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이정균(Jeong Kyun Rhee),채권묵(Kwon Mook Chae),정연학(Youn Hak Jeong),문태일(Tai Il Moon) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
N/A A total of 17 cases of bezoars who were admitted and treated with operation at the department of general surgery, Won Kwang University Hospital for 6 years from 1982 to 1987 were clinically analysed. The results were follows; 1) All cases (17 cases) were phytobozoars, especially diospyrobezoars in 14 cases (82.4%) 2) The bezoars were predominant in autumm and winter (88.2%). 3) The bezoars were located in stomach and jejunum, 2 cases (11.8%); duodenum, 1 case (5.9%); jejunum, 4 cases (23.5%); ileum, 10 cases (58.8%). 4) The mechanical intestinal obstruction was noted in 17 cases (100.0%) and a palpable mass in 3 cases (17.6%). 5) Enterolithotomy was performed in 14 cases (82.4%).
이정균(Jeong Kyun Rhee),채권묵(Kwon Mook Chae) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A Department of Surgery, School of Medicine, Wonwang University. This study was a review and analysis of 201 peptic ulcer patients who were operated from January 1983 to December 1986 at the department of surgery, Wonkwang university hospital. The results were as follows; 1) The ratio of gastric to duodenal ulcer was 1: 3.5. The most common indication for the operation was bleeding (60%) in 45 cases of gastric ulcer and perforation (87.8%) in 156 cases of duodenal ulcer. 2) The ratio of male to female was 14: 1 in gastric ulcer cases and 18.5: 1 in duodenal ulcer cases. 3) Peak incidence in age distribution was 6th decade (37.8%) in gastric ulcer and 3rd decade (26.3 %) in duodenal ulcer. 1) The autumn was the most frequent operation season in gastric (40%) and duodenal ulcer (39.7%). 5) The duration of symptoms of 64 cases (31.8%) was less than 3 months. Previous ulcer history was not revealed in 22.8% of perforation cases and 13.5% of bleeding cases. 6) Regarding laboratory finding on admission; Leukocytosis was revealed in 64.4% and hemoconcentration in 38.9% of perforation cases. 64.9% of bleeding cases showed Hb level below 10 gm%. 7) Free air shadow was revealed in 91.3% of perforation cases. 8) Truncal vagotomy with antrectomy or hemigastrectomy was done in 61.8% of perforation cases and subtotal gastrectomy in 78.4% of bleeding cases. 9) Early postop. complication developed in 23.4% of total cases. Postop. Death was not occurred in any cases luckily.
담낭염 및 담석증 진단에 있어서 초음파검사와 간담도스캔의 의의
이정균(Jeong Kyun Rhee),채권묵(Kwon Mook Chae),김창근(Chahng Guhn Kim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3
N/A For evaluation of diagnostic significance of ultrasonography and cholescintigraphy 250 cases were rewiewed who were examined with ultrasonography (HITACHI EUR-40 electronic real time scanner with 3.5 MHz convex array probe or 5 MHz linear array probe) and/or cholescintigraphy (99mTc -DISILDA, Maxicamera, General Electric) preoperatively, underwent biliary operation, and diagnosed as cholecystits and/or biliary stones from september 1984 to february 1988 at Wonkwang university hospital. The results obtained are summerized as follows; l) Calulous cholecystitis were 95 cases, acalcuous cholecystitis 30 cases, calculous cholecystitis and bile duct stones 61 cases, acalcuous cholecystitis and bile duct stones 53 cases, and bile duct stones 11 cases. 2) By analysis of 232 cases with ultrasonography sensitivity was 83.9% & specificity 83.8% in gall stone, sensitivity 54.2% & specificity 93.6% in common bile duct stone. Sensitivitv 41.7% & specificity 96.2% in intrahepatic duct stone, and sensitivity 89.7% in cholecystitis. 3) By analysis of 103 cases with cholescintigraphy nonvisualization of gall bladder were 56 cases(54.4%), nonvisualization of bile duct and gall bladder 22 cases (21.4%), poor hepatic uptake 5 cases (4.9%), and visualization of gall bladder 20 cases (19.4%).4) By analysis of 87 cases of cholecystitis with both ultrasonography and cholescintigraphy gall bladder of all except 2 cases appeared abnormal either on ultrasonogram or on cholescintigram. These 2 cases who were diagnosed as cholecystits & CBD stone showed bile duct dilatation &/or CBD stone on ultrasonogam. Ultrasonography was sensitive and specific in gall stone and cholecystitis, but relatively inaccurate in bile duct stones. Cholescintigraphy was complementary to ultrasonography in diagnosis of cholecystitis and/or biliary stone.