한국인에서 보행성 24 시간 식도내 pH 측정

안태규(Tae Gyoo Ahn),나용호(Yong Ho Nah) 대한내과학회 1990 대한내과학회지 Vol.39 No.3

N/A To estabilish optimal thresholds of 24-hour pH metry in separating the physiologic from pathologic reflux, ambulatory 24-hour esophageal pH-monitoring was studied in 17 patients with endoscopically-proven eso-phagitis, along with 35 healthy volunteers. Receiver-operating characteristics (ROC) analysis was used to define optimal thresholds. 1) Significant differences in percentage time with a pH below 4 (supine, upright, 24-hour period) and the number of reflux episodes lasting longer than 5 min (supine, upright, 24-hour period) were found between the two groups (p<001). No significant difference in the number of reflux episodes in the upright position and the 24-hour period was demonstrated. 2) Using ROC analysis, the optimal thresholds of the percentage time with a pH below 4 were 5% for upright position, 10% for supine position, and 11% for 24-hour period; those of the number of reflux episodes lasting longer than 5 min were 2 for supine position, 2 for upright position, and 4 for 24-hour period; those of the duration of the longest reflux episode were 8 min for upright position, 23 min for supine position, and 23 min for 24-hour period. It was concluded that patients with gastroesophageal reflux disease (GERD) have a greater acid esposure than the normal controls and that a percentage time with a pH below 4 is the most reliable discriminator of GERD. Using a percentage time with a pH below 4 or a number of reflux episodes lasting longer than 5 min are rather simple criteria that can yield a high diagnostic accuracy in separating the physiologic from pathologic reflux.

생체흡수형 간섭나사못을 이용한 전방십자인대 재건술 후 자기공명영상을 이용한 추시관찰

이광원(Kwang-Won Lee),안태규(Tae-Gyoo Ahn),한태일(Tae-Il Han),최원식(Won-Sik Choy) 대한정형외과학회 2002 대한정형외과학회지 Vol.37 No.1

호도까기 식도증에서 Diltiazem 투여 전 , 후의 식도내압검사 소견

나용호(Yong Ho Nah),안태규(Tae Gyoo Ahn),허종(Jhong Heo),김경중(Kyeong Joong Kim),유웅선(Wong Soun Yu) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4

N/A We studied the effects of oral diltiazem (30 mg TII) alone. And combination with diazepam (1 rng Tll) on esophageal manometric chracteristics in 24 patient, with a nucracker esophagus by baseline maotmetry. A 4-week oral administrationn of diltiazem decreased distal esophageal contraction amplitude (205±35.3 mmHg to 150±30.9 mmHg: p<0.01), but had no effect on lower esophageal sphincter pressure and their was poor correlation with chest pain improvement. After 4-week treat- ment with diltiazem and diazepam, contraction amplitude fell from l50±30.9 mmHg to 101±23.4 mmHg (p<0.01) and the relief of symptom was about 90%. This study suggests that diltiazem is demonstrated to result in a reduction of the peristaltic amplitude in patients with nutcrackcr esophagus, but symptomatic benefit is most marked with combination off diazepam.

경골 근위부의 개방형 설상 절골술의 결과에 영향을 미치는 요인

이광원(Kwang-Won Lee),안태규(Tae-Gyoo Ahn),최원식(Won-Sik Choy) 대한정형외과학회 2002 대한정형외과학회지 Vol.37 No.5

이리 및 인접 지역에서 발생한 쭈쭈가무시병 40 예에 대한 임상적 고찰

유웅선(Woong Sun Yu),노인환(In Whan Ro),허종(Jeong Huh),김경중(Kyeong Joong Kim),안태규(Tae Gyoo Ahn),이용구(Yong Goo Lee) 대한내과학회 1989 대한내과학회지 Vol.37 No.4

N/A We reviewed 20cases of tsutsugamushi disease who were admitted to WonKwang University Hospital from October to November 1988 and the following clinical results were obtained: 1) Seasonally, the 40cases mainly occurred from Odctober to November. 2) Most of the cases resided in rural areas or were associated with farm work and the age distribution was mainly in the forties. fifties, and sixties. The number of female cases was twice that of male cases. 3) On physical examination, rash, lymphadenopathy and eschar were observed in 38 cases (95%), 28cases (70%) and 17cases (42.5%) respectively. 4) On laboratory findings, leukocytosis (15%) and leukopenia (10%) were observed but anemia was not observed. The degree of elevation of AST and ALT was 2 or 3 times the normal values and elevation of LDH was observed in all cases. 5) On EKG, sinus tachycardia was observed in 6cases (15%). On simple chest X-ray, abnormal X-ray findings (20%) were observed. 6) One case was positive to Weil-Felix reaction. Indirect immunofluorescent antibody test was performed in 26cases of which 3cases (84.6%) were positive. Thirteen cases were positive to indirect immunofluorescent antibody test among 14cases with eschar. 7) Thirty-nine cases were treated with T-C and doxycycline and one case was treated with chloramphenicol. Thirty-eight cases recovered, one case died 3 days after early discharge and the clinical course of one case was not known after early discharge.

당뇨병 환자에서 인슐린 주사 부위에 따른 인슐린 흡수율의 변동 및 운동이 그에 미치는 영향

안태규,조정구,김경중 대한당뇨병학회 1989 Diabetes and Metabolism Journal Vol.13 No.1

경부 간부 골절과 동반된 슬관절 손상

이승훈,이광원,김하용,최원식,김환정,황인성,안태규 대한골절학회 1999 대한골절학회지 Vol.12 No.2

Two hundred and seventeen consecutive patients with two hundred and twenty five diaphyseal tibia fractures were retrospectively reviewed to evaluate the frequencies, types and the results of treatments for the associated ipsilateral knee ligaments and menisci injuries from May 1993 to Feb 1997 at Eulji Medical College Hospital. Average follow-up period was 41 months(20 65 months). Thirteen patients with knee injuries(5.8%) were diagnosed by stress X-ray & MRI evaluation and confirmed by arthroscopic examination. Eleven patients(84.6%) were diagnosed as having a ligament or meniscus injury at the time of initial management. The posterior cruciate ligament(PCL) was injured in eight patients(50%); the anterior cruciate ligament(ACL), in three; the medial collateral ligament, in three; the lateral collateral ligament, in two: the medial meniscus, in two; and the lateral meniscus, in two. There was no relationship between specific ligament damage and the cause of the injury or level of fracture. Collateral ligament injuries, two ACL, and four PCL injuries were treated conservatively and one PCL injuries were treated with pull-out suture technique and another four PCL injuries were treated with reconstruction using bone-patella tendon-bone. One ACL injury was treated with reconstruction using semitendinosus tendon. As evaluated by the method of HSS knee score, there were seven(53.9%) excellent, four(30.8%) good, and two fair(15.3%). On the basis of the results of this study, we believe that, after stabilization of a fracture of the tibial shaft, it is essential to examine the knee throughly to identify any associated ligamentous injuries.

변환 Ender정과 긴장대 기법을 이용한 상완골 경부 이분골절의 치료

이승훈,이광원,김하용,최원식,김환정,황인성,안태규 대한골절학회 1999 대한골절학회지 Vol.12 No.2

Operative treatment of two-part, displaced surgical neck fractures of the proximal humerus is used when satisfactory closed reduction cannot be achieved or maintained. Recently, we modified the Ender nails by making an additional hole above the slot for wire incorporation. The purpose of this study was to assess the effects of stabilization of displaced and unstable surgical neck fractures of the humerus by Ender nailing and tension band technique. We reviewed the data of fourteen consecutive patients (10 women and 4 men) who had been treated with Ender nailing and tension band wiring between from Aug 1996 and Oct 1997 at Eulji Medical College Hospital. The average age of patients was 54 years (range, 38 to 79 years), and the average follow-up period was 18 months (range, 12 to 24 months). Bone union was observed at 6.3 weeks (range, 5.5 to 10 weeks), except one case of delayed union. There were no infections and nonunions. The average ranges of shoulder elevation and abduction were 140(100 to 170) and 126(100 to 160), respectively. The median value of the thumb to vertebral distance was Ll, with a range of T6 to L5 for internal rotation, external rotation was 48 (30 to 70). Radiography revealed one case of medial shift greater than 5mm, and 4 cases of lateral shift greater than 5mm of the humeral shaft. The average varus angulation of the humeral neck was 8.5(0 to 34). Four patients (28.6%) were excellent (34 to 35), six patients (42.8%) were good (28 to 33), four patients (28.6%) were fair (21 to 27) in UCLA shoulder rating scale. In conclusion, Ender nailing and incorporation of the tension band wire loops provided additionally rotational and longitudinal stability in two-part displaced surgical neck fracture of the proximal humerus associated with osteoporosis.