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척추전방전위증과 Tuffier's line 높이와의 상관관계
김한겸,홍순성,염선규,진은석,정해찬,Kim, Han-Kyum,Hong, Soon-Sung,Yom, Sun-Kyu,Jin, Eun-Seok,Jung, Hae-Chan 척추신경추나의학회 2008 척추신경추나의학회지 Vol.3 No.2
Objectives : One of the most important cause of spondylolisthesis is it's epidemiological structure and L5's stability takes a significant role. The purpose of this study is to assess the difference of the Tuffier's line among of Spondylolythesis patients. Methods : We analyzed the Anterior view of lumbar spine checked at erect position on 60 patients who had been diagnosed as spondylolythesis. We investigated the Tuffier's Line on X-ray film. Results and Conclusions : Age distribution was 15 to 66 and the average was 47.81. Men were 19 cases(31.6%) and women were 41 cases(68.4%). Compared to men, women were more exposed to spondylolisthesis and for the age distribution, 50's showed the biggest portion. Group of normal people showed proportion of 14.3% at L4, 44% at L4/5 and 41.7% at L5 each. And group of patients showed proportion of 48.4% at L4, 35% at L4/5 and 51.6% at L5 each. Comparing these results, significance probability was 0.004(<0.05) which was significant. As the results of comparing the relation between L4/5 and L5/S1 patients, Normal group showed average of 3.33 which were close to L4/5. When there are spondylolisthesis at L4/5, averege was 3.33, placed at lower part of the vertebra body. When there are spondylolisthesis at L5/S1, averege was 3.566, placed between lower part of the veterbra body of L4 and L4/5. The p value of Normal group and L4/5 spondylolisthesis patient group was 0.022(p<0.05) which was significant. But the p value of Normal group and L5/S1 spondylolisthesis patient group was 0.0239 which was not significant. Also p value of L4/5 spcndylolisthesis patient group and L5/S1 spondylolisthesis patient group was 0.721 which was also not significant.
요통환자에 있어서 방사통과 영상의학검사 소견상의 연관성 분석
김한겸,김석,반효정,윤현석,염선규,홍순성,Kim, Han-Kyum,Kim, Seok,Bahn, Hyo-Jung,Yoon, Hyun-seok,Yeom, Sun-kyu,Hong, Soon-Sung 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.1
Objectives : We studied in order to compare the differences between the symptoms of patients and findings of MRI and X-Ray of patients with herniated disc which has been diagnosed often recently. Methods : We randomly selected among the 301 patients with X-Ray and L-spine MRI films who have visited Jaseng Hospital with low-back pain and lumbar and low extremity pain from Jan.1st of 2009 to Jan.28. We used SPSS 13.0 for Windows I in analyzing statistical data of study results and the level of significance were below 0.05. Results and Conclusions : 1. If there were radiating pain, based on MRI findings, the amount of herniation was more severe(P>0.05). 2. If the finding of a X-ray showed narrowing, based on MRI findings, the amount of herniation was more severe(P>0.05). 3. There were no significant differences between the presence of radiating pain and the findings of X-Ray(P>0.05). 4. Among the 301 cases, cases which showed findings beside HIVD were 79. 7 cases of hemanggioma(2.3%), 24 cases of spinal neoplasm(cord cyst, tumor etc)(8%), 7 cases of spondylitis(2.3%), 16 cases of spinal canal stenosis(5,3%) 9 cases of ligamentum flavum thickening(3%) and 16 cases of facet syndrome(5.3%).
상부 흉추간에 발생한 연성 추간판 탈출증에 대한 치험 1례 : 증례보고 A Case Report
김한겸,김관태,염진영,송시헌,김윤 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.1
A case of T3-4 disc herniation is reported as follows. A 23 year-old patient was presented with paraparesis and anterior chest pain. With the anterolateral approach(transthoracic transpleural approach) decompression and removal of a disc fragment was refered: which resulted is an almost complete recovery of the patient MRI of the thoracic spine suggested a soft disc herniation. In addision literatures were reviewed in conjunction with this case report.
각종 신종양에서의 Renin 함유세포의 분포에 관한 면역조직화학적 연구
김한겸,이갑노,백승룡 고려대학교 의과대학 1989 고려대 의대 잡지 Vol.26 No.1
Using a monoclonal antibody to human renin, immunoperoxidase staining for renin was performed with 28 cases of various renal tumors, including 17 renal adenocarcinomas, 7 Wilms tumors, 2 renal oncocytomas, and 2 angiomyolipomas. In an unselected series of surgically removed various renal tumors, immunoreactive renin was found in 12 of 17 renal adenocarcinomas(71%), 6 of 7 Wilms' tumors(86%), 2 of 2 renal oncocytomas, and 2 of 2 angiomyolipomas. The renin-containing cells were mainly found to be either(both) the small granular cells situated in a perivascular position, or(and) tumor cells in the various renal tumor. There are only 2 cases of renal cell carcinoma which showed evidence of excess active renin secretion, being characterized by the returning of the blood pressure to the normal after removal of the tumors and immunohistochemically positive reaction to antirenin monoclonal antibodies. It is therefore suggested that renal tumors may rarely secrete active renin, but most of the time the renal tunmor secrete the renin in biologically inactive form. It is also suggested that the inactive renin determinations may be of value as the tumor markers in renal tumors.
중증 미만성 뇌축색손상 환자의 MRI소견 및 임상적 고찰
김한겸,김성호,송시헌,김관태,김윤 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.1
The distribution and extent of traumatic lesions were evaluated with MRI in 31 patients with diffuse axonal injuries(DAI). Authors also analyzed patients with diffuse axonal injury, clinically. The patients with DAI showed statistically significant lower incidence of lucid interval, fracture of the skull and intracranial hematoma. Combined injuries, intracrnial hematomas and distribution of lisions were porved to be poor prognostic factors of DAI. Diffuse axonal injury is most commonly involved in the white matter of the frontal and temporal loves and the splenium of the corpus callosum. Patients with lisions in brainstem and cerebellum revealed worst prognoses. In our studies, the sensitivities of the imaging techniques for diffuse axonal injures were 7.3% with CT scan, 75.6% with T1WI, and with 97.6% in T2WI of MRI, respectively. The authors concluded that MRI has clear advantages over CT in evaluating diffuse axonal injuries.