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가토 하악골 절단시 생리식염수에 의한 냉각이 치유에 미치는 영향에 관한 연구
박용기(Park Yong Kee),윤중호(Yoon Jung Ho) 대한구강악안면외과학회 1983 대한구강악안면외과학회지 Vol.9 No.2
The purpose of this study is to evaluate the healing process of bony defects which produced by rotary instruments with saline solution coolant and without coolant. 10 Rabbits, weighing approximately 2.0kg were used far this study and two cavities, 2.0mm in diameter, were formed on the each side of mandible border. Right side, with saline solution coolant, was experimental group and left side, without coolant, was control group. The experimental animals were sacrified at 3rd day,1st week, 2nd week and 4th week after the surgery and prepared microscopic slides with Hematoxylin-Eosin stain for histopathological examination. The Results were as follows. 1. Osteocytic degeneration was decreased at the first week in experimental group and decreased at the second week in control group. 2. Inflamatory cell infiltration was found at early stage in all groups and gradually decreased in the first week and replaced with granulation tissue. The Fibrosis was found at the first week. 3. New bone formation around cavities was found in the first week in all groups, and marked new bone formation in the second week. The difference between two groups was not noted. 4. Periosteal bone formation was found at the 3rd day in experimental group and found at the first week in control group. 5. It was presumed that the minimal bony trauma led less necrotic bone formation in this study.
외상성 척수공동증의 치료를 위한 지주막하강 재건술 - 증례보고 -
정대진,김성민,김훈,심영보,박용기,최선길,Chung, Dai Jin,Kim, Sung Min,Kim, Hun,Shim, Young Bo,Park, Yong Kee,Choi, Sun Kil 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.2
The authors report a posttraumatic syringomyelia in a 30-year-old man who has complained pain, weakness of upper arm and dissociation sensory loss since 2 months before. He was underwent by decompressive laminectomy from T12 to L1, reduction of encroached bony fragments, transpedicular screw fixation from T12 to L2 and posterolateral bony fusion due to burst fracture of L1 at other hospital 3 years ago. Preoperative spinal MRI was highly suggestive of wide-spread, multiseptated syringomyelia from C3 to thoracolumbar junction. We performed wide decompressive laminectomy from T10 to L2 and subarachnoid space reconstrucion composed of microdissection of meningeal fibrosis widely, iatrogenic meningocele formation with lefting the dura mater opened for treatment of spinal-spinal pressure dissociation. Clinical manifestations and radiological findings of the patient were improved after the operation. This technique was thought to be superior to shunting procedures in cases of wide-spread, multiseptated post-traumatic syringomyelia.
미만성 척수 경막외 농양을 동반한 화농성 척추염 - 증 례 보 고 -
김훈,김성민,정대진,심영보,박용기,최선길,Kim, Hun,Kim, Sung Min,Chung, Dai Jin,Shim, Young Bo,Park, Yong Kee,Choi, Sun Kil 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.8
We report a case of pyogenic spondylitis on L2 and L3 with diffuse epidural abscess up to T4 to L3 and large psoas abscess. A forty-nine-year old male was presented with progressive back pain, left flank pain and ab-dominal distention, weakness of the both legs and voiding and defecation difficulty during last 2 months. Initially multiple coronal hemilaminectomies from T4 to T12 were done for the treatment of diffuse thoracic epidural ab-scess. Then second operation via left retroperitoneal approach was performed for lumbar spondylitis and psoas abscess on third day after initial operation. After removal and curettage of pyogenic psoas and epidural abscess and spondylitis (L2-L3), iliac bone grafting with Keneda instrumentation from L1 to L4 was done simultaneously. Postoperative course has been unevenful without recurrent infection. The literature on diffuse epidural and large psoas abscess with pyogenic spondylitis are reviewed and instrumentation for stabilization of pyogenic spondylitis is also discussed.
김경래,김성수,이영택,박용기,최창록,Kim, Kyeung-Rae,Kim, Sung-Soo,Lee, Young-Taek,Park, Yong-Kee,Choi, Chang-Rok 대한소아외과학회 1998 소아외과 Vol.4 No.1
A total of 335 pediatric inguinal hernias were analyzed at the Department of General Surgery, St. Benedict Hospital, for last 10 years (1986 to 1995). Male patients were predominant(2.25 : 1), and 78.2 % were under 2 years of age. Right side was 1.63 times more frequent than the left. Among the 19 cases of incarcerated hernias, 84 % could be safely reduced preoperatively. Twelve cases(3.6 %) were repaired by the Bassini procedure and 21 cases(6.3 %) by internal ring repair. The majority (90.1 %) however did not require a posterior wall reconstruction. Bilaterality was found in 25 cases(7.5 %), and in 8 cases(2.4 %) subsequent contralateral hernia developed after primary ipsilateral repair. Postoperative complication occurred in 15 cases(4.5 %); scrotal seroma and/or hematoma(3%), wound infection(0.6 %), and pneumonia(0.9 %). In order to reduce the incidents of complications, children with inguinal hernias should be treated by a pediatric surgeon.
4종의 발효균주가 당귀의 nodakenin과 decursin의 함량에 미치는 변화
이제현 ( Je Hyun Lee ),박진한 ( Jin Han Park ),권기태 ( Kee Tae Kweon ),서민준 ( Min Jun Seo ),서은경 ( Eun Kyoung Seo ),박용기 ( Yong Ki Park ),정지욱 ( Ji Wook Jung ) 대한본초학회 2010 大韓本草學會誌 Vol.25 No.4
Objectives: The purpose of this study was to investigate the nodakenin and decursin contents in each fermented Angelicae gigantis Radix by 4 species of ferment strains. Methods: The strains of fermented Angelicae gigantis Radix were Lactobacillus plantarum(SE1), L. acidophilus(AC), Bacillus subtilis(B2) and B. licheniformis(BL2). The fermentative changes of nodakenin and decursin were analyzed using HPLC. Results: All of 4 species strains reduced nodakenin and decursin concentration in Angelicae gigantis Radix by fermentation. But fermentability were difference between strains. The nodakenin concentration of AC was lower than B2. The decursin concentrations of SE1 and AC were lower than B2 and BL2. Conclusions: 4 species of fermental strain were difference decomposable rate with nodakenin and decursin in fermented Angelicae gigantis Radix.
중대뇌동맥 동맥류 파열 환자의 출혈 양상에 대한 임상적 분석
김훈,심영보,황형식,최재준,김성민,박용기,최선길,Kim, Hun,Shim, Young Bo,Hwang, Hyung-Sik,Choi, Jae Jun,Kim, Sung Min,Park, Yong Kee,Choi, Sun Kil 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.6
Objectives : The rupture of middle cerebral artery(MCA) aneurysm usually cause or is associated with higher incidence of intracerebral hemorrhages(ICH) than any other aneurysmal ruptures. Also, the outcome of patients who had ICH is known to be worse than patients who had subarachnoid hemorrhage(SAH) only. The authors report the bleeding pattern and outcome of ruptured MCA aneurysm patients. Patients and Methods : A total 106 ruptured MCA aneurysm patients who were surgically treated were included and they were divided into 2 groups by the initial brain CT findings according to the presence or absence of ICH over 10cc in amount. The clinical data were analysed retrospectively. Results : The overall mortality was 18.9%. Among 81 patients(76.4%) who had subarachnoid hemorrhage(SAH) only, 68 patients(84%) showed favorable outcome. Twenty five patients(23.6%) had ICH over 10cc in amount with or without SAH, and among them, 11 patients(44%) showed favorable outcome. The ICH was located in temporal lobe(15 patients, 60%), frontal lobe(3, 12%), sylvian fissure(6, 24%) and frontal-temporal lobe(1, 4%). Among 15 patients who had ICH in temporal lobe, only 4 patients(26.6%) showed favorable outcome and all 3 patients who had ICH in frontal lobe showed favorable outcome. Conclusion : ICH was presented in 23.6% of ruptured MCA aneurysm patients and the prognosis of patients with ICH was worse than patients with SAH only. The ICH was located mainly in the temporal lobe and sylvian fissure.
Polyoma Virus Nephropathy로 이식신 소실 후 시행한 사체 재이식
전지민 ( Jee Min Jeon ),김지환 ( Ji Hwan Kim ),박미정 ( Mi Jung Park ),박창수 ( Chang Sue Park ),김성민 ( Sung Min Kim ),오혜주 ( Hyae Joo Oh ),박용기 ( Yong Kee Park ),신용훈 ( Yong Hun Shin ),김중경 ( Joong Kyung Kim ),허길 ( K 대한신장학회 2005 Kidney Research and Clinical Practice Vol.24 No.3