비스테로이드성 소염제 투여후 발생된 위·십이지장염에 대한 Misoprostol(Cytotec^(�))의 임상효과

윤승호 최신의학사 1989 最新醫學 Vol.32 No.9

고관절 전치환술 환자의 재활

윤승호 大韓再活醫學會 1992 Annals of Rehabilitation Medicine Vol.16 No.2

화목케 하는자 복이 있나니

윤승호 성균관대학교 체육대학 1994 체육대학 학회지 Vol.10 No.1

톨게이트 별 접근시간 분포를 이용한 접근성 평가(수도권을 중심으로)

윤승호,이규일,김소현,김현명 한국ITS학회 2018 한국ITS학회 학술대회 Vol.2018 No.04

腰椎의 動的撮影術에 依한 腰椎間盤運動에 關한 硏究

尹承鎬,李弘鍵 고려대학교 의과대학 1972 고려대 의대 잡지 Vol.9 No.2

The purpose of this investigation was to measure the changes of motion of the lumbar discs in normal sujects and in patients with low-back pain. The motion of the lumbar, discs were measured in extreme flexion and in extreme extension in Korean adults who were seen at the Department of Orthopedic Surgery, College of Medicine, Korea University. The extent of flexion and extension motion was recorded in degree and that of compression of the discs in percentage. The cases were divided into two groups, "normal disc" and "disc of low-back pain". The study was carried out in 130 Korean male adults, which consisted of 50 normal subjects and 110 patients with low-back pain, whose age ranged from 15 to 50. The measurements were done by the method suggested by Begg and Falconer, and the roentgenograms (lumbar dynamogram) by Froning and Frohmen's method, and the height of lumbar discs were measured by Kataoka's method. The results were as follows: 1. In the normal subjects, the range of disc was 11° at the first interlumbar space, 13° at the second, at the third, 15° at the fourth, and 14° at the fifth, making that of the entire lumbar spines as 67° The mobility was maximal at the fourth lumbar disc. The range of motion of the lumbar spine decreased as the age of the subjects increased, and this tendency was more marked in the subject older than 40. 2. In normal subjects, the height of the lumbar disc was maximal at the fourth lumbar space, followed by fifth, third, second, and first in that order. The height of the discs showed significant changes with increase of age of the subjects. 3. The range of motion of the lumbar spine decreased in the patients with low-back pain as well as in those with spur formation. The maximum mobility was 15° at the fourth lumbar space in patients with low-back pain, and was 12° at the fifth lumbar space in those with spur formation. 4. The height of the lumbar discs decreased in patient with low-back pain and those with spur formation. The finding may be related to pathologic changes of the discs. 5. Decreased range of motion of the lumbar spine as well as decreased height of the lumbar discs show significant correlation with clinical symptom of low back-pain. 6. Measurements of the range of motion and the height of the lumbar discs by lumbar dynamogram are reliable early diagnostic method of pathological changes of the lumbar discs. 7. Both in normal subjects and in patients with low-back pain, no sign, difference of mobility of the lumbar discs was observed in Koreans as compared with that of other races.

고관절 전치환 성형술의 수술후 경과에 대한 임상 연구

윤승호 충남대학교 의과대학 지역사회의학연구소 1982 충남의대잡지 Vol.9 No.2

Total Hip Replacement is well documented and widely used procedure for painful arthritic hip in past twoo decades, and each year still seems to be increased in number of Total Hip Repalcement. And recently, there is a few reports of follow-up Study, on Total Hip Replacement arthroplasty in our country. The aim of this study was to present the clinical material which was performed on the 27 hips of 21 patients who were trated at Dept. of Orthopedic Surgery, College of Medicine, Chumgnam University, from Jan, 1979 to Jan. 1982. The longest follow-up was 4 years 5 months,, shortest was 8 months, the average time was 2 year 8 months. The results were obtaind as follows: 1. The age incidence ranged from 26 to 69 years, and average were 47 years old. 2. There were 17 males(81%) and 4 females (19%). 3. The causes of hip diseases were mostly avascular necrosis of femur head(67%). 4. The most commonly used prosthesis were Muller type with trochanteric osteotomy approaches. 5. Several complications are finded; perforation of acetabulum with bonecement in pelvis, post-operative pneuminia, wire brackage and painful bursitis aroud the tro-chanter which was on osteotomy sites. 6. Post-operative functional evaluation was evaluated by the method of d!Aubigne and Postel, and inproved from 10.00 scores to 15.8 scors Relief of pain is the most effect of the Total Hip Replacement Surgery in this studies. But cases are not so enogh to more detail evaluation, especially, tine problem of loosing of stem and acetabular cup wearing and heterotopic bone formation after Total Hip Replacement.

요통환자에 있어서 요추간판탈출증의 수술적 치료에 대한 연구 : 척수조영술 소견과의 비교 Comparison between the operative and myelogtaphic finding

윤승호,김학영 충남대학교 의과대학 지역사회의학연구소 1980 충남의대잡지 Vol.7 No.2

During January 1975 to December 1979, myelographic studies followed by operation was carried out on 150 cases of lumbar H. I. V. D. at Chung Nam Nationl University Hospital. As to the myelographic findings, mode, level of indentation, and positive and negative finding were analysed in comparison with operative findings. The followings results were obtained : 1. Plain radiography has a. little value in diagnosis of lumbar H. I. V. D. about one third of 150 cases show significant sign in plain film study. 2. The major discrepancies between myelographic and operative findings were found in 11.3%, while the miner discrepancies were 4%, so giving an accuracy of 84.7%. 3. Positive myelographic finding consisted of smooth round defect in 83 cases (48.8%), unilateral wedge defect in 45 cases(26.4%), block defect in 18cases(10.5%), bilateral wedge defect in 13 cases(7.6%), and hourglass defect in 11 cases(6.4%), respectively. 4. Operative findings revealed the protruded disc: 74.5%, bulging : 11.1%, extruded : 22%, and migrated : 1.7%. 5. The myelographic finding of bulging type disc usually showed smooth round filling defect and those of protruded were smooth round filling defect, wedge shape and block shape, while the extruded type revealed smooth round filling defect in the most cases. 6. The myelography can be a valuable aid in the determination of the level and degree of H. I. V. D. and very helpful in differential diagnosis.

고관절 성형술 환자에서 혈액사용에 대한 평가

윤승호,조성일,신현대 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2

The transfusion in total hip replacement is essential procedure for replacing of circulatory blood volumn and coagulation factor. But still not fixed in transfusion method and matrial, because transfusdion of homologous blood have a many complication, such as allergic reactions, febrile reaction, bemolytic reactions, isosensitization, bacteremia and the transmission of disease. Clinical evaluation was perfoemed for 72 patients who has recieves total hip replacement iwth transfusion. 1. The most frequent etiologic factor of total hip replacment was idiopathic avascular necrosis of femoral head(54 cases, 75%), follow by traumatic avascular necrosis of femoral head(9 cases), rheumatoid arthritis(5 cases), Tuberculosis of the hip(2 cases), and osteoarthritis of the hip(2 cases). 2. Average blood loss in total hip replacement was 1198.6 ml; Intraoperatively 578 ml and post operatively 620.6ml 3. Preoperative Hct was 38.4 and average blood transfusion amount was 4.83 U. Postoperative Hct was 34.8 4. Comparason between whole blood group and packed red cell or packed red cell with fresh frozen plasma group; Average transfusion amount in whole blood group was 4.32 U, and 5.13 U in PRC or PRC with FFP but no significance, statistically.

정상성인의 설하신경 전도검사

윤승호,손민균 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

Injury of the hypoglossal nerve may result from direct trauma, compression by tumor or abscess, radiation therapy and surgical complication such as carotid endarterectomy. But routine conduction method for hypoglossal nerve is not established. We studied the hypoglossal nerve in 25 normal adult subjects with submandibular surface stimulation and concentric needle recording in the tongue muscle through intraoral and submandibular approach. The onset latency of 50 hypoglossal nerves was 2.34±0.26 msec and 1.36±0.14 msec by intraoral and submandibular approach respectively. The peak to peak amplitude was 9.6±4.5 mV in intraoral approach and 29.7±8.7 mV in submandibular approach. This nerve conduction study is reliable and simple method and should be helpful in detection of the degree and progression of the hypoglossal nerve lesion.

대퇴골 경부골절과 SINGH 지수와의 연관성에 대한 임상적 고찰

윤승호,안상로,나상연,정태성 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.1

The Singh index have been used widly for measuring degree of osteoporosis which was the important cause of the femoral neck fracture because of the adventage as noninvasive, simple, good reproducible and index of general osteoporosis. The purpose of this article is to study the clinical significance of the Singh index. For the this purpose, the fractured groups of 71 patients older than 45 years of age with femoral neck fracture who were admitted in department of orthopedic surgery, Chungnam National University Hospital from March, 1980 to Feb., 1985 in contrast to control group without fracture were measured Singh index, analysed the relationship between Singh index and patient's age, type of femoral neck fracture and degree of trauma. Following results were obtained. 1. The average age is 66 years old in fractured group and is 60.16 years old in control group. The average Singh index of fractured group is 3.23 and is 4.27 in control group. There is a statistically significant difference between fractured and control group by 1.04 (p<0.05). 2. The average Singh index below 54 years old is 4.933, the prevalence of definite osteoporosis (Grade Ⅰ, Ⅱ) is 6.7%, but the average Singh index above 75 years old is 2.32, the prevalence of definite osteoposis was 52%. 3. The average Singh index of the intracapsular and extracapsular fracture of femoral neck fracture is 3.47 and 3.05. There is no statistically significant difference (p<0.1). 4. The average Singh index of the Mild trauma group and Severe trauma group is each 2.5 and 4.28. There is statistically significant difference (p<0.01). 5. Statistically the prevalence of Severe trauma in men(60%) is higher than in women(22%).