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Ultrasound-Guided Percutaneous Removal of Foreign Body Using Hydrodissection and Serial Dilators
이성문(Sung Moon Lee),조철현(Chul-Hyun Cho) 대한정형외과학회 2012 대한정형외과학회지 Vol.47 No.2
4개월간의 좌측 후족부 동통 및 종창을 주소로 내원한 54세 남자에서 고해상도 초음파 검사상 좌측 후족부에 나무 양상의 이물이 관찰되었다. 국소 마취제를 투여하고 5 mm 가량의 피부 절개 후 실시간 초음파하에 1% lidocaine 용액을 이용하여 이물과 주위 연부조직을 박리하기 위해 hydrodissection을 시행하였다. 그 후 18-gauge spinal needle과 guide-wire를 삽입한 다음 needle을 빼내고, 이물을 쉽게 빼내기 위해 7에서 12 French의 guide-wire를 차례로 삽입한 다음 mosquito forceps를 이용하여 이물을 제거하였다. Hydrodissection 및 serial dilator를 이용한 초음파하 경피적 이물 제거술은 빠르고 안전한 방법이라 생각한다. High-resolution ultrasound of the painful, swollen left heel of a 54-year-old man, who reported that his symptoms had lasted 4 months, showed retention of a wooden foreign body in the heel. After administering local anesthesia and making a 5-mm skin incision, we performed hydrodissection of the foreign body from the adjacent soft tissue under real-time ultrasound guidance, using a 1% lidocaine solution. Then, we introduced an 18-gauge spinal needle and inserted a guide-wire through the needle. After we removed the needle, we introduced serial dilators in sizes ranging from 7 French to 12 French along the guide-wire to create a tract for mosquito forceps. Then, we introduced the mosquito forceps and removed the wooden foreign body. Ultrasound-guided percutaneous removal of foreign bodies is quick and safe. We believe that hydrodissection makes removal easier and that use of serial dilators minimizes soft-tissue injury and makes it easier to introduce mosquito forceps.
백서의 좌골신경 절단 후 비복근의 자기공명영상 신호강도 변화와 근전도 소견의 관계
이주환,이장철,김동원,박기영,이성문,Lee, Joo Hwan,Lee, Jang Chul,Kim, Dong Won,Park, Ki Young,Lee, Sung Moon 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.1
Objectives : The evaluation of peripheral nerve injuries has traditionally relied on a clinical history, physical examination, and electrodiagnostic studies. The purpose of the present study was to examine serial magnetic resonance image(MRI) changes following acute muscle denervation under experimental conditions and to identify potential advantages and disadvantages of this use of MRI. Methods : An experimental transection of right sciatic nerve on Spargue-Dawley rats was performed. MRI was performed with T1-weighted spin-echo and STIR sequences. The imaging findings were compared with EMG in order to determine its sensitivity relative to this standard procedure. A simultaneous histopathological study provided information about the morphological basis of the imaging findings. Signal intensities were expressed as a ratio of abnormal to normal. Results : The signal intensity ratio of muscles with the STIR sequence was increased significantly at 2 weeks after sciatic nerve transection(p<0.05), although definite signal change was seen as early as 4 days postdenervation in one. EMG revealed significant denervation potential from 3 days after nerve transection. Diffuse cell atrophy was revealed hostologically at 2 weeks after transection, which was at the same time of significant signal change in MRI. Conclusion : MRI signal changes in denervated muscles secondary to nerve injury correlate with the degree of muscle atrophy on histologic examination. In addition to EMG, MRI can document the course of muscle atrophy and mesenchymal abnormalities in denervation. These results indicate that MRI can play a complementary role in the evaluation of patients with denervation.
주병돈(Byeong-Don Joo),이성문(Sung-Mun Lee),손영명(Young-Myung Son),문영훈(Young-Hoon Moon) 대한기계학회 2009 대한기계학회 춘추학술대회 Vol.2009 No.11
Hydroforming technology draws attentions of automotive industries due to its advantages such as weight reduction, increased strength, improved quality and reduced tooling cost. Hydroformed automotive parts used as structural components in vehicle body frame often have to be structurally joined at some point. Therefore it is useful if the hydroformed automotive parts can be given a localized attachment flange. In this study, hydroforming process for the flanged tubular parts was proposed. Tube hydroforming experiments were conducted at various conditions. Forming characteristics at various pressure conditions were evaluated. With optimized condition flange was sucessfully formed. The results show that flanged automotive parts can be successfully produced with tube hydroforming.
라즈베리 파이를 이용한 재난탐색 구조 로봇 설계 · 제작
강원돈(Won-Don Gang),이성문(Sung-Moon Lee),박진제(Jin-Jae Park),유정훈(Jeong-Hoon You),박경환(Kyung-Hwan Park),최세영(Se-Young Choi),신규재(Kyoo-Jae Shin) 대한전자공학회 2015 대한전자공학회 학술대회 Vol.2015 No.6
In this paper, Building collapses in preparation for Rover was implemented in. This robot was created with the purpose to replace a human eye in hazardous areas Using a cheap price raspberry PI. It was confirmed that it is possible to transmit the high end of the image wirelessly. We use the web page transmission method for image transmission is excellent that versatility multiple communication was easy to implement video transmission. The designed robot is experimented in the field test and is satisfied with the performance of designed specification for disaster navigation robot.
Ilizarov 시술 후 추적검사에 있어 초음파검사의 유용성 : 단순촬영과의 비교
이종훈,지성우,이호원,이성문,김정식,김홍,송광순,조길호,우성구,Lee, Jong Hoon,Jee, Sung Woo,Lee, Ho Won,Lee, Sung Moon,Kim, Jung Sik,Kim, Hong,Song, Kwang Soon,Cho, Kil Ho,Woo, Sung Ku 대한영상의학회 1998 대한영상의학회지 Vol.38 No.6
Purpose : To compare the usefulness of ultrasonography in follow up evaluation after the Ilizarov procedurewith that of plain radiography. Materials and Methods : We analyzed ultrasound findings in twelve patients who hadundergone the Ilizarov procedure, and retrospectively compared the results with the findings of plain radiography.The procedure was performed due to post-traumatic limb deformity or non-union(nine of twelve patients), congenitalpseudoarthrosis(one case), sequelae of poliomyelitis(one case), and short stature(one case). The patients' meanage was 29 years ; eleven of twelve were male. Ten of twelve procedures were performed on the tibia and two on thefemur. After 7-10 days, distraction was initiated at a rate of 0.25mm four times a day. Ultrasonography wasperformed with a 5-10 MHz linear or convex transducer ; new bone formation was defined as dotted or linearechogenic foci within a hypoechoic distraction gap. Initial ultrasonographic examination was performed 2-4 weeksafter distraction, and the results were compared with those of plain radiography. Color Doppler imaging wasperformed in three cases. Results : On ultrasonograms, new bone formation was initially detected 18-29(mean, 23)days after distraction, and on plain radiographs, 37-58(mean, 45) days after this procedure ; ultrasonography thusdetected new bone formation at least three weeks earlier than did plain radiography. Complication after theIlizarov procedure were four cysts at the distraction site, and one pin site infection, as seen on ultrasonograms.None of these four cysts, the size of which was 12-22mm(mean, 17mm), was visible on plain radiographs. In one casein which a cyst was present, ultrasound-guided aspiration was performed. Color Doppler examination was performedin three of twelve patients, and in all three, periosteal vascularity at the edge of the distracted gap was seento be preserved. Conclusion : After the Ilizarov bone lengthening procedure, ultrasound appears to be useful forfollow-up examination. New bone formation, as well as complications, can be detected earlier ; it can indicatewhether ultrasound-guided interventional procedure is required, and if combined with color Doppler study, is ableto detect the periosteal blood supply. Further evaluation of the clinical significance of preserved periostealblood supply seems however, to be needed.