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선택적 자궁 동맥 색전술 시행과 Methotrexate로 보존적 치료를 시행한 유착태반
조시현 ( Jo Si Hyeon ),배상욱 ( Bae Sang Ug ),권자영 ( Kwon Ja Yeong ),구자성 ( Gu Ja Seong ),김세광 ( Kim Se Gwang ),박기현 ( Park Gi Hyeon ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.4
Placenta accreta is a rare but potentially lethal obstetric emergency due to massive hemorrhage, uterine perforation, and infection. Traditionally, hysterectomy was performed in the occurrence of serious hemorrhage. Currently, several conservative treatme
원위 요골 관절내 골절에 대한 K - 강선을 이용한 경피적 내고정술후 보조적으로 사용한 외고정 장치
김창우,허장원,정기태,구자성,전수영,박연,정태훈 대한골절학회 2000 대한골절학회지 Vol.13 No.1
Purpose: To evaluate the role of the additional external fixator in maintenance of reduction which was known as an important prognostic factor for the treatment of intra-articular distal radius fractures. Material and Method: Thirty cases of unstable intra-articular fractures of the distal radius, which were treated by operative method, were classified by Frykman’ s method and grouped in two(group A and B). The group A was treated by closed reduction and percutaneous K-wire fixation and long arm cast immobilization. The group B was treated by closed reduction and percutaneous K-wire fixation with use of additional external fixator. The end results were evaluated by the Demerit Point Rating System(by Sarmiento) & radiologic evaluation(radiologic index: radial length, radial tilt, volar tilt). Results: By the Demerit point rating system, excellent and good results were rated by 45.5% in group A and 75% in group B and poor results were found in 3 cases which were Frykman type VII or VIII in group A. Radiologically, radial length loss was rated by 11%, radial tilt loss by 10.8% and volar tilt loss by 47% in group A and 3.1%, 6.8%, 29% each in group B(P$lt;0.05). Conclusion: We think that additional use of external fixator, after percutaneous K-wire fixation, may have an important role in maintenance of reduction and good prognosis for the treament of intra-articular distal radius fractures.