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      • 肋骨結核과 胸壁寒冷膿瘍

        정은석,이남수,한창열,손광현 인제대학교 1982 仁濟醫學 Vol.3 No.2

        우리나라에서는 아직도 결핵의 유병율이 선진 여러나라에 비해 높은 편이다. 그러나 늑골 결핵의 발생 빈도가 낮고, 이에 대한 연구가 매우 적다. 물론 외국의 연구 발표가 50년대 이전의 것으로 오래 됐고, 또한 늑골 결핵의 정확한 발생기전 마저도 정립이 되어 있지 않는 상태다. 이에 저자등은 인제의대 부속 서울 백병원의 약 9년간의 경험예를 中心으로 늑골결핵과 한냉농양의 문헌고찰과 함께 그 질환의 관계를 임상적인 소견과 방사선 소견을 토대로 분석해 보았다. Tuberculosis of ribs is rather uncommon. It had been described from time to time on last 30 years ago, but very rarely reported on today in other nations and in korea. And it's terminology & pathogenesis is not clear on nowadays. Although it has been said that the cold abscess on the chest wall develops as a disease spreading through parasternal lymph node and pleura, our 18 cases among 19 cases show a combination charecteristics between tubercnlosis of ribs & cold abscess, and there is no evidence of tuberculosis in other organ. Our 11 cases among 19 cases show bony change of chest radiography on shaft of rib; mainly lytic change is 6 cases(55.5%), mainly sclerotic change is 2 cases and mixed change is 3 cases, and 8 cases are negative in radiogram. And so we hope of much more reporting and experiments on pathogenesis of tuberculosis of rib & cold abscess, and their correlationship.

      • 선천성 척추 측만증의 방사선학적 고찰

        전정동,한상석,은충기,한창열 인제대학교 1984 仁濟醫學 Vol.5 No.4

        Congenital scoliosis is defined as a lateral curvature of the spine caused by congenital anomalies of the vertebral development. Radiologic studies have become extremely important in the evaluation and management of congenital scoliosis. Main goals of the radiologic evaluation are to establish a precise diagnosis, monitor the progression of the deformity, search for associated anomalies, and to establish the value of treatment technique. Radiologic findings of eight cases in congenital scoliosis were reviewed, and the results are as follows: 1.The most prominent type and location were hemivertebra and thoracic area, respectively. Especially 3 patients showed one or more types of anomaly and 2 patients had multiple hemivertebra. The average curved angle estimated by Cobb's method is 34.6˚, regarded as mild and moderato deformity. 2.One diasteatomyelia and two congenital heart disease were found as associated anomalies. No evidence of kidney anomaly was not found in our cases. 3.The first precise evaluation and 6 month-interval study are very important in radiologic evaluation. 4.For the precise classification of congenital scoliosis, tomography & computed tomography should be recommended, and for the more, in case of pediatric group, the latter as non-invasive method. 5.For the evaluation of associated anomalies in other organs, routine intravenous pyelography should be recommended and myelography as indicated.

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