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- 저자 : 최영효(Yong Hyo Choi) (검색결과 3 건)
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근치적 회음부 전립선 절제술의 종양학적 성적 및 합병증
박준형(Joon Hyung Park),이상은(Sang Eun Lee),최영효(Young Hyo Choi),송완(Wan Song),최한용(Han Yong Choi) 대한비뇨기종양학회 2016 대한비뇨기종양학회지 Vol.14 No.3
Purpose: To evaluate oncologic, functional outcomes and complications in patients with prostate cancer (PCa) who underwent radical perineal prostatectomy (RPP). Materials and Methods: A retrospective review of patients who underwent RPP by a single surgeon between 1995 and 2014 was performed. We analyze clinicopathologic characteristics and postoperative complications including urinary continence and erectile function. Kaplan-Meier survival analysis was used to access biochemical recurrence (BCR)-free survival (BFS) and cancer-specific survival (CSS) and log-rank test was applied. Complications were stratified by the Clavien-Dindo classification system. Results: A total of 816 patients were included in this study. The mean prostate-specific antigen and prostate volume was 8.89 ng/mL and 30.8 mL. Positive surgical margin was identified in 174 patients (21.3%) after RPP. During a mean follow-up of 58.7 months, 173 patients (21.2%) experienced BCR. Overall, 44 patients (5.4%) died, of which 15 (1.8%) died from PCa. The 5-year BFS in patients with T2, T3a, and T3b were 84.8%, 69.7%, and 46.7% (p<0.001), respectively. The 10-year CSS in patients with same groups were 98.9%, 98.2%, and 79.5% (p<0.001), respectively. At 12 months after RPP, recovery of urinary continence and erectile function was identified in 88.3% and 63.7% of patients. Wound dehiscence (8.9%) was the most common complication. However, approximately 78% of complications were grade I or II. Conclusions: Our study indicates that RPP shows acceptable outcomes in terms of oncologic results and complications in patients with PCa. Careful attention is required to prevent wound dehiscence.
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문우남,김문영,오한진,서승우,김인철,최영효,안재용 대한척추외과학회 2000 대한척추외과학회지 Vol.7 No.2
연구계획 : 출산직후 여성에 대하여 설문지 조사와 동통그림을 분석하였다. 연구목적 : 임신중의 골반통 발병율 및 위험인자를 확인하기 위하여 본 연구를 시행하였다. 연구대상 및 재료 : 1999년 본원에서 출산 한 산모 332명을 대상으로 설문지를 이용한 조사를 하고 이를 분석하였다. 산모는 나이, 분만력, 신체구성 지표, 임신중 체중 증가의 정도, 신생아의 무게, 임신전 및 임신중의 운동 및 직업의 유무, 이전 임신중의 골반통으 유무 등을 위험 인자로 잡았으며, 이에 대해 t-검정 및 로지스틱 희귀분석으로 통계학적인 분석을 하였다. 결과 : 임신중의 골반통의 발병율은 53.3% 였으며, 임신중의 골반통은 지난번 임신중의 골반통이 있었던 경우가 유지한 위험인자로 확인 되었다. 결론 : 이상의 결과로 이전 임신중 골반통의 경험이 있는 경우 주의 깊은 관찰로 임신시의 골반통 발생에 적극 대응하도록 하여야 하며, 향후 골반통의 빈도를 줄일 수 있는 치료법에 대해 연구가 보다 필요하리라 사료된다. Study Design : An analysis was made of the questionnaire answere and pain drawings of postpartum women. Objective : This study was done to ebaluate the risk factors of pelvic pain pregnancy and its incidence. Summary of Lierature Review : Pelvic pain accounts for the major complaints among pregnancyh women. The incidence and risk factors of pelvic pain during pregnancy in Korean women have not been defined fully. Materials and Methods : Three hundreds thirty-two postpartum women were asked to fill out a questionnaire within one week after their parturition. Age, parity, body aass index(BMI:㎏/㎤), weight gain during pregnancy, history of pelvic pain in previous pregnancy, level of exercise and vocational status durin and before the pregnancy and baby's birth weight were asked and evaluated to determine risk factors. The correlation was tested by stydent t-test and logistic regression. Results : Thhe incidence of pelvic pain during pregnancy was 53.3%. The history of pelvic pain in previous pregnancy showed correlation with pelvic pain in pregnancy(p<0.05). Conclusion : It is suggested that women women who experienced pelvic pain in previous pregnancies should be checked for pelvic pain before pregnancy. Effective intervention of pelvic pain will be needed in further studies.
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