http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
1996년도 제35차 대한소화기학회 추계학술대회 / 일반연제 : 위장관 ; 한국인 대장암환자의 유전적 감수성 결정을 위한 CYP2E1 및 GSTM1 다형성 분석
이오영,이지연,심성한,이춘근,한동수,손주현,최호순,윤병철,이민호,기춘석,박경남,전규영 ( Oh Young Lee,Ji Yun Lee,Sung Han Shim,Chun Geun Lee,Dong Soo Han,Joo Hyun Sohn,Ho Soon Choi,Byung Chul Yoon,Min Ho Lee,Choon Suhk Kee,Kyung Nam Park,K 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
만성 간 질환에서 Thallium-201 간 스캔의 단락지수(Shunt Index)와 간 조직 검사 소견에 대한 연구
유영조(Young Jo Yoo),정진웅(Jin Woong Jung),최춘식(Choon Sik Choi),전대원(Dae Won Jeon),이오영(Oh Young Lee),최호순(Ho Soon Choi),윤병철(Byung Chul Yoon),함준수(Joon Soo Hahm),이민호(Min Ho Lee),최윤영(Yun Young Choi),홍은경(Eun Kyun 대한내과학회 2000 대한내과학회지 Vol.58 No.2
N/A Background : The disturbances of portal circulation in chronic liver disease may cause hepatic failure, hepatic encephalopathy and variceal bleeding. The measure of porto-systemic shunt plays a significant role in the management and prognosis of the patients. So we have evaluated the relationship between the shunt index of thallium-201 liver scan and the histological grade and stage of chronic liver disease. Methods : The thallium-201 scintigraphy per rectum was evaluated in 159 patients with chronic liver disease, which were proven with percutaneous liver biopsy. We used the heart to liver activity ratio at 20 minute as shunt index, representing portal-systemic shunt. The two pathologists scored independently hepatitis activity (lobular and porto-periportal activity) and stage (fibrosis). Results : A significant difference was noted between the shunt index and the scores of fibrosis (p<0.001) although this correlation was statistically weak (r=0.26, p=0.008). In cumulative logistic regression test, the shunt index had a effect on the fibrosis (p<0.001) but not on the lobular and porto-periportal activity. Fibrosis was predicted as less than 2 if shunt index was less than 0.24, 3 if more than 0.24 but less than 0.46, 4 if more than 0.46. Conclusion : The shunt index of thallium-201 liver scintigraphy correlated only with fibrosis not with lobular and porto-periportal activity. As the fibrosis progresses in chronic liver disease, portal hypertension becomes more severe and the shunt index increases. Thallium-201 liver scan may be useful for evaluation of hepatic fibrosis instead of invasive liver biopsy in predicting the histological stage (fibrosis) of advanced chronic liver disease.(Korean J Med 58:152-160, 2000)
경막내 요추간판 탈출 : 1례 보고 A Case Report
김경철,최재열,김준식,윤병철 대한척추외과학회 1996 대한척추외과학회지 Vol.3 No.2
Intradural lumbar disk herniation (ILDH) is rare. Roughly 70 cases have been reported in the literature to date. The purpose of this paper is to report our experience with a case, to review the relevant literature, and to discuss diagnosis, and treatment of this problem. A 36-year-old man, who had been suffering from intermittent low back pain for 5 years duration. Approximately four weeks prior to admission to the hospital, this patient developed radiation pain down to right lower extremity. Physical examination revealed diminished extensor function of the big toe, decreased cutaneous sensation along right S5 dermatome and positive sciatic stretching test bilaterally. Plain roentgenograms showed marked narrowing of disk space at L4-5. MRI showed transligamentous sequestration of S4-5 disk on parasagittal T2 weighed image and the widening of subarachnoid space superior to the L-4 disk on parasagittal T2 weighted image and the widening of subarachnoid space superior to the L4-5 disc on axial T2 weighted image. At operation, after the sequestrated disk had been gently teased away, a penetrated hole with a crater-like shape was discovered in the ventral aspect of the dura. Through this, further loose disk material was found. The crater communicated with the intervertebral disc space with dural tissue firmly adherent to the posterior longitudinal ligament (PLL). After removal of the sequestrated disc, we widend a penetrated hole and pulled out remaining intradural disc material through the penetrated hole. Thereafter, his postoperative course was uneventful, with progressive recovery of motor and sensory disturbance.
김경철,김준식,윤병철,최재열,제영수 대한골절학회 1996 대한골절학회지 Vol.9 No.2
The objectives of this study is to evaluate the incidence and the complicated results of pediatric ankle fracture. The injuries of the ankle in children occur mostly at physis rather than ligamentous structure, and the injuries of the physis may result in arrest of the growth of physis and these may lead to angular deformity, joint incongruity, and growth disturbance, which are frequently reported in the literatures. Accurate treatment under the clear understanding of mechanism of injury in very important for preventing this complications. We reviewed l7 cases of pediatric ankle fracture, from June l990 to June 1994 and followed up for more than 1 year at department of orthopaedic surgery, Kangbuk Samsung Hospital. We could obtain results as follows; 1. The mean age was I l years old, and predominant in male. 2. Sports injury was the most common cause. 3. According to modified Dias and Tachdjan classification, supination inversion type was the most common and according to Salter Harris classification, type II was. 4. Eight cases were treated by closed re$lt;luction and immobilization in a plaster cast, and other nine by open reduction and internal fixation, among them, three cases had complications, such as angular deformity, joint incongruity, and premature closure of physis.
만성 C형 간염에서 Alpha-interferon에 대한 반응 예측인자로서 조직병리학적 중증도의 유용성에 관한 연구
김순영,이상욱,정용석,윤병철,안수열,박희백,한병훈,옥철호,장영광,허방 대한소화기학회 1999 대한소화기학회지 Vol.34 No.4
Background/Aims: To improve the response rate of alpha-interferon (IFN) in chronic hepatitis C, patients should be selected properly. Therefore, we assessed the usefulness of histopathological severity index in predicting the response to IFN treatment. Methods: We studied retrospectively 63 patients who had chronic hepatitis C and were treated with IFN (three million units, three times weekly, subcutaneously for 9 months). Histopathological severity index was evaluated in pretreated liver biopsies according to the modified Knodell's method. Thirty patients who sustained normal serum level of aspartate aminotransferase (AST) and alanine aminotransferase (ALT), and showed HCV-RNA loss for at least 6 months after discontinuation of treatment were classified as responders. Results: The histopathological severity indices of portal infiltration (p$lt;0.005), piecemeal necrosis (p$lt;0.005) and fibrosis (p$lt;0.005) were significantly lower in responders than in non-responders, but lobular activity showed no difference. The total score of histopatholgical severity index was significantly lower in responders than in non-responders (p$lt;0.005). The proportion of the patients showing histopathological changes of portal infiltration (p$lt;0.005), piecemeal necrosis (p$lt;0.005) and fibrosis (p$lt;0.005) was significantly higher in responders than in non-responders. Conclusions: Histopathological severity index of portal infiltration, piecemeal necrosis and fibrosis may provide an useful information in selecting patients with chronic hepatitis C for IFN therapy.
최성일,조윤주,이오영,윤병철,최호순,함준수,이민호,이동후,기춘석,박경남 한양대학교 의과대학 2000 한양의대 학술지 Vol.20 No.2
Familial adenomatous polyposis(FAP) is defined as the presence of 100 or more adenomatous polyps in the large intestine. In addition to colon polyp, the upper gastrointestinal polyps and several extracolonic manifestations are often seen. Therefore, it is recognized as adenomatous polyposis syndrome which can involve the entire gastrointestinal tract. It is characterized by autosomal dominant mode of inheritance with high penentration( 〉90%), but sporadic cases without family history have been reported in up to one-thirds of patients. Since the risk of colorectal cancer in untreated FAP is virtually 100%, early diagnosis of colonic polyps and appropriate surgical intervention is of utmost importance. The choice of surgical procedure is controversial, but the introduction of total proctocolectomy with ileal pouch-anal anastomosis can be considered as a major advance in surgical treatment of FAP during the last decade. We experienced a sporadic case without familial history of facilial adenomatous polyposis who had multiple adenomatous polyps with several large pedunculated polyps on colorectum. He was early treated before progression into colorectal cancer by total colectomy and J pouch ileoanal anastomosis.