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양경호 ( Kyung Ho Yang ),송윤석 ( Yoon Suk Song ),정선호 ( Sun Ho Jung ),김태진 ( Tae Jin Kim ),윤신의 ( Shin Eui Yoon ),정용석 ( Yong Suk Jeong ),조길현 ( Kil Hyun Cho ),김용복 ( Young Bok Kim ) 대한내과학회 2012 대한내과학회지 Vol.83 No.4
Background/Aims: Adenosine deaminase (ADA) is a valuable biochemical marker for pericardial effusion (PE) and may be useful for diagnosing tuberculous pericarditis (TPE) in patients with PE. However, no definite cut-off or borderline values for ADA currently exist to distinguish TPE from other PE etiologies. In this study, we identified other useful parameters and characterized their relationship with ADA as a method for diagnosing TPE. Methods: From June 2004 to November 2011, 42 patients underwent pericardiocentesis due to moderate or severe PE, as confirmed by echocardiography or chest computed tomography (CT). Patients were subdivided into TPE and non-TPE (NTPE) groups. We analyzed ADA (p) (the pericardial ADA) and %Lymph (p)/Glucose (p) (the ratio between the percentage of lymphocytes and glucose levels in PE). Results: We defined the cut-off value of ADA (p) as 48.5 IU/L, and that of %Lymph (p)/Glucose (p) as 0.678%·dL/mg. In a multivariate logistic regression analysis, an odds ratio (OR) of 44.24 and a 95% confidence interval (CI) of 2.85-686.97 were observed in patients with an ADA (p) ≥ 48.5 IU/L (p = 0.023). An OR of 20.39 and a 95% CI of 1.06-392.93 were observed in patients with a %Lymph (p)/Glucose (p) ≥ 0.678%·dL/mg (p = 0.046). The combination of ADA (p) and %Lymph (p)/Glucose (p) had a higher positive predictive value (PPV, 80.0%) and specificity (Sp, 93.8%) than either ADA (p) (PPV, 47.4%; Sp, 68.8%) or %Lymph (p)/Glucose (p) (PPV, 69.2%; Sp, 87.5%) alone. Conclusions: %Lymph (p)/Glucose (p) is a useful parameter for distinguishing TPE from other pericardial diseases if combined with an ADA (p) ≥ 48.5 IU/L. (Korean J Med 2012;83:458-467)
남기영,문영래,양경호,Nam, Ki Young,Moon, Young Lae,Yang, Kyung Ho 대한정형외과초음파학회 2008 대한정형외과 초음파학회지 Vol.1 No.1
서론: 견관절 주변에 발생한 석회화 건염에 대한 초음파하에서 주사 요법을 시행하고 결과를 판정하고자 하였다. 대상 및 방법: 증상이 있는 35세에서 64세 사이의 견관절 석회화 건염 12예를 대상으로 하였으며 초음파하에서 석회화 부위에 18 guage 바늘을 이용하여 천공 후 주변부에 증식 요법 주사제를 주입하였다. 결과: 전례에서 통증의 감소와 제한이 없는 운동 기능 회복을 관찰할 수 있었다. 결론: 초음파하에서 시행되는 주사 요법은 석회화 건염에서 심한 통증을 가지게 되는 시기에 효과적으로 이용할 수 있는 술식 중 하나로 보인다. Purpose: To evaluate the efficiency of needling and injection technique without steroid for symptomatic calcific tendinitis of the shoulder. Material and Methods: We chose 12 symptomatic calcific tendinitis patients, whose ages ranged from 35 to 64. Procedure ware dry needling and injection of prolotherapic agent near the lesion. Results: All the case revealed prominent improvement without limitation of shoulder function, especially in active painful stage. Conclusion: Sonographic injection technique for calcific tendinitis would be one of the good modality not only for symptomatic relieve but also good functional recovery.
박혜민 ( Hye Min Park ),도민영 ( Min Young Do ),최세명 ( Sei Myung Choi ),양경호 ( Kyung Ho Yang ),허창재 ( Chang Jae Hur ),조광범 ( Kwang Bum Cho ) 대한췌담도학회 2015 대한췌담도학회지 Vol.20 No.4
대부분의 십이지장 천공은 증상을 유발하므로 급성기에 발견된다. 그러므로 시기를 알 수 없이 우연히 발견된 만성 십이지장 천공은 드물고 치료의 기준도 명확하지 않다. 본 증례 경우에는 보존적 치료 후에 병변이 호전되었다. 이와 같이 우연히 천공이 발견된 증례는 드물고 향후 관심이 필요할 것으로 사료되어 문헌 고찰과 함께 보고한다. Duodenal perforation can occur due to complications caused by ulcers, other inflammation or by the instrument used during the procedure such as endoscopy, endoscopic retrograde cholangiopancreatography (ERCP); however, its incidence is not high. Most cases of perforation of the lateral wall of the duodenum are acute and require immediate surgical or endoscopic treatment. Cases of chronic duodenal perforation are rarely reported. This report presents the case of a previous perforation that was discovered unexpectedly during ERCP in a patient with cholangitis due to common bile duct stones. The time of occurrence of the perforation was unknown. After medical treatment, the patient was able to return to daily life. We have reported this case along with a literature review.
이준영(Jun-Young Lee),손홍문(Hong-Moon Sohn),유재원(Jae-Won You),양경호(Kyung-Ho Yang),남기영(Ki-Young Nam),Brian K Kwon 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.5
목적: Statins가 척수 손상 후 신경보호 작용이 있는지 확인하고자 하였다. 대상 및 방법: Sprague-Dawley 흰쥐 24마리의 흉추 T9/10에 Ohio State University (OSU) impactor를 이용하여 척수 손상을 시킨 후, 3군으로 나누어 제 1군은 simvastatin, 제 2군은 atorvastatin, 그리고 제 3군은 생리식염수를 위관 영양법(oral gavage)으로 각각 7일간 투여하였다. 행동평가는 수술 후 각각 2, 4, 7일 및 매주에 Basso, Bresnahan, and Beattie (BBB) score와 subscore를 이용하였으며, 감각 평가는 von Frey monofilament를 이용하였다. 수술 후 6주째 희생시킨 후 척수 조직을 채취하여 백색질과 회색질의 면적을 구하였으며, 희소돌기 아교세포의 보존은 면역조직학적인 방법으로 알아보았다. 결과: 6주째 평균 BBB score는 simvastatin 13.2±0.1, atorvastatin 1l.8±0.5, 생리식염수 1l.3±0.2이었고, BBB subscore는 각각 9.2±1.1, 4.8±1.8, 4.4±1.4이었다(p<0.05). 회색질의 보존은 각 군 간의 차이는 없었지만 백색질의 면적은 수상 중심부에서 각각 0.78±0.05, 0.5±0.18, 0.41±0.03 ㎟이었으며(p<0.05), simvastatin 치료 군에서 보존된 희소돌기아교세포의 수가 의의 있게 많이 관찰되었다p(<0.05). 결론: 쥐의 척수 손상 후 simvastatin 투여 군에서 행동평가 및 조직학적으로 호전된 소견을 보여 simvastatin은 척수 손상 후 신경보호 효과가 있는 것으로 판단된다. Purpose: To evaluate the neuroprotective effect of statins after a spinal cord injury. Materials and Methods: Twenty four Sprague Dawley rats had a spinal cord injury at T9/10 using an Ohio State University (OSU) impactor. The animals were randomized to receive either simvastatin, atorvastatin, or saline with oral gavage everyday for 7 days. A behavioral outcome assessment was performed on days 2, 4 and 7, and then every week using the Basso, Bresnahan, and Beattie (BBB) score and subscore. The animals also underwent sensory threshold testing using a von Frey monofilament device. The animals were sacrificed at the end of 6 weeks and a spinal cord specimen was harvested. Histology and immunohistochemistry were performed to measure the areas of white and gray matter, and the sparing of oligodenrocytes. Results: For the animals treated with simvastatin, atorvastatin and saline, the mean BBB scores at 6 weeks post-injury was 13.2±0.1, 11.8±0.5, and 11.3±0.2 and the BBB subscores were 9.2±1.1, 4.8±1.8 and 4.4±1.4 respectively (p<0.05). The areas of white matter at the lesion epicenter were 0.78±0.05, 0.5±0.18 and 0.41±0.03 ㎟ in the simvastatin, atorvastatin and saline groups respectively, and the number of spared oligodendrocytes was significantly higher in the simvastatin treated animals (p < 0.05). Conclusion: The simvastatin treatment improved the behavior and histological sparing of the spinal cord after an acute spinal cord injury in rats.