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도수 정복되지 않는 근위 지간 관절의 개방성 후방 탈구 -증례 보고-
노연태 ( Youn Tae Roh ),박일중 ( Il Jung Park ),김형민 ( Hyoung Min Kim ),이재영 ( Jae Young Lee ),유성림 ( Sung Lim You ),김윤수 ( Youn Soo Kim ) 대한골절학회 2015 대한골절학회지 Vol.28 No.1
근위 지간 관절의 후방 탈구는 정형외과 영역에서 자주 접하는 수부 손상 중 하나이다. 대부분의 경우 단순한 도수 조작만으로도 쉽게 정복이 되나, 드물게 도수 조작으로 정복이 되지 않아 수술적 정복이 필요한 경우도 있다. 저자들은 근위 지간 관절의 개방성 후방 탈구에서 굴곡건에 의하여 도수 정복이 되지 않아 수술적 정복술을 시행한 증례를 보고하고자 한다. 굴곡건이 근위지골의 골두와 중위지골의 기저부 사이에 감입되어 있어 탐침자를 이용하여 굴곡건을 제 위치로 옮긴 후에야 비로소 정복을 얻을 수 있었다. Dorsal dislocation of the proximal interphalangeal joint is a common injury in the orthopedic department. In most cases, the joint is reduced simply by closed manipulation. However, in rare cases, the joint is not reducible by closed manipulation, therefore, surgery is required. We report on a case of irreducible open dorsal dislocation of the proximal interphalangeal joint which was surgically treated. Because the flexor tendon interposed between the head of the proximal phalanx and the base of the middle phalanx, we could reduce the joint only after repositioning of the flexor tendon.
동적 CT와 MRI에서 진단이 엇갈리는 간암의 치료로서 고주파열치료와 경동맥화학색전술의 효과 비교
조영윤 ( Young Youn Cho ),권정희 ( Jung Hee Kwon ),이정훈 ( Jeong Hoon Lee ),이정민 ( Jeong Min Lee ),이재영 ( Jae Young Lee ),김효철 ( Hyo Cheol Kim ),정진욱 ( Jin Wook Chung ),최원묵 ( Won Mook Choi ),조은주 ( Eun Ju Cho ),유수 대한간암학회 2015 대한간암학회지 Vol.15 No.1
Background/Aims: This study compared the outcomes of patients with small hepatocellular carcinomas (HCCs) who were treated using transarterial chemoembolization (TACE) or radiofrequency ablation (RFA). Methods: This was a post-hoc analysis of a prospective study that evaluated the diagnostic efficacy of magnetic resonance imaging (MRI) and computed tomography (CT). We analyzed 41 small hepatic nodules in 32 patients that showed typical radiologic hallmarks on both CT and gadoxate-enhanced MRI (typical nodules) and 25 small hepatic nodules from 22 patients that showed atypical radiologic hallmarks on CT and typical radiologic hallmarks on MRI (discrepant nodules). Results: There were no significant differences in the baseline characteristics of the patients with typical and discrepant nodules. Complete response rates 1 month after TACE or RFA were 75.0% (18/24) and 94.1% (16/17; P=0.20), respectively, for the patients with typical nodules and 58.8% (10/17) and 100% (8/8; P=0.05), respectively, for the patients with discrepant nodules. Treatment failure rates after TACE or RFA were 33.3% (8/24) and 5.8% (1/17; P=0.15), respectively, for the patients with typical nodules and 47.0% (8/17) and 0.0% (0/8; P=0.02), respectively, for the patients with discrepant nodules. Among patients achieving complete response, there were no significant differences in the risk of marginal recurrence.
천식 및 만성폐쇄성폐질환(COPD)의 악화에서 호흡기 바이러스 감염의 역할
유지연 ( Ji Youn Yoo ),김동규 ( Dong Gyu Kim ),엄광석 ( Kwang Seok Eom ),신태림 ( Tae Rim Shin ),박용범 ( Yong Bum Park ),이재영 ( Jae Young Lee ),장승훈 ( Seung Hun Jang ),반준우 ( Joon Woo Bahn ),김철홍 ( Cheol Hong Kim ),박상면 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.59 No.5