근위 경골에 발생한 악성종양 절제 후 슬관절 신전력 재건술 -증례 보고-

박종훈,오정문,김진욱,이수용,Park, Jong-Hoon,Oh, Jung-Moon,Kim, Jin-Wook,Lee, Soo-Yong 대한근골격종양학회 2004 대한골관절종양학회지 Vol.10 No.2

근위 경골부에 발생한 악성종양의 사지구제술은 화학요법의 발달로 인해 대표적인 치료 방법이 되었다. 다양한 술식의 보고에도 불구하고, 종양 절제 후 종양 대치물을 이용한 사지구제술에 있어 슬개건의 부착 부위가 상실되어 슬관절의 신전력을 재건 하기가 어려운 것이 공통적인 문제로 지적 되고있다. 본 연구는 경골 근위부의 종양을 절제한 후 저온열처리 한 다음 원위 대퇴골을 절제하여 저온열처리 자가경골 및 종양대치물과 결합하고, 슬개골을 자가경골과 결합된 원위 대퇴골에 고정하여 슬관절 신전력을 재건 한 2례를 보고하고자 한다. Benign and malignant bone tumors occur most commonly around the knee. The proximal tibia is the most technically demanding site for limb salvage surgery. The most difficult problem using an endoprothesis for proximal tibial resection has been reconstruction of the extensor mechanism. After excision of proximal tibia, we resected distal femur and made a composite with resected distal femur, low heat treated autogenous proximal tibia and endoprothesis. Patella was fixed into the resected down-loaded distal femur. This article shows the new technique and the results of reconstruction of extensor mechanism after prosthetic replacement of the proximal tibia.

감초 물 추출물 및 Glycyrrhizin이 인체 간 Microsome에서 Cytochrome P450 약물대사효소에 미치는 영향

박종훈,박지영,주영승,Park Jong-Hoon,Park Ji-Young,Ju Young-Sung 대한예방한의학회 2003 대한예방한의학회지 Vol.7 No.2

Objective : The aim of present study is to evaluate the inhibitory potential of licorice extract and glycyrrhizin on cytochrome P450(CYP) in human liver microsomes. Methods : Using human liver microsomes, water extract of licorice and glycyrrhizin as an inhibitor were co-incubated with each probe drug representing selective CYP isoform activity. We measured relative metabolic activity in incubation condition compared to that with no extract of licorice using HPLC system. Results : Both water extracts of licorice and glycyrrhizin showed inhibitory effect on CYP-catalyzed reactions. CYP2C19 $(IC_{50}=126.7{\mu}g/ml)$ is most potently inhibited by water extract than other tested CYP isoforms$(IC_{50}>450{\mu}g/ml)$, but glycyrrhizin exhibited potent inhibition on CYP1A2$(IC_{50}=106.9{\mu}g/ml)$ followed by CYP2C9 and CYP2D6. Conclusion: These results indicate that water extract of licorice and glycyrrhizin have inhibitory potential on CYP-catalyzed reaction in human liver microsomes. But the mechanism of inhibition was slightly different between them Water extract of licorice mainly inhibited CYP2C19, and glycyrrhizin primarily inhibited CYP1A2. The inhibition by water extract of licorice and glycyrrhizin on CYP isoforms may cause drug interaction with co-administered drug leading to toxicity or treatment failure.

슬관절 주변에 발생한 거대세포종의 치료 - 고속 바(High-Speed Burr)와 골 시멘트를 이용한 병소 내 절제술 -

박종훈,이수용,전대근,조완형,송원석,김진욱,고한상,Park, Jong-Hoon,Lee, Soo-Yong,Jeon, Dae-Geun,Cho, Wan-Hyung,Song, Won-Seok,Kim, Jin-Wook,Koh, Han-Sang 대한근골격종양학회 2005 대한골관절종양학회지 Vol.11 No.2

목적: 거대세포종은 대부분 대퇴골 원위부 및 경골 근위부에 주로 발생하며, 병소 내 소파술에서 광범위 절제술까지 다양한 수술 방법들이 시행되고있다. 저자들은 수술이 어렵고 재발율이 높은 슬관절 부위의 거대세포종 환자에서 재발율을 포함한 치료 성적을 분석하고, 재발율과 관련된 인자를 규명하고자 하였다. 대상 및 방법: 병리학적으로 확진 되고, 고속 바(high-speed burring)와 골 시멘트를 이용한 병소내 소파술을 시행 한 41예의 슬관절 주위 거대세포종 환자를 대상으로 하였다. 재발율과 기능적 평가를 통한 치료 성적을 분석하였으며, 성별, 연령, 종양의 위치, 크기, 연골 하골의 침범과 관절 내 침범 유무 그리고 Campanacci 분류에 따른 인자들과 재발율과의 상관관계를 통계적으로 분석하였다. 평균 추시 기간은 50(12~122) 개월이었다. 결과: 최종 추시 상 재발율은 17%였고, 재발시기는 평균 술 후 10개월이었다. Musculoskeletal Tumor Society (MSTS) Grading System에 의한 술 후의 기능 평가점수는 평균 27.8(93%)로 78%에서 만족스러운 기능을 보였다. 성별, 연령, 종양의 위치, 크기, 연골 하침범, 관절 내 침범, Campanacci 분류 등은 종양의 국소 재발과 통계적으로 유의한 상관 관계를 보이지 않았다. 결론: 슬관절 주변 거대세포종의 재발과 관련된 인자를 찾지는 못하였다. 수술적 치료로서 고속 바를 이용한 세심한 소파술과 골시멘트 충진술을 이용한 국소 절제술 만으로도 만족할 만한 결과 및 재발율을 얻을 수 있었다. Purpose : Distal femur and proximal tibia are the common sites affected by giant cell tumor of bone. There are a variety of treatment modality including wide excision and intralesional curettage. We evaluated the local recurrence rates and the post-operative functional scores of giant cell tumors around knee joint and investigated the identification of possible prognostic factors for recurrence. Materials and Methods: We reviewed 41 patients pathologically confirmed as giant cell tumors around knee joint that have undergone intralesional curettage using high-speed burr and methylmethacrylate. We evaluated the recurrence rate and post-surgical functional score and possible prognostic factors for recurrence, such as, gender, age, tumor location, size, subchondral invasion, intra-articular invasion and the Campanacci Grades. Mean follow up period was 50 (12-122) months. Results: The recurrence rate was 17% and mean recurrence onset was 10 months postoperatively. According to Musculoskeletal Tumor Society (MSTS) functional evaluation system, the average score was 27.8(93%) and 78% had excellent function. According to our study, suspected prognostic factors revealed not significant for recurrence. Conclusion: We found no significant recurrence related factors. Intralesional excision with high-sped burring and PMMA provides a low recurrence rate, similar to others in the literature, and good functional scores.

저 악성도 연골 육종에서 발생한 미분화 연골육종 - 1례 보고 -

박종훈,고한상,이수용,Park, Jong-Hoon,Koh, Han-Sang,Lee, Soo-Yong 대한근골격종양학회 2005 대한골관절종양학회지 Vol.11 No.2

미분화 연골육종은 연골육종 중 가장 악성도가 높은 종양으로서, 연골육종의 약 10%에서 발생되는 것으로 알려져 있다. 미분화 연골 육종에 의해 발생된 악성종양은 방사선 및 화학요법에 반응을 하지 않아 광범위 종양 절제술만이 근치적 치료법이다. 본 연구는 근위 대퇴골에 발생한 저악성도 연골육종을 보존적으로 수술하고 추시 관찰 중, 골육종으로 미분화한 연골육종 1례를 보고하고자 한다. Dedifferentiated chondrosarcoma is a most highly malignant variant of chondrosarcoma and approximately 10% of chondrosarcomas dedifferentiated into more anaplastic lesions. In addition to the surgical treatment, adjuvant chemotherapy or radiation therapy has been used but with little success. Thus, the primary treatment remains wide excision and chemotherapy or radiation therapy can be used for palliation. This article shows the case of a dediffderentiated chondrosarcoma occuring in proximal femur after conservative surgical treatment of a low grade chondrosarcoma.

척수 신경초종을 동반한 결핵성 척추염 1례 - 증례보고 -

박종훈,김규홍,이운기,최정훈,이인창,배상도,Park, Jong Hoon,Kim, Kyu Hong,Lee, Woon Gi,Choi, Jeong Hoon,Lee, In Chang,Bae, Sang Do 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.10

The authors report a very rare case of tuberculous spondylitis combined with a schwannoma of spinal cord. A 39- year-old man was admitted because of paraparesis(G1/G2). MRI showed severe cord compression at two different levels. One was by the bulged soft tissue and subligamentous abscess extending from T7 to T9 and the other was by an intradural extramedullary cord tumor at the level of T1-2. At first operation, T8 corpectomy and T7-9 plate fixation with autogenous iliac bone graft were performed. After then, Paraparesis was improved(G2/G3) postoperatively. The second operation underwent two weeks later. The tumor was totally removed and shortly after second operation, paraparesis was markedly improved(G3/G4). Histological diagnosis were tuberculous spondylitis and schwannoma, respectively. The authors reviewed this case where good surgical outcome was obtained by two stage operation.

저압화학기상증착법을 이용한 ZrC 성장에 잔류시간이 미치는 영향

박종훈,정충환,김도진,박지연,Park, Jong-Hoon,Jung, Choong-Hwan,Kim, Do-Jin,Park, Ji-Yeon 한국세라믹학회 2008 한국세라믹학회지 Vol.45 No.5

In order to investigate residence time effect on the growth of ZrC film, the ZrC films grew with various system total pressure (P) and total flow rate (Q) by low pressure chemical vapor deposition because residence time is function of system total pressure and total flow rate. Thermodynamic calculations predict that the decomposition of source gases ($ZrCl_4$ and $CH_4$) would be low as increasing the residence time. Thermodynamic calculations results were proved by investigating deposition rate with various residence time. Deposition rate decreased with residence time of source gas increased. Besides, depletion effect accelerated diminution of deposition rate at high residence time. On the other hands, the deposition rated was increased as decreasing the residence time because fast moving of intermediate gas species decrease the depletion effect. The crystal structure was not changed with residence time. However, the largest size of faceted grain showed up to specific residence time and the size of grain was decreased whether residence time increase or not.

수종의 구취처치법의 구치감소효과에 관한 연구

박종훈,한경수,김문규,Park, Jong-Hoon,Han, Kyung-Soo,Kim, Moon-Gyu 대한안면통증구강내과학회 2000 Journal of Oral Medicine and Pain Vol.25 No.1

This study was performed to investigate the effect of three modalities commonly used for reduction of oral malodor and to review the contributing factors for halitosis. For this study, 45 subjects of good general health in their third decades were selected, and they were divided into three groups by each modality, that is, tongue scraping, $ZnCl_2$ mouth rinse, and periodontal treatment. Subjective sense of halitosis, diets, Oral hygiene index based on tooth brushing and tongue brushing habit, resting salivary flow rate, gingival index, degree of tongue coating were recored in the Halito-Chart designed by the author. Oral malodor converted from volatile sulfur compound was measured by the Halimeter$^{(R)}$(Interscan Co., USA), and the correlation between the oral factors and pre-treatment halimeter score were analysed. Data obtained were analysed by the SPSS windows program and the results of this study were as follows : 1. There were no significant correlation between oral factors such as oral hygiene index, salivary flow rate, gingival index, degree of tongue coating and pre-treatment halimeter score. 2. Difference between pre- and post-treatment halimeter score by the three modalities were significant, but correlation between pre- and post-treatment score within group was most significant in the periodontal treatment group followed by the tongue scraping group and lowest in the $ZnCl_2$ mouth rinse group. 3. Reduction of halimeter score was significant only in subjects with relatively more tongue coating in the tongue scraping group, but in the $ZnCl_2$ mouth rinse group and in the periodontal treatment group, the modality applied to each group had same significant effects without regard to the degree of oral hygiene index or gingival index. 4. Men had more tongue coating than women, and reduction of halimeter score was significant in men, but not in women.

수술 치료를 받은 원발성 척추염 환자의 임상적 고찰

박종훈,김규홍,Park, Jong Hoon,Kim, Kyu Hong 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.10

Objective : To assess the surgical outcome for patients with primary spondylitis who were treated surgically. Materials and Methods : We retrospectively analyzed the clinical characteristics of 19 patients who underwent surgical treatment from september 1997 to October 1999 in our department. Results : The 19 patients presented 13 tuberculous spondylitis and 6 pyogenic spondylitis. The male to female ratio was 1.4 : 1 and average age 48.4 years(range 15-68 years). The most prevalent location was thoracic region(47%) and paraparesis was frequently seen in patients with middle and lower spinal lesions. Operative approaches were either anterior(13) or posterior(6). All patients with neurologic deficits improved after surgery. Autogenous rib and/or iliac strut bone grafting was performed, followed by spinal instrumentation. Solid bone fusion was obtained in all patients. There was no need for prolongation of duration of antituberculous drug therapy and no increased incidence of secondary infection due to spinal instrumentation. Conclusion : From the results, it may be advised that patients of primary spondylitis who had neurologic deficit should receive an aggressive opeation in their early stage.

SOAP 기반의 유/무선 웹 서비스 시스템 설계 및 구현

박종훈,Park Jong-Hoon 한국정보통신학회 2005 한국정보통신학회논문지 Vol.9 No.3

본 논문에서는 웹 서비스 기술을 이용하여 동적으로 가격비교를 위한 SOAP기반 유/무선 웹 서비스 시스템을 설계 및 구현하였다. 본 웹 서비스 시스템은 크게 상품검색, 상품정렬, 상품주문과 UDDI 검색 브라우저를 지원하는 웹 서비스 클라이언트 모듈과 상품 검색/주문 원격 프로시저와 UDDI 게시 브라우저를 포함하는 서버모듈과 무선 환경에서 상품 검색/주문을 지원하는 모바일 클라이언트 모듈로 나누어지며, SOAP 표준 환경기반으로 상호 정보를 교환하도록 구현하였다. 따라서 사실표준 환경인 SOAP, WSDL, UDDI 표준을 따르는 모든 환경에서 이식가능하며, 플랫폼에 독립적으로 지원할 수 있다. This paper designs and implements wire/wireless web service system based on SOAP for price comparison dynamically using web service technoloies in real time. This web service system composes web service client module including functions of product search, product sort, product order and UDDI retrieval browser, and server module including functions of remote procedure call for product search/order and functions of UDDI publish browser, and mobile client module supporting functions for product search/order in wireless environments. This web service system can exchange product information based on SOAP messages and support independence of platform and flexible portability in environment conforming to SOAP, WSDL and UDDI standards.

일체형 비구면 인공수정체 Tecnis? ZCB00과 삼체형 비구면 인공수정체 Tecnis? ZA9003의 앞방 깊이 변화 및 장기 안정성 비교

박종훈,김재형,이주은,김재용,김명준,차흥원.Jong Hoon Park. MD. Jae Hyung Kim. MD. Joo Eun Lee. MD. Jea Yong Kim. MD.Myoung Joon Kim. MD. Hung Won Tchah. MD 대한안과학회 2012 대한안과학회지 Vol.53 No.10

Purpose: To evaluate the postoperative outcome of Tecnis? ZCB00 1-Piece acrylic intraocular lens (IOL), the new single piece, aspheric IOL until 12 months. Methods: Sixty eyes undergone cataract surgery using two different IOLs; The Tecnis? ZCB00 1-Piece Acrylic IOL (30 eyes) and the Tecnis? ZA9003 3-Piece Acrylic IOL (30 eyes). Cataract surgery was performed in the same period. All complicated cases were excluded. Best corrected visual acuity (BCVA), refractive error, photopic and mesopic contrast sensitivity, total high order aberration, spherical aberration and anterior chamber depth were measured preoperatively and at 1, 6 and 12 months after surgery. Results: There were no statistically significant differences between two groups in BCVA, refractive error, total high order aberration and spherical aberration all the time after surgery. Both groups have negative ocular spherical aberration until 12 months after surgery. 1-piece and 3-piece groups had different tendency in axial movement. But there were no statistically significant differences in anterior chamber depth measured at 1 week, 1, 6 and 12 months after surgery. There was no statistically significant difference in contrast sensitivity at 1, 6 and 12 months after surgery. Conclusions: The Tecnis? ZCB00 1-Piece acrylic intraocular lens (IOL) showed comparable clinical outcomes to the Tecnis? ZA9003 3-Piece acrylic intraocular lens (IOL) until 12 months after cataract surgery. 1-piece and 3-piece IOL group had different tendency in axial movement. However, refraction remained stable during 12 months after surgery. Mostly, both IOL groups had negative ocular spherical aberration during whole follow-up period. J Korean Ophthalmol Soc 2012;53(10):1451-1457