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- 저자 : 이철민(Lee Chul?min) (검색결과 4 건)
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비정상 질확대경검사 소견을 보이는 환자에서 환상투열요법의 직접적 적용에 관한 연구
우헌탁,이철민,박교훈,조용균,최훈,김복린,이홍균 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
Objective: Large Loop Excision of the Transformation Zone (LLETZ) has been widely used for evaluating cervical dysplasia/cancer. We performed this study to evaluate if colposcopically suspected cervical high-grade dysplasia or cancer could be directly evaluated and treated with LLETZ. Methods: 93 women who were scheduled for colposcopic evaluation because of an abnormal cervical cytology report were included in the study in Sanggye Paik Hospital from Jan to Dec 2001. Mean age of the study population was 38.6±9.0. colposcopy directed punch biopsy was not performed and histologic diagnosis was made by LLETZ. Sensitivity and specificity of colposcopic evaluation was calculated and compared with those of cervical cytology. Results: On histopathological examination by LLETZ, 11(11.8%) patients had invasive cancers including 3(3.2%) adenocarcinomas. The sensitivity and specificity of colposcopy for the detection of cervical dysplasia or cancer was 71.7% and 72.3% respectively, wile those of cytology was 56.5% and 74.5% respectively. Conclusion: LLETZ may be adequately performed for the diagnosis and treatment of cervical dysplasia/cancer based on the results of pap smear and colposcopy without punch biopsy. Cost benefit might be anticipated while cost-effectiveness analysis is necessary in the future.
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골프장 경관 유형 분류와 경관 선호도 결정인자 분석에 관한 연구
서주환,이철민 경희대학교 디자인연구원 2000 예술· 디자인학연구 Vol.3 No.1
The purpose of this thesis is classification of landscape-type of golfcourse. This Analysis showed that a variable, bokyungro is the most potent influence of visual preference, (R2 0.754,Sig 0.01) and it can devide things into five classes of landscape-type in golfcourse, yong-in, kyungki-do.
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직장암에서 수술 전 방사선-화학요법 후 발생한 후기 합병증
이승현,이철민,안병권,백승언 고신대학교 의과대학 2011 고신대학교 의과대학 학술지 Vol.26 No.1
OBJECTIVES: To compare the late complications after operations for rectal cancers with and without preoperative chemoradiation. METHODS: From January 2003 to December 2005, 55 patients underwent operation after preoperative chemoradiation for adenocarcinoma of the rectum. All of them received the full scheduled dose of radiation with concurrent chemotherapy. The interval between preoperative chemoradiation and surgery was 4-6 weeks. 47 patients who had tumors below 8 cm from the anal verge were enrolled into the study group (CRT group). During same period, we selected 153 patients who had adenocarcinoma of the rectum below 8cm from the anal verge, underwent surgery alone without postoperative radiotherapy non-CRT group). We compared the early and the late postoperative complications between the CRT group and the non-CRT group. RESULTS: Of the late complications, the incidence of anastomotic stricture was significantly higher in the CRT group (P = 0.018). The incidence of anal stricture was higher in the CRT group (P = 0.164). In the CRT group, 3 cases (17.6%) had failed to preserve the anal function due to moderate or severe anal stricture. Of the 3 cases, protective ileostomy was persistent in 2 cases, colostomy was performed in one case. Otherwise, the late complications of the CRT group were intestinal obstruction in 2 cases (4.3%), lymph edema in 2 cases (4.3%). CONCLUSION: In CRT group, failure of anal function preservation due to anastomotic stricture or anal stricture was more common and serious than non-CRT group. We emphasize the need for careful management for postoperative anal stricture after preoperative chemoradiation.
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시신경 유두를 침범한 급성 임파구성 백혈병 : 1예 보고 Report of One Case
김태운,이건수,이철민,심완섭 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.1
A ten-year-old boy with acute lymphoblastic leukemia, probably T-cell type, who had received intrathecal methotrexate for theprophylaxis of meningeal leukemia, acquired impaired vision during maintenance chemotherapy. Ophthalmologic examinations disclosed a leukemic infiltration of right optic disc. It was followed by meningeal leukemia and systemic relapse successively within 2 months. The response of the ocular lesion to systemic chemotherapy was good.
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