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RISS 인기검색어
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- 저자 : 신종환 ( Jong Whan Shin ) (검색결과 8 건)
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신종환,안기찬,서승석,김영창,최장석 인제대학교 1999 仁濟醫學 Vol.20 No.1S
Lipoma Arborescens는 지방종의 이형으로 노년의 퇴행성 관절 질환, 만성 류미티스성 관절염, 후외상성 관절 병변으로 인해 주로 슬관절에 생기는 활액막하 지방조직의 응모성(Villous), 수지상(Arborscent, Tree-like) 비후 병변으로 드문 관절내 양성 연부종양이다. 저자들은 우측의 족근관절 종물을 주소로 내원한 35세 여자 환자의 Lipoma Arborescens 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Lipoma Arborescens is a rare intraarticular benign Lesion usually found in the knee wrist. We present a case of Lipoma Arborescens with review of literatures, in right ankle joint, thirty five years old woman, histologically characterised by diffuse replacement of the subsynovial tissue by mature fat cells, which was treated by excision and synovectomy and no evidence of recurrence so far eight months follow-up.
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기관내 삽관이 어려웠던 폐동맥 sling을 동반한 기관협착 환아1예
염석란,신중호,신종환,이근,류일,현성열,진욱,김재광 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4
Pulmonary arterial sling, a rare developmental vascular anomaly forms a sling around the distal trachea and the proximal right main bronchus, where it sometimes makes tracheo-bronchial stenosis. Tracheo-bronchial stenosis from pulmonary arterial sling may produce non-specific symptoms of stridor, noisy breathing, dyspnea, recurrent upper respiratory tract infection, chronic cough, and dysphagia. The diagnosis of this anomaly begins with a high index of suspicion because of the lack of pathognomonic finding on usual evaluation. In this case, initial difficult intubation makes us evaluate further. Other cases reported the diagnosis is established by imaging studies, usually MRI and angiography. But, when our case was evaluated, we used cervico-thoracic enhanced computered tomography and tracheal fluoroscopy. Up to now, tracheobronchial stenosis from vascular anomaly is a rare and challenging disorder with a poor prognosis. However, early exact diagnosis would make us perform the accurate surgical treatment and reduce the mortality and morbidity.
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양측 고관절 전치환술에서 동시수술과 분리수술의 조기 임상 결과 비교
김훈,신종환,남우동,안기찬,서승석,김영창,최장석,이영구 인제대학교 1998 仁濟醫學 Vol.19 No.1
대퇴골두 무혈성 괴사증은 비교적 흔한 고관절의 병변으로서 반수 이상에서 양측성으로 발생하며 대개 질병이 진행된 상태에서 병원을 찾아오므로 양측에 대하여 고관절 전치환술을 요하는 경우가 많다. 고관절 전치환술의 수술방법이나 재료에 대하여는 많은 연구가 있어왔으나 양측성 고관절 전치환술에 있어 한번의 마취하에 양측 모두 수술하는 경우와 두 번으로 나누어 수술하는 경우에 대한 연구는 많지않다. 이에 저자들은 양측성 고관절 전치환술을 요하는 환자들을 대상으로 동시에 수술한 경우와 분리하여 수술한 경우를 비교 분석하였다. 수술중후의 실혈량과 술후 합병증은 유의한 차이가 없었으나, 동시 수술한 경우 총수술시간과 재원기간이 짧았으며 또한 병원비 역시 적게 소요되는 것으로 나타났다. 이상의 결과들을 바탕으로 양측 고관절에 대하여 고관절 전치환술을 요하는 경우 한번의 마취하에 양측 고관절 전치환술을 시행하는 것이 환자의 경제적인 측면에서 더 유리할 것으로 사료되었다. In this retrospective study, we compared 13 patients who had one stage THRA with 12 patients who had similar bilateral THRA in two stages. Thus we achieved following results. 1.No significant differences in estimated intraoperative blood loss, postoperative hemovac drainage, postoperative complications in the two groups. 2.The one stage bilateral procedure offered advantages over two stage bilateral procedures, including shorter length of hospital stay, shorter operation time and reduced economic costs. In conclusion, these results suggest that one stage procedure might be useful method in total hip replacement arthroplasty.
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관절경하 슬관절 반월상연골판 복원술 후 이차적 관절경에 의한 결과 분석
최장석,서승석,신종환 대한슬관절학회 1999 대한슬관절학회지 Vol.11 No.1
The purpose of this study is to morphologically evaluate the results of arthroscopic meniscal repair by second-look arthroscopy. We performed the arthroscopic meniscal repair in 40 menisci of 39 knees between March 1994 and August 1997. Among them, 18 menisci of 17 knees were evaluated by second-look arthroscopy at 3 rnonths postoperatively. Lateral meniscus was 9 and medial meniscus was 9. The morphological results were classified with completely healed, incompletely healed, and failed. The overall results showed that 13 menisci completely healed, 3 menisci incompletely healed, 2 menisci failed. The type of tear was 14 peripheral longitudinal tears, 1 oblique tear(incompletely healed), 1 transverse tear(completely healed with augmentation of fibrin clot), 1 tear at posterior tibial attachment, and 1 complex tear(completely healed). 3 menisci had associated lesions that had not been treated, of which 1 incompletely healed, 2 failed. Chronic cases, in which time interval between injury and repair was 6 weeks later, were 8 menisci(4 completely healed, 2 incompletely healed, and 2 failed). 10 long peripheral longitudinal tears of more fhan 2.5cm were resulted in 6 completely healed, 2 incompletely healed, and 2 failed. 5 longitudinal tear with a wide peripheral rim($gt;2mm) were resulted in 1 completely healed, 2 incompletely healed, and 2 failed. The good result was expected when the tear was repaired in acute phase after injury and associated lesion was treated. For chronic tears, tears of avascular zone and wide longitudinal tears, the healing enhancement techniques such as fibrin clot insertion, abrasion of meniscus and synovium, and trephination must be taken into consideration.
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류지호,양혁준,이근,임용수,김재광,류일,신종환,오상우,진욱 대한응급의학회 2002 대한응급의학회지 Vol.13 No.3
Small bowel volvulus in adults is very rare and occasionally occurs due to congenital midgut malrotation. The most common cause of small bowel volvulus is adhesions (74%), and other causes are Crohn's disease(7%), neoplasia (5%), hernia (2%), radiation (1%), and miscellaneous(11%). Presenting symptoms may be acute or present periodically during a longer period of time with a condition that is intermittent or recurrent because of spontaneous detorsion of the volvulus. Diagnostic imaging studies are plain abdominal film, ultrasonography, abdominal CT, and angiography. Abdominal CT is the most accurate. The most frequent CT finding is "Whirlpool sign." Other findings are bowel-loop dilatation, bowel-wall thickening, beak signs, mesenteric alterations, and extraluminal fluid. The mortality rate associated with small bowel voluvlus in adults is 10~67%. We report a case of small bowel volvulus in adults.
RISS
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