http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
우리나라에서 담낭결석의 치료 수단으로 과연 체외충격파 쇄석술이 의미가 있는가 ?
민영일(Young Il Min),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),이승규(Sung Gyu Lee),민병철(Pyung Chul Min),조경식(Kyung Sik Cho),이선영(Sun Young Yi),권태원(Tae Won Kwon),이문규(Moon Gyu Lee),성규보(Gyu Boo Sung) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.1
N/A We have treated the gallbladder stone patients with Hunich criterin (n=82) using Dornier MPL 9, 000 lithotripter. The group A patients (n =40) had single stone and O(the diameter of the stone) <- 20 mm, and group B (n=42) patients had multiple stones or O>20 mm. Follow-up was done for at least 15 months by ultrasonography. The rate of complete clearance in the group A patients was 57.9%. On the contrary the group B patients showed the clearance rate of 13.7%. The average energy of shockwave, treatment session and shockwave numbers in group A were 17.1+-0.8 kv, 1.8+-1.1 and 1691+-414, respectively. On the contray in group B, the average energy, treatment session and shockwave numbers were 17. 2+-0.4 kv, 2.4+-1.3 and 1891+-751, respectively. The adverse effects or complications were biliary colic (28%), arrhythmia (6%), pancreatitis (1%), elevation of serum transaminases (2%) and acute cholecystitis (1%). Sixteen percents of our patients received elective cholecystectomy due to frequent biliary colic. In conclusion, our lithotripsy results are inferior to those of western countries. And taking the effectiveness of laparoscopic cholecystectomy into consideration, the indication of ESWL in gallbladder stones will be so limited in Korea.
김명환,이성구,이승규,민영일,이문규,민병철,제수정,성규보 대한소화기학회 1992 대한소화기학회지 Vol.24 No.3
Extrahepatic obstruction of the portal vein with resulting portal hypertension may cause extensive collateral circulation at the porta hepatis. These collateral veins may compress and narrow the common bile duct, sometimes causing obstructive jaundiee. We present a 31-year-old-male patient, in whom choledochal varix accompanied by intra-and extrahepatic stones were diagnased by Doppler ultrasonography, ERCP and angiography. ERCP demonstrated the irregular contour. of the common bile duct and multple intraluminal filling defects. We performed splenorenal shunt and then percutaneous transhepatic biliary drainage. All bile duct stones could be removed by percutaneous route.