http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
박윤규,Park, Yun-Gyu 대한병원협회 1994 대한병원협회지 Vol.23 No.5
이 글은 지난 5월 현대병원경영연구소 주최로 개최된 병원최고경영자 경영사례발표세미나에서 발표된 내용을 녹음으로 취합하여 편집한 것이다.경영난에 고심하는 병원들에 참고 되기를 바라 게재하며, 현대병원경영연구소에서 녹취와 정리를 해주었다. -편집자-
생비골 유리 피판술을 이용한 수부의 복합조직 결손의 재건
탁관철,강상윤,박윤규,이훈범,박병윤,Tark, Kwan-Chul,Kang, Sang-Yoon,Park, Yun-Gyu,Lee, Hoon-Bum,Park, Beyoung-yun 대한미세수술학회 2000 Archives of reconstructive microsurgery Vol.9 No.1
The advent of free bone flaps has made successful replacement of extensive areas of bone loss in the upper and lower extremities. The microvascular free bone flaps have faster healing without bony absorption or atrophy and can heal in the hostile environment of scarred bed or infection. Since the fibula free flap introduced by Taylor and colleague in 1975, it has been used extensively for skeletal reconstruction of extremities. In 1988, the folded vascularized fibula free flap was first described as a technique to reconstruct significant long bone defect of upper and lower extremities. During the same time, the fibular free flap has evolved to become most preferred choice of mandibular reconstruction. Up to present day, few reports have been made on the fibular free flap used for reconstruction of injured hand containing metacarpal bone and soft tissue defect. We present here our new and unique experiences with vascularized fibular osteocutaneous free flap as useful and satisfactory one for reconstruction of hand with composite defects.
Foam Dressing Material을 이용한 채피창의 치료성적
김도헌 ( Kim Do Heon ),김종현 ( Kim Jong Hyeon ),남궁엽 ( Nam Gung Yeob ),김동건 ( Kim Dong Geon ),박윤규 ( Park Yun Gyu ) 대한외상학회 2002 大韓外傷學會誌 Vol.15 No.1
Backgrounds: Donor-site wounds vary in thickness and have a nonadherent layer that provides nontraumatic removal. Foams create a moist environment and provide thermal insulation to the wound. General characteristics of dressings include nonadherents and m
정섬,유원민,박병윤,박윤규 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5
Surgical excision of the subcutaneous tissues, with or without skin excision in the axillary hair-bearing area, has been the treatment of choice for Treating axillary a osmidrosis for the several decades. However, long periods of postoperative immobilization of a shoulder joint, partial necrosis of skin flaps or hematoma and the possibility of unsightly scars are frequent complications. For the purpose of reducing these complications, we performed ultrasonic aspiration of subcutaneous fat of the axilla, including the apocrine gland, using ultrasonic liposuction technique under confirmation of endoscopy via one small skin incision. From November 1997 to December 1998, a total of 134 patients (93 women and 41 men) received surgery for bilateral axillary osmidrosis on an outpatient basis. Sixty patients were evaluated more than 6 months after surgery. Among these patients, 6patients complained of a persistent foul odor(10%). Five patients received secondary ultrasonic aspiration for persistent foul odor and were then cured. We concluded that our method has several advantages such as 1) preservation of skin flap vascularity for the prevention of flap necrosis and axillary hair, 2) minimal scarring and bleeding, 3) shorter operation time and postoperative immobilization of the shoulder joint, 4) increased patient comfort, and 5) a safer operative method for recurred cases as a secondary method.
이훈범,김석원,정윤규,박윤규 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5
Since the first report by Tansini in 1896, the latissimus dorsi muscle free flap has been widely used for various types of soft tissue defect due to reliable anatomy with a sufficient diameter of neurovascular pedicle and a sizable muscle. However, for relatively small soft tissue defect, latissimus dorsi free flap offers several distinct disadvantages of donor site including loss of the posterior axillary fold and flattening of the posterolateral chest wall, weakness of upper arm strength in extension, adduction and internal rotation. We treated three patients having various types of soft tissue defect using segmental latissimus dorsi muscular free flap depending on its descending branch of thoracodorsal neurovascular pedicles. There were no serious complications during 18 months of mean follow-up. We concluded that this method has some advantages such as no weakness of strength of the upper arm including walking on crutches, preserving the posterior axillary fold, preventing winging of the scapula and increased chance of using a flow-through technique. Here we present our cases of reconstruction of soft tissue defect using segmental latissimus dorsi free flap with a review of the literature.
γ-Glutamyltranspeptidase가 肝細胞增殖에 미치는 影響
朴鈗圭,柳總根 고려대학교 의과대학 1992 고려대 의대 잡지 Vol.29 No.1
This study was intended to examine the role of γ-Glutamyltranspeptidase (γ-GT) in controlling hepatocyte proliferation and the mechanism of the enzyme action by which the enzyme manifests such effect. Adult rat hepatocytes were isolated and cultured to observe normal growth pattern. and the effect of inhibitor (serine-borate complex) of γ-GT upon hepatocyte proliferation, and to decide the concentration of enzyme inhibitor at which hepatocyte proliferation is inhibited. In addition. Changes of γ-GT activity and DNA synthesis were studied in the absence or presence of enzyme inhibitor employing primary culture of hepatocytes. The following results were obtained 1. Low initial cell density (5-6×10^(5)' cells/3S mm dish) and addition of insulin and EGF prompted hepatocyte proliferation. Whereby, Cell number increased up to 1.5 fold after 32 hours in comparison with initial cell number. 2. The concentration range of enzyme inhibitor in which hepatocyte proliferation was inhibited was more than 1 mM 3. During primary culture of hepatocytes, γ-GT activity showed rapid increase in lag phase on the basis of "zero" time and maximal increase in exponential growing phase. The increasing rate of γ-GT was weakened in stationary phase. 4. During primary culture of hepatocytes. The extent of DNA synthesis showed rapid increase in lag phase on the basis of ''zero" time and gradual increase in exponential growing phase and stationary phase. But. Such increase of DNA synthesis was lost by administration of enzyme inhibitor. The above results suggest that action and increased activity of γ-GT is necessary for increase of DNA synthesis in hepatocyte proliferation.