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脊椎結核에 관한 硏究 : 脊椎結核 前方癒合術에 관한 臨床的 考察 Anterior Fusion for the Tuberculosis of the Spine
洪正龍 최신의학사 1977 最新醫學 Vol.20 No.12
The anterior interbody fusion for the 445 patients of tuberculosis of the spine was, experienced at our department, and we agree this opinion that the anterior spinal fusion was the most favorable method to the spinal tuberculosis, published by many other authors. Following results were obtained from the 445 cases, treated during the period of 1957 to 1977, 6. 1. Spine was the most common site in bone and joint tuberculosis (60.4%), and was followed by hip, knee, ankle, in orders. 2. The highest age incidence was 1st decade (39.1%) 3. Average period of disease preoperatively was 27 months. 4. The relative frequency with the level of lesion were thoracic (34.8%), lumbar (33.0%), thoracolumbar (18.9%), in orders. 5: The average number of vertebrae involved was 2.4 segments. 6. 152 patients (34%) had other active tuberculous foci in the body, and 80 patients (18.0%) had paraplegia of paraparesis, at that time of admission. Reoperation was done in 23 cases, but we have included the 5 cases treated for the correction of kyphotic deformity. 8. The combined procedure of anterior fusion with posterior fusion is the preferable treatment for immature spines with this disease.
정필현,강석,채동주,조윤철,김태영,홍정용 東國大學校醫學硏究所 1997 東國醫學 Vol.4 No.-
전이성 골종양은 악성 골종양중 발생빈도가 가장 흔한 것으로 알려져 있으며 다발성 전이가 빈번하고 심한 통증 및 병적골절을 유발하게 된다. 골격으로 전이되는 암의 원발병소로는 유방암, 전립선암, 폐암, 갑상선암, 신장암이 전체의 80%이상을 차지하며 전이부위는 적색골수가 존재하는 곳에 호발하는데 주로 척추, 늑골, 골반골, 장광골의 근위 말단부, 흉골, 두개골의 순서로 빈도가 증가한다고 한다. 전이성 골종양은 대부분 구간골격에서 발견되며 사지골격으로의 전이는 흔치 않은 것으로 알려져 있으며, 특히 수부, 족부로의 전이는 매우 드문 것으로 보고되어 있다. 본 정형외과학 교실에서는 편평 상피세포암종을 가진 환자에서 발견된 좌측 종골의 전이성 골종양 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Metastatic lesions of bone are more common than primary malignant tumors, are usually multiple, and compromise the patient's health by causing intense pain, interfering with surrounding neural or muscular structures, causing pathological fractures. More than 80% of cancers that spread to bone are those of the breast, protate, lung, thyroid gland and kidney. The sites of metastasis are predominantly in red bone marrow. The metastatic foci are commomly centally distributed. The spine is most commonly involved, followed by the rib, pelvis, proximal ends of long bones, sternum and skull. The peripheral bone involvement is rare. Particularly, metastases to the bones of the hand and feet are extremely rare. The authors present a case of metastatic bone tumor of the calcaneus from squamous cell carcinoma of the lung with clinical details.
김한철,정필현,황정수,강석,채동주,엄규황,홍정용,박용범 대한골절학회 1998 대한골절학회지 Vol.11 No.1
The subtrochanteric area is cortical bone which has a decreased blood supply and a serious communtion after trauma. Large biomechanical stresses in the subtrochanteric area can lead to failure of fixation devices. Many fixation devices have been used to treat the fractures of subtrochanter of the femur. The Gamma nail was introduced for the treatment of peritrochanteric fractures with the theoretical advantage of a load-shearing femoral component. We reviewed 15 patients of subtrochanteric fractures who were treated by use of the Gamma nail at Dongguk university hospital since March 1993. Results showed satisfactory fracture union with little loss of position, even in comminuted fractures. The patients had shorter convalescence and earlier weight bearing. Perioperative complications were few. We conclude that Gamma nail is effective in achieving good stabilization of the unstable fractures of the subtrochanteric region and is an advance in the treatment of subtrochanteric fractures of the femur.
연골 모세포종에 속발한 동맥류성 골 낭종 : 2 Cases Report
채동주,황정수,정필현,윤순현,홍정용 東國大學校 1997 東國論叢 Vol.36 No.-
Chondroblastoma is a rare, benign primary bone tumor usually involving the epiphysis of long bone in the second decade of life. The lesion is characterized by a relatively high recurrence rate despite surgical treatment. Aneurysmal bone cyst is a bone tumor-like lesion which consists of 1% of the primary bone tumor and characterized by rapid growth and destruction of the surrounding bone tissue. Aneurysmal bone cyst occurs as a primary lesion in the 70% of cases. But in the remaining 30% of cases exists in association with some other type of bone lesion. The most common of these associated lesions are giant cell tumor, chondroblastoma, osteoblastoma, and chondromyxoid fibroma. These combined cases have been reported more invasive propensity and higher recurrence rate after treatment. We present two cases of aneurysmal bone cyst secondary to chondroblastoma on the talus and the calcaneus with clinical details. 연골 모세포종은 발생 빈도가 드물며 주로 10대의 장관골 골단부에 호발하는 양성 골종양으로서 수술적 치료후에도 재발율이 높으며, 드물게 전이하거나 악성 변화를 초래하여 임상적 관심이 높다. 동맥류성 골 낭종은 원발성 골 종양의 1%정도를 차지하며 빠른 성장과 골 파괴가 특징인 양성 골 종양 유사 질환이다. 동맥류성 골 낭종의 약 70%는 원발성으로 발생하나 30%는 다른 병변과 연관되어 발생한다고 한다. 속발성 동맥류성 골 낭종은 거대 세포종, 연골 모세포종, 골 모세포종 및 연골 유점액 섬유종 등과 관련되어 발생하며 이 경우 보다 침습적이며 치료후 재발율도 높다고 알려져 있다. 본 동국대학교 정형외과학교실에서는 거골과 종골에 동맥류성 골 낭종을 포함한 연골모세포종을 각각 치험하였기에 문헌고찰과 함께 보고하는 바이다.