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RISS 인기검색어
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- 저자 : 송윤상(Yoon Sang Song) (검색결과 3 건)
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이승헌(Seoung Hun Lee),윤형규(Hyung Gue Yoon),송윤상(Yoon Sang Song),최문영(Moon Young Choi),김석은(Seok Eun Kim),박인석(In Seok Park),장윤식(Yoon Sik Chang),방병기(Byung Kee Bang) 대한내과학회 1994 대한내과학회지 Vol.46 No.1
N/A Background: The Captopril test (Muller, 1986) appears to represent a simple and useful screening tool in the diagnosis of renovascular hypertension. The limitations of the sennsitivity, specificity have been reported under certain circumstances. We performed this study to evaluate the sensitivity, specificity and predictive value of the Captopril test in the diagnosis of renovascular hypertension. Methods: We calculated the sensitivity, specicity and predictive value of the Captopril test in 26patients with clinical suspicion of renovasculr hypertension. We performed the Captopril test and renal angiography in these patients. Results; 1) The Captopril test was positive in 8 patients (30.7%), in whom 26renovascular hypertension were suspected. 2) The mean value of basal and stimulated plasma renin activity were 4.55±1.74ng/ml/hr and 19.89±7.19ng/ml/hr respectively, in 8patients with positive Captopril test. The mean value of percent increase of stimulated PRA was 384±227.9% in these patients. 3) The mean value of basal and stimulated plasma renin activity were 7.27±5.29ng/hr and 8. 78±5.89ng/ ml/hr respectively, in patients with negative Captopril test. The mean value of percent increase of stimulated PRA was 34.61±30.56% in these patients. 4) In patients with postivie Captopril test, there were 4true positive (50%) and 4false positive (50%) by renal angiography. In 18patients with negative Captopril test, there was 1false negative who had abnormal angiography. 5) The sensitivity, specificity and predictive value of the Captopril test were 80%, 81% and 50% respectively. Conclusion: The Captopril test seems to have limitations of sensitivity, specificity and predictive value in the diagnosis of renovascular hypertension. The careful clinical clinical application of Captopril test and renal angiography should be considered in the diagnosis of renovascular hypertension.
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흉요추부 방출성 골절에 시행한 전방감압 및 유합술의 치료결과에 대한 분석
송경진,송윤상 대한척추외과학회 1996 대한척추외과학회지 Vol.3 No.2
The goal of the anterior decompression is to provide on optimum environment for the recovery of incomplete neural deficits by achieving better reduction and decompression of the spinal canal. Anterior decompression and fusion with anterior instrumentation is known as the treatment of choice to obtain these treatment goals for adequate neural decompression and stabilization at one time. The purpose of this study was to evaluate the efficacy of anterior decompression and fusion with anterior stabilization for the treatment of unstable thoracolumbar burst fractures. Anterior surgery has been performed in 17 patients for unstable burst injuries of the thoracolumbar spine between April 1990 to July 1992 and the treatment results were analyzed with a minimum of 2 years follow-up. Ten of these were paraparetic. While there was one case of nonunion, three screw breakages and one double rod breakage, there were no early of late vascular complications. But there was one neurologic complication. Average neurological recovery was 1.6 grades on the Frankel grads. Seven out of ten patients with paraparesis could return to their previous work. Anterior decompression, fusion and stabilization with Kaneda device for the treatment of thoracolumbar burst fractures with neurologic deficit or burst fractures with severe canal compromise(more than 50%) without neurologic deficit and severe kyphotic deformity must be the recommandable treatment modality can provide complete dural decompression, correction of deformity and rigid stability.
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