http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
종양성형적 술식을 이용한 하부 유방에 위치한 유방암 치료
배성근,양정덕,이상윤,정기호,정호윤,조병채,박호용 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.6
Purpose: Breast conserving surgery(BCS) for breast cancer has a common treatment protocol. Oncoplastic surgery represents a form of BCS which combines both a cosmetic mammoplasty approach and oncologic resection for the treatment of breast cancer. Depending on the tumor site, BCS can make an unsatisfactory cosmetic result, especially in inferiorly placed tumors. This study describes the use of oncoplastic techniques for inferiorly located breast tumors in immediate partial mastectomy reconstruction. Methods: From September of 2006 to February of 2008, these techniques were used in 11 patients at the ○○ hospital. After BCS was preceded, breast reshaping by oncoplastic techniques were selected depending on the location and size of the tumor within the breast as well as the size of breast itself. Oncoplastic techniques after partial mastectomy included 'Wise pattern (inverted T)' reduction mammoplasty, 'vertical pattern' mammoplasty, 'J-pattern' mammoplasty. In order to improve the cosmetic outcome, repositioning of the nipple areola complex(NAC) or reshaping of the contralateral breast may be considered additionally. Results: These techniques have been used in 11 patients. The mean age was 51 and the average follow- up period was 8 months. Eleven of these patients underwent the 'Wise pattern(inverted T)' reduction mammoplasty(n=6), 'vertical pattern' mammoplasty(n=3) and 'J-pattern' mammoplasty(n=2). There was one wound dehiscence during the follow-up periods. This complication was treated by conservative approach. The overall cosmetic result was evaluated in 6 months. The majority of patients were satisfied at the cosmetic result. Conclusion: Oncoplastic techniques in inferiorly located breast tumors could be a reasonable and safe option for breast cancer patients who desire conserving surgery with esthetical breast.
음성신호상관관계 분석을 통한 김정은 비만도 분석에 관한 연구
배성근,임병민,배명진 사단법인 인문사회과학기술융합학회 2016 예술인문사회융합멀티미디어논문지 Vol.6 No.7
In this paper, Many people express emotion by ones speech in modern society. It contains a variety of information on the human speech. Speech has both intelligently information and variety summative information. Speech is very personal and has distinct characteristics. It make good use of analyzing personal physical and health. In north korea, Kim Jung-un is being become knowing though television speech interview these days. It often receive coverage about his health. Every year his voice is little changed. Especially, In 2016 speech, we can see that he breathe out hard and fast and he is more put on fat. we use his speech to analyze fundamental frequency and speech energy 2013 to 2016 speech for analyzing obesity in voice of Kim Jung-un. As a result since 2013 to 2016, his obesity is increasing. 오늘날 현대사회에서는 개인의 음성을 이용하여 대화를 하고 상대방에게 감정을 표현하고 있다. 사람의 음성에는 많은 정보를 가지고 있다. 음성에는 지식적인 정보를 포함해 여러 가지 부가적인 정보도 포함하고 있다. 음성은 개인적인 성향이 강하고 특수성을 가지고 있다. 이러한 부분을 이용하여 사람의 신체 및 건강상태도 분석할 수 있다. 최근 북한에서는 김정은이 매년 연설을 하는 모습이 TV매체를 통해 알려지고 있다. 그 중에서 김정은의 건강상태에 대한 이야기도 심심찮게 보도되고 있다. 매년 연설을 할 때 목소리의 변화 때문이다. 특히 2016 년도 연설에서 숨을 가빠르게 쉬며 호흡이 거칠고 목소리가 갈라지는 등의 모습을 보였으며, 비만해진 모습도 볼 수 있었다. 본 논문은 김정은의 음성을 통하여 김정은의 비만도를 분석하고자 하였다. 2013 년도부터 2016 년도까지의 음성을 사용하여 기본 주파수와 음성 에너지를 비교 분석 하였다. 그 결과 2013 년도부터 현재 2016년도까지 비만도가 계속 증가하고 있음을 볼 수 있었다.
Mayer-Rokitansky-Kuster-Hauser 증후군 환자에서 회음부 복강경하 직결장 질성형술을 이용한 질의 재건: 증례보고
배성근,이상윤,조병채,최규석 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.3
Purpose: Various operations have been proposed to compensate for congenital absence of the vagina using ileal or colonic interposition. These methods involve laparotomy, which shows postoperative complications such as long scar and delayed recovery. One case of neovagina reconstruction with laparoscopic rectosigmoid colpopoiesis in Mayer-Rokitansky-Kuster-Hauser syndrome is presented to avoid laparotomic complications. Methods: Laparoscopic surgery was performed in a 27- year-old MRKH syndrome patient. After a cruciate incision, blunt dissection through two-finger wide space was created between the bladder and the rectum. A 14-cm rectosigmoid segment vascularized by a branch of sigmoid artery was isolated by laparoscopy. The distal end was sutured with vaginal vestibule mucosa. A continuity of intestine was restored by circular end-to-end proximate curved intraluminal stapler CDH29^® through perineal opening. Results: Total operation time was 4 hr 15 min. Normal walking and ingestion were possible within 3 days and 4 days after surgery. The hospital stay was 7 days and the patient was followed up for 6 months. The neovaginal introitus was wide enough for inserting two fingers, and there has been no narrowing of the neovagina on palpation as confirmed by vaginogram. The patient had functional self-lubricating neovagina without excessive mucous production or the need for routine dilation or unnoticeable scar. Conclusion: The successful result of this laparoscopic vaginal reconstruction technique with rectosigmoid segment suggests that this technique can be considered for the option of vaginal reconstruction in girls with the MRKH syndrome.
가토의 치조열 모델에서 골수 흡인물이 자가뼈 이식술에 미치는 효과
배성근,정호윤,조병채,양정덕,박미영,이상윤 대한성형외과학회 2009 Archives of Plastic Surgery Vol.36 No.5
Purpose: Alveolar bone grafting has become an essential process in the treatment of alveolar cleft patient for stabilization of the maxillary arch, elimination of oronasal fistula, the reconstruction of the soft tissue nasal base support, and creation of bony support for tooth eruption for implant. The use of Autologous iliac cancellous bone is preferable because it enables to use adequate quantity and its high osteoinductive potential. However, even with iliac bone, insufficient osteoregeneration or absorption occurs due to several factors such as the patient's age, cleft width, functional stress, and others. In order to increase osteoregeneration where the iliac bone is placed, the present study is associated with bone marrow aspirate(BMA).The experimental study evaluated the efficacy of osteoregeneration in normal cleft rabbits when alveolar bone grafting was performed with autologous iliac corticocancellous bone. Methods: Twenty-four New Zealand White rabbits were divided randomly into 2 groups(BMA, control). All animals underwent harvesting of corticocancellous bone graft from the right posterior iliac crest via standard surgical technique. 1㎖ of BMA were obtained by scraping the needle and aspirate with 10㎖L syringe from the contralateral iliac bone wall. The muco-periosteal flap on the palate was elevated. A mixture of Equal bone’s volumes with BMA and saline as its control was inserted into the cleft. Animals were sacrificed in 2, 4, and 8 weeks and maxilla was harvested for dental peri-apical X-ray, bone matrix density (BMD), and histologic analysis. Results: BMD of regenerated bone to the cleft in the rabbits was higher than that of the control rabbits. X-ray, histologic analysis showed that increased osteoregeneration and low absorption rate were observed in the BMA group. Conclusion: Our experimental study shows BMA enhanced the osteoregeneration and survival rate of alveolar bone grafting. BMA is easy to extract and cost-time effective. So it can be an effective enhancers for bone grafting mixtures.