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최환식,신세종 인제대학교 1992 仁濟醫學 Vol.13 No.3
최근 노년층의 증가에 따라 전립선비대증 및 전립선암 환자의 발생과 사망률이 남성에서 차지하는 비중이 높아져 가고 있으며, 경직장 초음파검사법의 개발에 의해 여러가지 질환으로 초래되는 전립선내부의 변화 및 경계의 관찰이 가능하게 되어 전립선환자의 수술방법의 선택과 전립선암의 조기발견 및 정확한 병기분류에 미치는 초음파검사의 정확도를 알아보고자 하였다. Seventy two prostatic disease patients underwent transrectal ultasonography on inpatient basis at the Department of Urology, Inje University, Paik Hospital, Pusan, between January 1990 to December 1991. The results were as follows : 1.The average values of maximum anteroposterior, superior-inferior and transverse diameter obtained from ultrasonograms were 3.53±1.01cm, 3.60±0.91cm, 4.28±0.95cm in B.P.H., 3.42± 1.19cm, 3.55±0.50cm, 4.50±1.19cm in prostatic cancer. 2.In patients treated with transurethral resection of the prostate the mean estimated weight was 24.58gm, while the actual weight of resected mass was 8.27gm. In patients treated with open prostatectomy the mean estimated weight was 72.24gm, while the mean actual weight of resected mass was 62.07gm. 3.In a comparision of sonography and X-ray for the detection of prostatic calculi, the diagnostic accuracy of sonography (70.8%) was higher than X-ray (37.5%) 4.Diagnostic accuracy of transrectal ultrasonography was 90.9% in B.P.H. and 52.9% in prostatic cancer. In conclusion the transrectal ultrasonography was useful for diagnosis of prostatic disease, but the accuracy seemed to depend on experience of physician.
최환식,신세종 인제대학교 1991 仁濟醫學 Vol.12 No.3
비뇨기과 영역에서 오래된 난제중 하나인 요도협착을 내시경하 내요도절개술을 이용하여 완전 및 불환전 요도협착환자에서 성공률 88.5%의 우수한 성적을 얻었다. Under the direct endoscopic manipulation, 27 cases with urethral strictures were managed at our department from January, 1987 to December, 1990. Satisfactory results were obtained in 88.5 per cent of the patients. Patients with strictures caused by trauma and infection had unsatisfactory results, while the duration of catheterization did not affect the results. Endoscopic internal urethrotomy was done on the 4 cases of complete obstruction of the urethra, all of them remained well, continent and free of voiding symptom. Complications were minimal without serious problems. These result implied that the endoscopic internal urethrotomy is a valuable method as the management of urethral stricture before deciding to perform urethroplasty due to high satisfactory rate and many adventages.
이헌성,최환식,강상재 인제대학교 1993 仁濟醫學 Vol.14 No.4
소아요류의 정상치에 관한 정확한 설정을 위하여 부산시내 소재 국민 학생들을 대상으로 소아요류를 측정하였다. 이것은 소아배뇨장애환자의 치료 전후에 치료여부 및 효과판정에 유용할 것으로 사료된다. The uroflowmetry was performed in 135 normal male children between seven to thirteen years old, and the volume voided, voiding time, average and maximal flow rate were obtained as follow. 1.Volume voided, average and maximum flow rate were higher according to increasement of age and body weight. 2.Voding curves indicating the relationship between urinary flow and voided volume were obtained with logarithmic transformation.