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단기간 교육을 받은 신장내과의사가 시행한 경피적 초음파 유도 신장조직검사의 검체 적절성과 안전성
황현석 ( Hyeon Seok Hwang ),이소영 ( So Young Lee ),강석휘 ( Seok Hui Kang ),정병하 ( Byung Ha Jung ),형복진 ( Bok Jin Hyoung ),전연주 ( Youn Joo Jeon ),최범순 ( Bum Soon Choi ),박철휘 ( Cheol Whee Park ),양철우 ( Chul Woo Yang 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.2
Purpose: Specimen adequacy and safety of percutaneous ultrasound-guided native kidney biopsies performed by short-term trained nephrology fellows were evaluated. Methods: The differences in specimen adequacy and safety between nephrology fellow-performed (NP, n=67) and radiologist-performed (RP, n=82) percutaneous ultrasound-guided native kidney biopsies were retrospectively evaluated. Results: The mean age of the patients was 35±15 years old, and the M:F ratio was 1.2:1. There were no differences in age, sex, anemia, platelet count and glomerular filtration rate between NP and RP patients. The mean glomerular count was 15.9±8.4 in light microscopy and 9.9±7.2 in immunofluorescent microscopy. Ninety five percent of biopsy specimens were adequate for pathological diagnosis. Between NP and RP kidney biopsies, there were no differences in the glomerular count in light and immunofluorescent microscopy, percentage of presence of glomeruli in electron microscopy, and the specimen adequacy for the pathological diagnosis. The rates of major and minor complications were 1.5% and 6%, respectively, in NP kidney biopsies. On the other hand, the rate of major complications was 9.8% in RP kidney biopsies, which was significantly higher than that in NP kidney biopsies. The rate of decrease in hemoglobin and hematocrit levels after biopsies was significantly higher in RP biopsies than in NP biopsies. Conclusion: Short-term trained nephrology fellows perform percutaneous ultrasound-guided kidney biopsy at a level equal to or superior to radiologists.
간문맥혈전을 동반한 거대 간세포암종 환자에서 간동맥항암 단독요법과 동시 방사선-간동맥항암 병합요법의 효과 비교
유찬란 ( Chan Ran You ),장정원 ( Jeong Won Jang ),강석휘 ( Seok Hui Kang ),배시현 ( Si Hyun Bae ),최종영 ( Jong Young Choi ),윤승규 ( Seung Kew Yoon ),최일봉 ( Ihl Bhong Choi ),이동훈 ( Dong Hoon Lee ),천호종 ( Ho Jong Chun ),최 대한간학회 2007 Clinical and Molecular Hepatology(대한간학회지) Vol.13 No.3