http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 문호동 (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
-
송경원,박인헌,신성일,이진영,문호동 대한척추외과학회 2001 대한척추외과학회지 Vol.8 No.1
연구계획 : 70세 이상의 고령에서의 경추성 척수증 환자의 수술적 결과에 대해 후향적 연구를 시행하였다. 목적 : 70세 이상의 경추성 척수증 환자에서 수술 후 임상결과 및 자기공명영상에서의 척수의 형태학적 변화를 비교 분석 하였다. 대상 및 방법 : 1988년부터 1997년까지 수술 받은 70세 이상의 환자 9예를 대상으로 하였으며, 술 수 신경손상 정도는 Japanese Orthopaedic Association(JOA) score로 평가하였으며 술 후 척수손상의 형태학적 변화는 자기공명영상을 기초로 하여 70세 이하의 군과 비교하였다. 결과 : 수술 전 JOA score는 평균 8.5였으며 수술 후에는 평균 12.8이었고 최대회복률은 51.1%로 70세 이하의 대조군에 비해 통계학적으로 유의하게 낮았다. 추시기간 후 JOA score는 11.3으로 낮았으며 회복률은 32.6%였으며 1예를 제외하고 대부분의 환자에서 일상생활 수행능력이 향상되었다. 술 후 자기공명영상에서의 형태학적 변화는 70세 이상에서 44%의 향상을 보였으며 70세 이하의 군에서 69%의향상을 보였다. 결론 : 고령의 환자에서도 신경기능의 향상 및 일상생활 수행능력의 향상을 위해 조기에 수술적 감압치료를 해주는 것이 환자에게 도움이 되리라 사료된다. Study Design : A retrospective study. Objectives : To evaluate the surgical outcomes and image by mid-sagittal MRI in patients with cervical myelopathy who were more than 70 years of age. Summary of literature Review : Surgical outcomes of cervical myelopathy in the elderly patients were worse than in the younger patients. but decompression surgery is helpful for improving neurologic function in the elderly. Materials and Methods : Nine patients more than 70 years of age who underwent surgery were reviewed. Neurologic deficits after surgery were assessed using a scoring system proposed by Japanese Orthopaedic Association(JOA) and clinical results and morphological changes on MRI were compared with those of patients less than 70 years old age. Results : The preoperative mean JOA score was 8.5 and the postoperative mean JOA score 12.8 and the maximum recovery rate was 51.1%, but these were significantly inferior to scores in those less than 70 years of age. At the time of final follow up, the mean JOA score had decreased 113 and the recovery rate was 32.60/0. All patients except one were improved their daily living function. On the postoperative midline T1 sagittal MRI. morphological improvement was seen in 44% in patients more than 70 years of age. while 69% of patients were improved in the control group. Conclusions : Surgical decompression appears to be necessary as soon as possible after the onset of progressive myelopathy in the elderly patients for improving neurologic function and ability to engage in daily living.
-
박인헌,송경원,이진영,신성일,김갑래,문호동,송시영,Park, In-Heon,Song, Kyung-Won,Lee, Jin-Young,Shin, Sung-Il,Kim, Gab-Lae,Moon, Ho-Dong,Song, Si-Young 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.1
Treatment of calcaneal fraclure is difficult and full of controversy still and choice of treatment of the displaced intracalcaneal fracture is not available yet. Furthermore, the treatment of old calcaneal fracture with displaced subtalar joint or malunited calcaneal fracture is really difficult and painful to solve the problem other than subtalar arthrodesis, ignoring conservative treatment, excision of bone mass and/or adhesiolysis, which is/are a kind of palliative or salvage treatment in stead of definitive treatment that restores smooth articular surface of the subtalar joint as far as we can. Authors had some experiences treating this difficult old and displaced calcaneal fractures. Some of them were malunited already. Hereby we report our favorable results to treat the fractures with surgical reduction (reconstruction) and internal fixation without bone graft. We recommend reconstruction of the displaced subtalar joint even though it is not congruent and partly gone to get subtalar motion insead of palliative operation such as subtalar fusion, which can be done later and long term potential cause of mid tarsal arthrosis of the foot.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
