3. 人工姙娠中絶의 合倂症 : 婦人科領域의 急性腹部疾患

鄭鎭旭 최신의학사 1964 最新醫學 Vol.7 No.9

선천성 근성 사경의 조기진단을 위한 제언: 증례를 중심으로 −증례 보고−

정진욱,장윤실,김지혜,권정이 대한재활의학회 2010 Annals of Rehabilitation Medicine Vol.34 No.5

Congenital muscular torticollis (CMT) is called ‘pseudotumor of infancy’ because it is commonly discovered and diagnosed within 14∼28 days after birth as a sternomastoid tumor. We report two cases of CMT which presented as head tilt without any palpable neck mass immediately after birth but later developed into sternomastoid tumors. Serial ultrasonography confirmed increased echogenicities of the sternocleidomastoid muscles. We think that these findings are prodromal signs of sternomastoid tumors. Close physical examination by a neonatologist is crucial for an early diagnosis of CMT. Neonates with head tilt and increased ecogenicity of the sternocleidomastoid muscle on ultrasonography should be carefully followed up to see whether neck mass develops later. The authors suggest that CMT is not a static entity but rather one that progress to mass alteration after birth. (J Korean Acad Rehab Med 2010; 34: 591-594)

이북지역의 巫俗文化 연구의 체계적 정립 : 황해도 철물굿이 중심으로

정진욱 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

The characteristics and ceremonial procedures of Cheolmul-nori Gut in Gangshin-mu of Whanghae Province, located on the northern part of the Han River, are examined and the conclusion as follows could be drawn: 1. Whanghae Province Guts are mostly made up of wild quick-tempo free-dances and the main elements consist of Do-mu and Hoeseon-mu. 2. On the other hand, there are also other slow dances. Geosang Dance starts with graceful melody and slow tempo. Samhyeon Dance is a joyful one. 3. Many dancing suits, symbolizing the gods with diverse and splendid colors, are used. 4. There are many ceremonial tools according to the procedures. The small tools are used to dance. 5. Some sorcery ostentation of the god's power and mental spirit can be found. 6. The contents of Gut incorporate much of the dramatic element. 7. There is an exchange of messages from the dead delivered by an exorcist.

재발성 다연골명의 기관지 침범시 전산화단층촬영 소견 및 감별진단

정진욱 대한영상의학회 1988 대한영상의학회지 Vol.24 No.2

재발성 다연골염은 다수의 연골조직을 침범하고 빈번히 재발하는 경과를 취하는 특 이한 전신적 질환으로 비중격 외이 후두 및 기관지의 연골을 흔히 침범한다. 저자들은 다른 호발부위의 임상증상없이 기관지 침범으로 인한 호흡기증상으로 발현한 재발성 다연골염 환 자 2례를 경험하였다. 초기 CT스캔에서 미만성 기관지벽 비후 및 협착 기관지의 다각형 변 형 그리고 비후된 기관지벽 내부에 석회환된 고밀도 결절을 관찰할수있었다. 스테로이드를 투여한 후 환자증상이 호전된 다음 시행한 CT 스캔에서 기관지벽 비후 및 협착이호전되고 석회화 고밀도 결절도 거의 소실되었다. 이처럼 흔하지는 않지만 미만성 기관지협착을 보이 는 환자에서 전형적 임상증상이 없더라도 재발성 다연골염의 가능성을 항상 염두에 두어야 하겠다. 2 Patients with relapsing polychondritis presented with tracheobronchial stenosis without clinical manifestation of nasal septum or ear lobe cartilage involvement. The initial CT findings included diffuse, smooth tracheobronchial wall thickening with or without narrowing of the lumen, polyhedral configuration of the narrowed tracheal lumen, and dense nodules within the thickened tracheal wall, not protruding into the tracheal lumen. On follow-up examination after steroid medication, tracheobronchial wall thickening was improved and dense nodules within the thickened'tracheal wall also nearly disappeared. Relapsing polychondritis should be considered in patient with diffuse tracheobronchial narrowing even when the typical clinical manifestation is not present.

급성 췌장염으로 발현한 비노출형 십이지장 주유두 선종

정진욱,김명환,표성희,손현영,이상수,서동완,이성구 대한내과학회 2004 대한내과학회지 Vol.67 No.5S

자궁경부암의 장요근 구획 침범시의 전산화단층촬영소견

정진욱 대한영상의학회 1987 대한영상의학회지 Vol.23 No.6

Uterine cervix carcinomas spread by direct local extension, lymphatic permeation and hematogenous dissemination. Their metastatic foci are closely related to iliopsoas compartment anatomically no matter what the pattern of spread is. Therefore, iliopsoas involvement in uterine cervix cancer may occur frequently. The authors reviewed pelvis CT of 218 cervix cancer patients for recent one year from March 1986 to Fev. 1987 at Seoul National Univ. Hospital. Among themm, 10 cases showed iliopsoas involvement. Pattern of iliopsoas involvement was classified into four types : infiltrative type, localized mass type, mass with bone destruction type, paraaortic lymphadenopthy type. In all cases except3 cases of infiltrative type, lymphadenopathy or bone metastasis adjacent to iliopsoas lesion was identified. And this finding suggested that the route of iliopsoas involvementin cervizx cancer would be secondary infltration from melastatic focus of adjacent lymph node or bone. Recognition f iliopsoas involvement of cervix cancer may prevent misdiagnosis and predict the degree of disease dissemination.

중심 정맥 폐쇄에서의 나선식 CT 정맥조영술

정진욱 대한영상의학회 1998 대한영상의학회지 Vol.39 No.5

Purpose : To determine the clinical usefulness of spiral computed tomographic (CT) venography for the evaluation of central venous obstruction. Materials and Methods : The authors prospectively performed a total of29 spiral CT venography procedures in 25 consecutive patients with suspected central venous obstruction. Diluted contrast media were directly injected into the peripheral veins of the hand or the foot. Scan parameters were 3mmX-ray beam collimation, table speed of 4-6 cm/sec, scan time of 32-40 sec, and injection delay of 20 sec. Axial images were reconstructed at 2-mm intervals, and using shaded surface display (SSD), maximum intensity projection(MIP), and multiplanar reformation (MPR), 3-D reconstruction was performed. In all cases, ascending venograp-hy(n=13) and/or direct catheter venography (n=21) was performed within 2 days of CT venography. With regard to site, extent, extent, severity, and cause of obstruction and collateral circulation, we compared the results of CT and contrast venography. Results : In 24 patients, a total of 56 sites of central venous obstruction or stenosis (>50%) were demonstrated. The causes of obstruction were venous thrombosis(n=6), malignant tumors (n=4),arteriovenous fistula for hemodialysis(n=5), extrinsic compression(n=2), coincidence of extrinsic compression and arteriovenous fistula (n=1), pacemaker (n=1), mediastinal inflammatory pseudotumor (n=1), spinal tuberculosis(n=1), membranous obstruction of the hepatic inferior vena cava (n=1), Behcet's disease (n=1), or unknown cause(n=1). When compared with ascending venography (n=13), CT venography was superior for evaluation of the extent and cause of obstruction and collateral circulation in two, four and one case(s), respectively. For the evaluation of site and severity of obstruction, CT venography was equal to ascending venography. In two cases, direct catheter venography (n=21) was superior to CT venography for evaluating the obstruction site, but in three, five and one case(s) respectively, CT venography was superior to direct catheter venograp-hy for evaluating the extent and cause of obstruction and collateral circulation. For the evaluation of severity of obstruction, CT and direct catheter venography were equal. Conclusion : In patients with suspected central venous obstruction, spiral CT venography can be an alternative to replace not only conventional CT but also direct contrast venography.

대동맥내 혈전과 저속혈류의 스핀 에코 MR 소견 및 감별

정진욱 대한영상의학회 1993 대한영상의학회지 Vol.29 No.3

In order to evaluate the ability of spin-echo MR imaging to differentiate slow flow from mural thrombus in aortic diseases, we reviewed the spin-echo MR images of 13 patients with intraaortic thrombus documented by CT(n=11) or aortography (N=2). Six patients had aortic aneurysms and seven had aortic dissections. Intraaortic mural thrombi were accompanied by flow-related intraluminal signal of various patterns and extents in all 13 patients. On 10 gated MR studies. slow flow-related intraluminal signal of various patterns and extents in all 13 patients. On 10 gated MR studies, slow ? regions showed even-echo rephasing phenomenon (N=8), interslice variation of signal intensities of the intraluminal signal (N=7) and flow-related ghost artifact (N=2). However, these MR flow phenomena were obscured on two of three non-gated studies. Seven of 13 intraaortic thrombi remained hyperintense on T2-weighted second-echo images. In these circumstances, a hypointense boundary layer between slow flow and mural thrombus, which was caused by either 'boundary layer dephasing phenomenon' of slow flow or 'paramagnetic T2 shortening' of fresh clot at the edge of mural thrombus, was very useful in discriminating the area of slow flow from that of mural thrombus. Proper interpretation of spin-echo MR images may obviate the need for phase display imaging or gradient-echo imaging in differentiating slow flow and mural thrombus.

[特輯]個人用 컴퓨터를 用利한 Data Entry System開發

정진욱,김중권,염희경 한국정보과학회 1983 정보과학회지 Vol.1 No.4

각종 조영제에 의한 종격동 조직반응에 관한 실험적 연구

정진욱 대한영상의학회 1989 대한영상의학회지 Vol.25 No.1

Till now there is no consensus about appropriate contrast agents for use in clinical inves-tigation in suspected perforation of the esophagus. Gastrografin most widely used water-solu-edema, leading to death occasionally if detection of fistulous tract and can induce pulmonary edema leading to death occasionally if aspirated. Barium sulphate has been contraindicated without actual evaluation of its effect onmediastinum by experimental and clinical study. The purpose of this experimental study is to evaluate the type of tissue reaction and its severity in mediastinum and. as result to propose appropriate contrast agents in various clinical situations of suspected esophageal leakage. Barium sulphate Hytrast Gastrografin Telebrix, Hexabrix Amipaque Niopam and Ultra-vist were injected into mediastinum of 20 rats in each. The tissue reaction of injection sites serial follow-up from 1 day to 8 weeks after injection, The results are as follows. 1. Barium sulphate and Hytrast produced highly significant(p<0.01) tissue reaction compared control group and proved to be safe in the situation of leakage into mediastinum, 3. Injected barium caused no death during 8 week follow-up inspite of large injected amount and histologically produced localized indolent granuloma agter 4 weeks which is expected not to cause any delayed complications. In consideration of above results superior physical characterstics of barium sulphate and drawbacks of Gastrografin we concluded as foll2ows. 1. For postoperative assessement of esophageal anastomosis Barium sulphate is the contrast agent of choice. 2. In supstected gross leakage into mediastinum or esophagopleural fistula water-soluble agents are recommended. In high risk patients of pulmonary aspiration Hexabrix is safer than Gastrografin. 3. If leakage is not demonstrated with water-soluble agents Barium study must be repeated to find missed fistulous tract.