육안적 정관문합술의 성적

유지,이정구,김제종,고성건,Yoo, Ji,Lee, Jeong-Gu,Kim, Je-Jong,Koh, Sung-Kun 대한생식의학회 1991 Clinical and Experimental Reproductive Medicine Vol.18 No.2

A total of 167 patients underwent mascroscopic vasovasostomy by a modified double layer reanastomosis to correct postvasectomy sterility during a 5-year period between 1986 and 1991. We obtained the anatomical patency and pregnancy rates from 61 patients whose follow-ups were completed. There by, we report the following results. 1. Of the 167 patients, the mean age and the average duration of vasobstruction were 34.0 and 4. 4 years respectively. The reasons for ecanalization were desire for more baby in 71.9%. death of children, 24.5% and remarriage in 3.6%. 2. Of the 61 patients with complete follow-up. the anatomical patency and pregnancy rates were 83.6%(51 patients) and 50.8%(31 patients) respectively. 3. For the 36 out of 61 patients whose duration of vasobstruction was less than 5 years, the anatomical patency and pregnancy rates were 88.9%(32 patients) and 58.3%(21 patients) respectively. The rates for the remaining 25 patients whose duration was greater than 5 years were 80.0%(20 patients) and 40.0%(10 patients). 4. Of the 61 patients, 51 exhibited sperms from the proximal vas on microscope during the operation. Their anatomical patency and pregnancy rates were 88.2%(45) and 54.9%(28) respectively. The rates for the remaining 10 patients without any sperms were 60.0%(6) and 30.0%(3). From the above results, we can conclude that macroscopic reanastomoses by modified double layer technique has appreciable success rates that could possibly be compared to the microscopic results.

腎石灰症에 관한 硏究

高聖健 고려대학교 의과대학 1977 고려대 의대 잡지 Vol.14 No.2

When hypercalciuria present, nephrolithiasis and nephrocalcinosis may be develop in pelvis, calices and renal parenchyma. The renal calcium deposit is obscure in its cause yet, but certain causes are known the nephrolithiasis and nephrocalcinosis. The nephrocalcinosis was studied using histopathological examination with staining by Hematoxilin-Eosin method, Alizarin Red S method and von Kossa method. The materials were obtained from accidental death, who had an usual activity as a normal individual before their death. 126 cases were used in this study with the age distribution ranges from new born to 69 years of age. Throngh this study, 46 diseases (36.51%) showed abnormal renal findings: 29 cases of nephrocalcinosis (23.02%), 14 cases of chronic pyelonephritis (11.11%), and every 1 case of renal tuberculosis, acute glomerulonephritis and nephrosclerosis respectively. The site of nephrocalcinesis was not significant difference between right and left kidney. The nephrocalcinosis associated with the other renal abnormal histopathological findings showed in 17 cases (58.62%) and without the abnormality in 12 cases (41.3%) respectively. The most common disease in 29 nephrocalcinosis with the other diseases was chronic pyelonephritis (14 cases). The renal locations of nephrocalcinosis were as follows: 13 cases in renal cortex, 10 cases in medulla and 6 cases in medullary and cortical area.

韓國人變死者剖檢例의 腎臟에 관한 病理組織學的 硏究

高聖健,金世景 우석대학교 의과대학 1969 우석의대잡지 Vol.6 No.1

The kidneys as vital organ may be able to perform their role to lead normal life with their one fourth of normal renal parenchyma. It is worth while to study what kidney lesions to be found and what is the proportion of it among the Korean post-mortem necropsy. This paper presents the histo-pathological study of kidneys collected at random from accidental death, who had an usual activity as a normal individaul before their death. These materials were taken from 177 cases, and histo-pathological examinations on these materials were carried out from both kidneys employing the H·E staining technique. 1) The age distribution ranges from the new born to 69 years of age, and these 177 cases were divided into three age groups; under 19 rears of age (15%), between 20 to 39 (57%), and between 40 to 65(38%). 2) The males were 117 cases and females 60 cases. 3) The histo-pathological examination showed 11 cases of chronic pyelonephritis (6.22%), 16 cases of nephrosclerosis (9.04%), 2 cases of glomerulonephritis. 4) The chronic pyelonephritis were 6 per cent in male and 6.67 per cent in female. 5) The incidences of chronic pyelonephritis in three age groups were as follows: 7.5% under 19 years of age 6% between 20 to 39 and 69% between 40 to 69. In the nephrosclerosis, there was none under 19 years of age, while 3.0 per coat were found in the age group between 20 to 39 and 26 per cent in the age group between 40 to 69, which was about 9 times of young age group.

尿路生殖器結核

高聖健 대한의학협회 1976 대한의학협회지 Vol.19 No.8

1971年度 尿細菌培養 및 感受性結果

高聖健,金世景 대한의학협회 1972 대한의학협회지 Vol.15 No.5

尿路生殖器結核의 臨床的 觀察 : 13年間觀察結果 Report of 13 years

高聖健 최신의학사 1976 最新醫學 Vol.19 No.4

Genitourinary tuberculosis is not decreased in its incidence all over the world despite of marked decreasing the pulmonary tuberculosis since antituberculous regimens was developed. In Korea, the pulmonary tuberculosis is also showed decreasing tendency as in the other countries, but the urogenital tuberculosis is not changed markedly. Furthermore, the antituberculous drugs should be changed due to resistant strains from the so-called previous first choice drugs for treatment, paraaminosalicylic acid and streptomycin, to ethambutol and cycloserine etc. 106 inpatients for 13 years (1963-1975) and 40 ambulant patients for 2 years (1974-1975) with urogenital tuberculosis were surveyed in Department of Urology, Korea University Hospital, Seoul, Korea. The sex ratio as admitted patients was 2 times more in male than in female, and the most frequent involvement in 3rd decade (34.9%). The incidence of genitourinary tuberculosis was 5.9 per cent to all the inpatients for 13 years (1963-1975) and this showed decreasing tendency in its incidence gradually. On the other hand, the percentage as ambulant cases was less than 1 per cent. The ratio between renal and epididymal tuberculosis was 2 : 1.

尿絲에 關한 硏究 : 第1報 無症狀成人男子에 있어서의 尿絲의 觀察

高聖健 고려대학교 의과대학 1964 고려대 의대 잡지 Vol.1 No.3

How many persons do have symptomless chronic urethritis among young male in Korea? This should be a good question to be sought. Whether microscopic examination of shreds in urine is helpful for diagnosis of chronic urethritis or not is another problem which is not determined yet. It has been thought that the shreds of urine usually appears in person who has or had urethritis previously. In chronic urethritis, paraurethritis or inflammatory change of urethral glands is usually found, and the shreds are considered to be made from these glands or paraurethra. We tried to find out shreds in urine of individual who did not have any urethral symptoms and a meaningful results were obtained. Five hundred adult males who are in the age group of between 20 to 27, and those who have no urethral syrnptoms were surveyed and 148(28%) were found to have shreds in their urine. The microscopic examination of these shreds and urine sediments were performed separately. Eighteen cases which have more than 5-7/HPF of leukocytes in urine shreds were found and twehe of such cases in urine sediments were also found. The number of leukocytes in one high power field appears almost parallel between these urine shreds and urine sediments. These urine shreds were classified into long type and comma-shaped type, each of which occupies half of total cases evenly. The first urine taken early in the morning (5-6 A.M.) mas more reliable to detect shreds in urine than that of evening, which contained shreds in only 23.5% of former cases.

各 顯微鏡에 따른 尿中 白血球의 正常値

高聖健,申英澈 대한의학협회 1971 대한의학협회지 Vol.14 No.7

經皮的超音波腎碎石術

高聖健 한국의학사 1985 診斷과治療 Vol.5 No.2

泌尿器科領域에서 Solantal^(�)의 臨床效果

禹泰炯,高聖鍵,金世景 최신의학사 1977 最新醫學 Vol.20 No.6

Solantal, a new anti-inflammatory and analgesic agent, was administrated to 30 patients for treatment of urinary tract infection during the period from April to June 1976. Solantal was given 300-600 mg/day for one to 50 days according to the severity of the infection. The results were as follows: 1. Among 11. cases of chronic prostatitis, 4 cases were excellent and 4 cases were good results. 2. Among 3 cases of chronic epididymitis, 2 cases were good results. 3. 2 of T. U. R. cases. were excellent results. 4.Among 6 cases of acute cystitis, there were excellent in 3 cases and good in 3 cases. In 2 cases of subacute cystitis, 1 case was excellent and 1 case was good result. In 2 cases of chronic cystitis, 1 case was good result. 5. Good analgesic effect was also showed after circumcision and during cystoscopy. 6. No serious side effects were observed except mild indigestion in 1 case and slight generalized edema in 1 case.