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삼차신경통 환자의 감마나이프 수술 시 섹터블록 사용의 유용성 평가
정창영,백금문,우성호,김명준,황정호,이현비,김호성 (사)한국방사선산업학회 2018 방사선산업학회지 Vol.12 No.4
Sector block is not used for Gamma Knife surgery in patients with generalized trigeminal neuralgia but sector block is used to reduce the dose reaching the brain stem when the trigeminal ganglgia and the ‘Brain stem’, radiation sensitive tissue, are adjacent. In the Gamma Knife surgical plan of this study, a surgical plan was established using a Leksell Gamma Plan 11. 1.0 (Elekta Instrument AB, Sweden) with one patient (Block unused, Brain stem dose No volume over 12 Gy, Case 1) who did not need a sector block and four patients (Block unused, Brain stem dose 12 Gy or more, Case 2~5) with a sector block. Magnetic resonance images were obtained by MPRAGE T1 and CISS Respectively. When the trigeminal ganglion is in close proximity to the brain stem, the brain stem volume is decreased when the sector block is used, while the treatment time was increased. In conclusion, This Study evaluates the usefulness of the Sector block in brain stem through Gamma Knife surgery in trigeminal neuralgia, which is considered to be the most important factor for the Gamma Knife surgery.
정창영 국어국문학회 2003 국어국문학 Vol.- No.133
The purpose of this paper is to examine a sexual desire and a serious aspect of Seo jeong-ju's poetry. This research aims to examine sexual vitality of the motive for his poetly creation. In this paper, it will be illustrated how his desire for sex is internalized and whether he intended to create an archetype. And the meaning of the change fm the desire in his early p m s to reconciliation in his later works will be thoroughly examined, too. By escaping from the tense and the conflict expression in his early pawns' sexual desire and searching for the harmorny with the globalization, Seo Jung Ju experienced the stability and the reconciliation. This also can be found in the positive change from the awareness of the sex based on disagreement and suppressed desks from the childhood. Sexual desire offers the key to an understand Sen Jeong-Ju's self-consciouness. Sexual desire is a strong drive for him to write his poems and an willingness for the positivity of his life. These results lead to the conclusion that sexual desire is important ideas for Seo Jeong-ju to develope his poetic process.
정창영,이준희 대한외상학회 1998 大韓外傷學會誌 Vol.11 No.1
With the increment of the role of CT scan, nonoperative treatment has been the recent trend in hemodynamically stable patients in the management of traumatic liver injury. To investigate the clinical significance of hepatic enzyme elevation in patients with hepatic injuries, we reviewed 166 patients with blunt abdominal trauma who were treated in the Department of Surgery, Dong-Guk University Hospital from January 1993 to December 1996. 160 patients were treated with nonoperative management and 6 patients were treated with operative management. Based on the CT-based liver injury grade, we classified those 166 patients into each grade of liver injuries ranging from 0 to 4(or 5) and we classified the degree of hemoperitoneum ranging from 0 to 3+, and we compared those results with the level of the hepatic enzyme. The value of the hepatic enzyme of the patients with hepatic injury increased with the increment of the grade(P$lt;0.01 by One way ANOVA test), and the degree of hemoperitoneum didnt correspond to the elevated level of the hepatic enzyme. Given the need to promptly identify the patients with blunt abdominal trauma at risk for solid viscus injury and proceed to CT diagnosis, we believe that rapid, widely available screening tests, SGOT and SGPT, can reliably select those likely to have hepatic injuries.
정창영,김태곤,김성은,정규진,이준호,김용하 대한성형외과학회 2017 Archives of Plastic Surgery Vol.44 No.1
Background Skin erosion is a dire complication of implantable cardiac pacemakers and defibrillators. Classical treatments involve removal of the entire generator and lead systems, however, these may result in fatal complications. In this study, we present our experience with a simplified salvage technique for exposed implantable cardiac electronic devices (ICEDs) without removing the implanted device, in an attempt to reduce the risks and complication rates associated with this condition. Methods The records of 10 patients who experienced direct ICED exposure between January 2012 and December 2015 were retrospectively reviewed. The following surgical procedure was performed in all patients: removal of skin erosion and capsule, creation of a new pocket at least 1.0–1.5 cm inferior to its original position, migration of the ICED to the new pocket, and insertion of closed-suction drainage. Patients with gross local sepsis or septicemia were excluded from this study. Results Seven patients had cardiac pacemakers and the other 3 had implantable cardiac defibrillators. The time from primary ICED placement to exposure ranged from 0.3 to 151 months (mean, 29 months. Postoperative follow-up in this series ranged from 8 to 31 months (mean follow-up, 22 months). Among the 10 patients, none presented with any signs of overt infection or cutaneous lesions, except 1 patient with hematoma on postoperative day 5. The hematoma was successfully treated by surgical removal and repositioning of the closedsuction drainage. Conclusions Based on our experience, salvage of exposed ICEDs is possible without removing the device in selected patients.
정창영,김재원,이혜림,박한 대한마취통증의학회 2016 Korean Journal of Anesthesiology Vol.69 No.6
Huntington’s disease is a neurodegenerative disorder with an autosomal dominant inheritance pattern. Patients with Huntington’s disease show an increased risk of aspiration pneumonia when the pharyngeal muscle is invaded. We report a case of advanced-stage Huntington’s disease in which the patient received right middle lobectomy for a lung abscess caused by repeated aspiration. The best lung isolation technique has not yet been established in these patients. We successfully performed selective lobar isolation of the right lower and middle lobes using a double lumen tube and a Fogarty embolectomy catheter.