Wonkwang University Hospital. The patients were divided into two groups. Group I (n=15) was composed of patients who underwent T3-T4 sympathicotomy (thermal ablation), and Group II (n=15) was composed of patients who underwent T4 sympathicotomy (thermal ablation). The procedures were bilateral and simultaneous, involving the use of two 2-mm trocars and a 0-degree 2-mm thoracoscope under general anesthesia with single endotracheal intubation. Outcome parameters included satisfaction rate of treatment, degree of compensatory sweating, and postoperative complications. Patients were interviewed by telephone regarding satisfaction and compensatory hyperhidrosis. Result: There were no differences in age between group I and group II. The mean follow-up for the T3-T4 group was 38.7±2.3 months, and the mean follow-up for the T4 group was 18.7±3.6 months. The immediate therapeutic success rate (within 2 weeks postoperative) was 100% in both groups, and there were no recurrences in either group during the long-term follow-up period. The satisfaction rate was higher (93.3%) in the T4 group than in the T3-T4 group (53.3%), and the incidence of compensatory hyperhidrosis was lower in the T4 group (6.7%) than in the T3-T4 group (46.7%). Postoperative complications included one mild pneumothorax and two instances of intercostal neuralgia. Digital infrared thermographic imaging (DITI) correlated well with postoperative satisfaction. Conclusion: Both techniques proved effective for controlling isolated axillary hyperhidrosis. The T4 group had a higher satisfaction rate and lower severity of compensatory hyperhidrosis. Hence, thermal ablation of the lower interganglionic fibers of the third thoracic sympathetic ganglion on the fourth rib is a more practical and minimally invasive treatment than is the T3-T4 surgical method, according to the degree of compensatory sweating in isolated axillary hyperhidrosis.

신경섬유종증을 동반한 신경성 육종과 흉강내 뇌척수막류의 치험 1례

최순호 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.10

Neurosarcoma is relatively rare, but is seen frequently in association with stigmata of neurofibromatosis ie., Cafe au lait pigmentation and cutaneous neurofibromatosis. Both advanced age and association with neurofibromatosis increase the likelihood of malignant degeneration to neurosarcoma. It also may be dumb bell-shaped with intraspinal extension. Thoracic meningocele is rare and represents a protrusion of the dural sac through an abnormally large or malformed intervertebral foramen. The patient is usually asymptomatic, with evidence of paravertebral mass on the chest rentgenogram. In one operation we removed a "Dumb-bell" neurosarcoma and intrathoracic meningocele in a 52 year old woman using a cervical laminectomy with a trap-door incision. She was discharged at 17 days after the operation with a sequelae of excision of nerve roots C8 and T1. Postoperative radiation therapy was performed during the follow-up period.up period.

St. Jude Medical 기계판막의 임상적 연구

최순호 대한흉부심장혈관외과학회 1991 Journal of Chest Surgery (J Chest Surg) Vol.24 No.2

Result of St. Jude Medical valve replacement are presented in 106 patients who underwent operation from January 1985 through July 1989. The patient were 52 males and 56 females. Total 136 of St. Jude Medical valves were implanted; 91 in mitral position, 45 in aortic position. The hospital mortality rate was 5.7%o[6 patients] and the late mortality rate was 2.0%[2 patients]. The causes of death were low cardiac output in 5, iatrogenic right ventricular rupture in 1, heart failure in 1, ventricular arrhythmia in l. And, the causes of valve related complication were anticoagulant related hemorrhage in 5 patients[0.03% /patient-year] and thromboembolism[0.01% /patient-year] in 2 patients. In conclusion, the performance of the St. Jude Medical valve compare most favorably with other artificial valves. But it remains still hazards of mechanical prosthesis such as thromboembolism and anticoagulant related hemorrhage.

우두흉(漏斗胸)의 외과적(外科的) 치료(治療) (Sterno-turnover 방법(方法)에 의(依)한)

최순호,Choi, Soon Ho 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2

A case of congenital funnel chest which was observed in 6 year old male was reported. The patient represented clinical status of depression of lower sternum, recurrent upper respiratory tract infection, and slight exertional dyspnea. The treatment was carried out by "turnover" method, and it was easy to do viable on sternum, costal cartilage, and intercostal muscles. And it is fit to reimplantation by free autograft when repair was indicated. The plane of the manubrium, an acute hump on the sternum, and asymmetry constitute limiting factors in the cosmetic results.

심근경색에 합병된 심실중격결손증 1례 보고

최순호 대한흉부심장혈관외과학회 1988 Journal of Chest Surgery (J Chest Surg) Vol.21 No.6

Surgical treatments were performed in 765 patients of the esophageal diseases at National Medical Center from 1959 to 1982. During these periods, we experienced 945 cases of the esophageal diseases. There were 401 males and 364 females and ranging from 4 days to 76 years of age and mean age was 32.4 years. The most highest mortality noted as 23.0% in esophageal perforation cases. In esophageal strictures cases, the rate of surgical mortality was 5.4%[21/386]. The over all mortality in esophageal surgical cases was 10.8%. We want to expressed about the incidence of Corrosion Carcinoma which developed from the benign esophageal stricture as 2.2%[12/550] of total stricture and as 4.9%[12/241] of total esophageal carcinoma. And the esophagoscopic biopsy must be done who had long standing history of esophageal stricture as a preoperative evaluation purpose.

수포성 폐기종의 Brompton수기에 의한 치험 -1례 보고-

최순호 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.11

Discrete bullae are a well-recognized feature in patients with generalized emphysematous lung disease. They result in space occupation, expanding preferrentially at the expense of adjacent lung tissue, which has a more normal compliance.The presence of these bullae may aggravate the dyspnea consequent to generalized disease. We underwent operation for emphysematous lung disease using a modification of a technique first described by Monaldi for the drainage of pulmonary cavities after tuberculous infection.

St. Thomas Hospital 심정지액에 Creatine Phosphate 를 첨가한 후 심근 보호 효과

최순호 대한흉부심장혈관외과학회 1989 Journal of Chest Surgery (J Chest Surg) Vol.22 No.4

The potential for enhancing myocardial protection by adding high-energy phosphate to cardioplegic solutions [St. Thomas Hospital solution] was investigated in a rat heart model of cardiopulmonary bypass and ischemic arrest. Creatine phosphate was evaluated as an additive to the St. Thomas Hospital cardioplegic solution. Creatine phosphate 10.0 mmol/L as the optimal concentration which improved recovery of aortic flow and cardiac output after a 30 minute period of normothermic [37oC] ischemic arrest. In comparing mechanical function in both groups the mean postischemic recoveries of aortic flow, cardiac output, stroke volume and stroke work [expressed as a percentage of its preischemic control] were significantly greater in STH-CP group than in CP- free control group. In addition to improving function and decreasing CK release, CP reduced reperfusion arrhythmias significantly decreasing the time between cross-clamp removal and return to regular rhythm from 81.8 * 13.9 [sec] in CP-free group to 35.9 * 6.8 [sec] in CP group [P< 0.05] so, exogenous CP exerts potent protective and antiarrhythmic effects when added to the St. Thomas Hospital cardioplegic solution. However, the mechanism of action remains to be elucidated.

폐암의 임상적 고찰

최순호 대한흉부심장혈관외과학회 1978 Journal of Chest Surgery (J Chest Surg) Vol.11 No.1

We observed 82 cases of primary lung cancer clinically and statistically, which had been experienced at the dept. of thoracic surgery, Chonnam University Hospital, during the period of 13 years from 1964 to 1967. The results obtained were as follows: Peak incidence of age was from 5th decade to 6th decade, and the ratio of male to female was 3: 1. The frequency of lung cancer was higher in the heavy smoker than in the lighter smoker, and undifferentiated carcinoma showed low resectability in spite of the shorter clinical duration. Major symptoms were coughing and chest tightness & pain, especially coughing was initial symptom in the majority of patients. Of the 82 cases, operation was performed in the 32 cases [39%], but resection was possible in the 22 cases [27%]. The delaying factors led patients to an inoperable stage were physician’s misdiagnosis of bronchogenic carcinoma due to non-specific symptoms and signs of the patients, old age patients were dependence on herb medicine, and poor economical condition of the patients in our region especially. Basic conditions of treatment in lung cancer were early detection & early surgery, so, chest P-A would be checked per 3 to 6 months interval associated with sputum cytology in the smoker over 45 age routinely.

RH-DMA를 적용한 PET 필름의 장기 점탄성 성능 예측

최순호,윤성호 한국복합재료학회 2019 Composites research Vol.32 No.6

A single frequency strain mode test, a stress relaxation mode test, and a creep test using RH-DMA were performed to investigate the effects of relative humidity and temperature on the viscous properties of PET film. The relative humidity was 10%, 30%, 50%, 70%, and 90%. The temperature was considered to be 30~95°C for single frequency strain mode tests, 30°C and 70°C for stress relaxation mode test, and 5~95°C for creep test. According to the results, higher relative humidity results in lower storage modulus and loss modulus, but the maximum value of the loss modulus is not significantly affected by changes in relative humidity and is almost constant. Relaxation modulus decreases rapidly at the beginning and becomes constant, and as the temperature increases, it is susceptible to changes in relative humidity. Strain recovery also increases rapidly at the beginning and is susceptible to changes in relative humidity as the temperature increases. In addition, as the temperature increases, the degree of increase in creep compliance increases, and as the temperature rises above the glass transfer temperature, the degree of increase becomes very large. The master curve determined by the time-temperature superposition provides the information to predict the long-term performance under operating conditions such as relative humidity and temperature. 상대습도와 온도가 PET 필름의 점탄성 특성에 미치는 영향을 조사하기 위해 RH-DMA를 이용하여 single frequency strain mode 시험, stress relaxation mode 시험, creep 시험을 수행하였다. 상대습도는 10%, 30%, 50%, 70%, 90%를 적용하고 온도는 single frequency strain mode 시험의 경우 30~95oC, stress relaxation mode 시험의 경우 30oC와 70oC, creep 시험의 경우 5~95oC를 고려하였다. 연구결과에 따르면 상대습도가 높아지면 저장탄성계수와 손실탄성계수는 낮아지며 손실탄성계수의 최대값은 상대습도의 변화에 큰 영향을 받지 않고 거의 일정해진다. 이완 탄성계수는 초기에 급격히 감소하다가 일정한 값을 가지며 높은 온도에서는 상대습도의 변화에 민감해진다. 변형률 회복는 초기에 급격히 증가하며 온도가 높아지면 이완 탄성계수와 마찬가지로 상대습도에 민감하게 변한다. 크리프 컴플라이언스의 증가 정도는 온도가 높아지면 커지며 유리전이온도보다 온도가 높아지면 증가 정도는 더욱 커진다. 시간-온도 중첩법을 통해 구해지는 마스터 선도를 이용하면 상대습도와 온도 등의 운용 조건에서의 장기 성능을 예측할 수 있는 정보를 얻을 수 있다.

OsPrMC3 is Involved in Seed Development and in Determining Seed Yield as a Branching Inhibitor

최순호,김연정,송종태,서학수 한국응용생명화학회 2012 Applied Biological Chemistry (Appl Biol Chem) Vol.55 No.3

We here show that OsPrMC3 affects seed yields by regulating tillering. OsPrMC3 is highly expressed in leaves and mature seeds, although its expression is detected in all tissues, and its mutant osprmc3 has more tillers and less grain, indicating its crucial role in determining grain yield as a tillering inhibitor.