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자기공명영상을 이용한 한국 성인의 엉치뼈틈새와 척수원뿔 사이 거리 연구
박태수(Tai Soo Park),황병욱(Byeong-Wook Hwang),박상준(Sang-Joon Park),백선용(Sun-Yong Baek),윤식(Sik Yoon) 대한체질인류학회 2016 해부·생물인류학 (Anat Biol Anthropol) Vol.29 No.4
이 연구에서는 경막바깥신경성형술 시행에 있어서 중요한 엉치뼈틈새에서 경막주머니종말부 및 척수원뿔 사이의 거리를 자기공명영상에서 계측하여 한국인의 생체 연구에 대한 기초 자료를 제공하고자 한다. 허리통증으로 자기공명영상을 촬영한 환자 중 척추압박골절이나 척추전방전위증 그리고 기형 등이 없는 환자 200명 (남자 88명, 여자 112명)을 대상으로 하였으며, 평균 연령은 54.3세 (20~84세), 평균 신장은 161.3 cm (135~187 cm)이었다. T2강조 자기공명영상을 이용하여 엉치뼈틈새에서 경막주머니종말부 그리고 척수원뿔 사이 거리를 계측하여 성별 및 신장에 따른 상관관계를 분석하였다. 엉치뼈틈새꼭지에서 경막주머니종말부까지 거리는 62.8±9.4 mm, 엉치뼈틈새꼭지에서 척수원뿔까지 거리는 232.2±21.8 mm, 엉치뼈틈새꼭지에서 경막주머니종말부 사이 최소 거리는 34.8 mm, 최대 거리는 93.9 mm, 엉치뼈틈새꼭지에서 척수원뿔 사이 최소 거리는 155.0 mm, 최대 거리는 284.0 mm이었다. 엉치뼈틈새꼭지에서 경막주머니종말부까지, 그리고 엉치뼈틈새꼭지에서 척수원뿔까지 거리는 모두 여성이 남성보다 짧게 나타났고 (p<0.05), 엉치뼈틈새꼭지에서 경막 종말부 및 척수원뿔 사이 거리는 신장에 대해 유의한 상관관계를 보였다(p<0.01). 이 연구의 결과는 한국 성인의 엉치뼈틈새에서 경막주머니종말부 및 척수원뿔 사이 거리에 대한 생체 계측 자료를 제공하며, 경막바깥공간에 대한 임상적 시술의 안전성 확보와 한국인의 체형에 맞는 카테터 개발에 도움이 될 것이라 생각한다. The purpose of this study was to provide basic biometric data on Korean adults through magnetic resonance imaging (MRI)-based measurements of the distances between the apex of sacral hiatus (SH) and the termination of dural sac (DS), and between SH and conus medullaris (CM) because they are critical to the performance of epidural neuroplasty. A total of 200 patients (88 males and 112 females) with back pain, who had no spine fracture, significant spinal deformity, and spondyloisthesis were selected for this study. The subjects were of mean age 54.3 (20~84) years and mean height 161.3 cm (135~187). T2-weighted MRI images were used for correlation analysis to evaluate the relationships between the distances, and variables such as sex and height. In all patients, the mean distance between SH and DS was 62.8±9.4 mm and the mean distance between SH and CM was 232.2±21.8 mm. The minimum distance and the maximum distance between SH and DS were 34.8 mm and 93.9 mm respectively, and the minimum distance and the maximum distance between SH and CM were 155.0 mm and 284.0 mm respectively. In female patients, both the distances between the SH and DS, and between SH and CM were shorter when compared to those of the male patients (p<0.05). Both the distances between SH and DS and between SH and CM showed a significant correlation with height (p<0.01). The results of this study will provide a useful biometric data on the distances between SH and DS and between SH and CM in Korean in ensuring clinical safety and in the development of more effective catheterization techniques for epidural neuroplasty in Korean.
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금속-금속 관절면을 포함한 Hydroxyapatite 코팅된 CLS 대퇴삽입물 -2년에서 4년 전향적 추시결과-
김영호 ( Young Ho Kim ),이중학 ( Joong Hak Lee ),박명률 ( Myung Ryool Park ),박태수 ( Tai Soo Park ),박예수 ( Ye Soo Park ),최일용 ( Il Yong Choi ) 대한고관절학회 1998 Hip and Pelvis Vol.10 No.1
Seventy-two hips in sixty patients who underwent total hip arthroplasty with hydroxyapatite roughblasted CLS femoral implant combined with metal on metal articulation were studied in a prospective, consecutive series for 2 to 4 years. The mean age of the patients at the operation was 49 years(19 to 73) and the most frequent diagnosis was avascular necrosis of femoral head(63%). The mean flare index and Singh index were 4.0(2.6-6.4) and 4.6(3-6), respectively. The mean Harris hip score at the final follow up improved to 97 points from 53 points preoperatively. The mean time of weight-bearing without support after the operation was 5.5 weeks(3 to 16). In radiographic findings, the endosteal bone formations around the stem were present in more than 90% of cases in zone 1,2,6,7 and from 30 to 60% of cases even in zone 3,4,5 and bone formation around the cup were pre- sent S3,94,78% in zone 1,2,3 respectively. Radiolucencies around the stem were rarely seen in zone 1,2,6,7 and were observed in 10 to 20% in zone 3,4,5. Radiolucencies around the cup were observed in 4 to 18% in all three zones. No osteolysis around the stem and no measurable subsidence of the stem with more than 2 mm developed seen in all cases. The thigh was slightly painful in only two patient(2.8%), and the groin was slightly painful in only one patient(1.4%). Mean linear wear rate with metal on metal articulation system in present study was 0.02 mm/year. Postoperative complications were 1 case(1.4%) of dislocation, 1 1cases(15.3%) of intraoperative incomplete fracture on calcar and 1 case(1.4%) of superficial wound infection.
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한상엽,김행숙,박태수 大韓神經精神醫學會 1971 신경정신의학 Vol.10 No.2
This study was primarily designed to examine the probable difference, if any, of c causing factor to suicide among those who had previously attempted to commit suicide and initially attempted to commit suicide. The subjects were those who attempted to commit suicide and brought to the Suicide Prevention Center, Catholic Medical Center during the period from November 1, 1969 to December 31, 1971. Number of the subjects studied was 55 cases of re-attempted suicide and 159 case of once-attempted suicide in the period. The subjects represent the number which were thought to have met sufficiently the designed criteria for this particular study in terms fo cooperation, length of stay in the hospital and degree of reliability. The subjects were interviewed by the authors by the means of general psychiatric interview technique along with questionnaire card that had already been prepared for the purpose. Followings were the main results of the study: (1) Age distribution relatively that it was heavily concentrated to the ages of adolescent & old age group. (2) Sex distribution revealed no significant difference on the re-attempted suicide and once-attempted suicide. (3) The majority of the re-attempted suicides were tentatively diagnosed as schiazophrenia (23.63%) & personality disorder (20.0%). (4) The direct motives for the re-attempted cases were that of psychological problems such as mentai diseases, frustrated love relationship, inferiority, family discord & financial crisis et al. (5) Of the total number of 55 cases of re-attempted suicides, 10.9% of the interviewees accepted the need for further psychiatric treatment despite the fact that the physicians explained them the need of further care by every possible means. 76.36% had frankly denied the needs.
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