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초기 자궁내막암 환자에서의 복강경유도하 질식 자궁절제술과 복식 자궁절제술에 대한 비교 연구
김민규 ( Min Kyu Kim ),최동석 ( Dong Seok Choi ),김우영 ( Woo Young Kim ),최철훈 ( Chel Hun Choi ),김태중 ( Tae Joong Kim ),이정원 ( Jeong Won Lee ),김병기 ( Byoung Gie Kim ),이제호 ( Je Ho Lee ),배덕수 ( Duk Soo Bae ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.12
목적: 초기 자궁내막암의 수술적치료 시 복강경유도하 질식 자궁절제술 및 골반림프절절제술군과 복식수술군의 수술결과 및 재발율에 대해 비교하고자하였다. 연구 방법: 2003년 3월부터 2005년 5월까지 초기 자궁내막암 환자를 인구학적 특성이 같은 63명을 선택하여 복강경유도하 질식 자궁절제술 및 골반림프절절제술군 26명, 복식수술군 37명으로 나누어 수술 전후 혈색소 차이, 평균수술시간, 취득한 골반림프절갯수, 평균재원일수, 추가치료율, 재발률을 비교하였다. 결과: 복강경유도하 질식 자궁절제술 및 골반림프절절제술을 시행한 군과 복식수술을 시행한 군과의 비교에서 수술 전후 혈색소 차이, 평균수술시간, 취득한 골반림프절 갯수, 평균재원일수, 재발률에 통계적으로 유의한 차이가 없었다. 결론: 초기 자궁내막암의 수술 시 복강경유도하 질식자궁절제술 및 골반림프절절제술 방법이 복식방법에 비해 수술결과 및 재발률에 통계적으로 유의한 차이가 없으며 그 대체 수술법으로 많은 활용이 기대되었다. Objective: To compare laparoscopic surgery with conventional abdominal surgery in patients with early stage endometrial cancer. Methods: A retrospective review of 63 patients with early stage endometrial cancer managed between March 2003 and May 2005. Two groups were defined whether they had been treated by laparoscopy (case group: n=26) or by laparotomy (control group: n=37). We compared age, body mass index (BMI), hemoglobin change, operation time, number of pelvic lymph nodes, hospital stay, case with adjuvant treatment and recurrence between two groups. Results: There was no statistical difference in characteristics (age, BMI, nulliparity, previous abdominal surgery, FIGO stage, histologic grade). between case and control group. In addition, there was no statistical difference in operation data and outcomes between two groups. Hemoglobin changes were 1.1 g/dL (case group) vs 1.7 g/dL (control group) (p=0.072). Operation time was 131 min vs. 115 min. The numbers of lymph nodes obtained were 8.7 vs 7.7 (right) 9.2 vs. 7.6 (left). Hospital stays were 8.4 vs. 9.2 days. Adjuvant treatment cases were 7 vs. 15. Recurrent case was one in each group. Two patients initially evaluated by laparoscopy were converted to laparotomy due to bleeding and adhesion. Conclusion: Laparoscopic surgery for treatment of early endometrial cancer is a safe and effective alternative to laparotomy . However, long-term survival and risk of recurrence have yet to be determined.
골격성 제 Ⅲ급 부정교합자의 두개안모의 성장양상에 관한 누년적 연구
박영철,박민성,김태균 대한치과교정학회 1998 대한치과교정학회지 Vol.28 No.5
악교정 수술이 꼭 필요한 골격성 제 Ⅲ급 부정교합환자의 측모두부방사선 사진상의 특징을 알아보기 위하여, 골격성 제 Ⅲ급 부정교합으로 진단받고 수술예정이거나 수술을 시행한 7-17세의 남녀 37명을 실험군으로 하고, 정상교합을 가진 8-13세의 남녀 56명을 정상군으로 하여, 두 군을 비교한 바, 다음과 같은 결론을 얻었다. 1. Prepubertal Group내에서의 실험군과 정상군의 비교에서 ANS-U1/Me-L1, Mx. Length/Mn. Length, S-N/Go-Me, Wits, ANB, SN-Pog, IMPA, Facial Convexity, APDI 항목에서 유의차가 있었다. 2. Pubertal Group 내에서의 실험군과 정상군의 비교에서 ANS-U1/Me-L1, S-Go/N-Me, Mx. Length/Mn. Length, S-N/Go-Me, Wits, Saddle Angle, SNB, ANB, SN-Pog, IMPA, Interincisal Angle, Facial Convexity, APDI 항목에서 유의차가 있었다. 3. 골격성 제 Ⅲ급 부정교합의 특성을 나타내는 항목들 중 Prepubertal Group과 Pubertal Group간에는 95% 유의수준에서 Mx. Length/Mn. Length, APDI 외에 다른 항목에서는 유의한 차이가 없었다. 4. 실험군에서 골격성 제 Ⅲ급 부정교합의 특성을 나타내는 항목들 중 Saddle Angle과 SNB, SN-Pog와 SNM, ANB와 Facial Convexity 항목 사이의 상관관계가 가장 높게 나타났다. The purpose of this study was to find the characteristics of lateral cephalogram of skeletal class Ⅲ malocclusion patients to whom orthognathic surgery was essential. For this study 37 patients with skeletal class Ⅲ and going to treat or be treated orthognathic surgey(age7-17) were selected to experimental group and 56 people with normal occlusion (age8-13) were selected to normal group and the two groups were evaluated and statistically analyzed and the results were as follows 1. In comparison of experimental group and normal group in prepubertal group, there were significant differences in ANS-U1/Me-L1, Mx. Length/Mn. Length, S-N/Go-Me, Wits, ANB, SN-Pog, IMPA, Facial Convexity, APDI(p<0.05) 2. In comparison of experimental group and normal group in pubertal group, there were significant differences in ANS-U1/Me-L1, S-Go/N-Me, Mx. Length/Mn. Length, S-N/Go-Me, Wits, Saddle Angle, SNB, ANB, SN-Pog, IMPA, Interincisal Angle, Facial Convexity, APDI (P<0.05) 3. Among items showing characteristics of skeletal class Ⅲ malocclusion, there were no significant differences between prepubertal group and pubertal group in other items except Mx. Length/MN. Length, APDI (P<0.05) 4. The significant correlationship was the highest between Saddle Angle and SNB, SN-Pog and SNB, ANB and Facial Convexity in experimental group
Kim, Hee Seung,Choi, Chel Hun,Lim, Myong-Chul,Chang, Suk-Joon,Kim, Yong Beom,Kim, Min A,Kim, Tae-Jin,Park, Sang-Yoon,Kim, Byoung-Gie,Song, Yong Sang,Bae, Duk-Soo,Kim, Jae Weon Raven Press 2012 Annals of Surgical Oncology Vol.19 No.6
<P>To determine the safe criteria for less radical trachelectomy to treat patients with early-stage cervical cancer.</P>
Patient dose measurements in diagnostic radiology procedures in Korea
Kim, You-hyun,Choi, Jong-hak,Kim, Chang-kyun,Kim, Jung-min,Kim, Sung-soo,Oh, Yu-whan,Lee, Chang-yeap,Kang, Dae-hyun,Lee, Young-bae,Cho, Pyong-kon,Kim, Hyung-chul,Kim, Chel-min Nuclear Technology Publishing 2007 Radiation Protection Dosimeetry Vol.123 No.4
Six year Later endometrial cancer after colon cancer in Lynch syndrome
( Min Kyu Kim ),( Chang Ohk Sung ),( Min Jung Song ),( Seo Hee Kim ),( Ha Jeong Kim ),( Taejong Song ),( Yoo Young Lee ),( Chel Hun Choi ),( Tae Joong Kim ),( Jeong Won Lee ),( Byoung Gie Kim ),( Duk 대한산부인과학회 2011 대한산부인과학회 학술대회 Vol.97 No.-
Measuring the Impact of Femoral Head Size on Dislocation Rates Following Total Hip Arthroplasty
( Min-wook Kim ),( Young-yool Chung ),( Ji-won Lee ),( Chel-hwan Kim ) 대한고관절학회 2017 Hip and Pelvis Vol.29 No.2
Purpose: The purpose of this study was to evaluate if the femoral head`s size has an impact on dislocation rates following total hip arthroplasty (THA). Materials and Methods: Five hundreds forty-three THA performed using a posterolateral approach in our hospital and followed up more than 6 months were included in this study. We evaluated dislocation rates based on the size of femoral head (28 mm vs. over 32 mm) and further investigated the dislocation rates classified into primary and revision surgery. Patient-related and surgical factors were reviewed to evaluate risk factors impacting dislocation rates. Results: Dislocation occurred in 9.6% of cases (n=52; 32 males and 20 females). Of this dislocation group, 36 were treated with femoral heads 28 mm in diameter (9.8% of all patients treated with 28 mm femoral heads) and 16 were treated with femoral heads 32 mm and over (9.1% of all patients treated with femoral heads of at least 32 mm). The percentages of patients experiencing dislocation were not significantly different among the two groups (i.e., 28 mm vs. ≥32 mm). However, after revision surgery, the dislocation rate in the 28-mm group was significantly higher than the ≥32-mm group (P<0.05). In a case-control study comparing dislocation and nondislocation groups, the risk of dislocation was 6 times higher in patients with habitual alcohol intake, and 9.2 times higher in patients with a neuropsychiatric disorder (P<0.05). Conclusion: Patient factors are considered to have a more significant impact on dislocation rates following THA than the size of femoral head.