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요로조영상에서 요관폐색 및 음영결손을 보인 환자에서의 요관경검사
염규영,하용원,노안식,손성용,김진겸,설종구 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.2
Purpose: To evaluate the clinical value of ureteroscopy for the ureteral filling defect or obstruction on the excretory or retrograde pyelogram(RGP). Materials and Methods: The 72 patients with filling defect or intrinsic obstruction ureteral lesion on the excretory urogram or RGP underwent ureteroscopy to examine and treat the lesions. We used the 9.5Fr. or 11.5Fr. rigid ureteroscope with 5Fr. working channel. Results: The results were as follows; I. Among the 72 patients, 39 were male and 33were female. The mean age of patient was 45.7 years. 2. Ureteroscopy was successfully performed in 70 cases(97%) out of 72. In 2 cases, the advance of ureteroscope was failed. 3. Among 70 successful cases, ureteroscopy revealed 45 radiolucent stones, 9 ureteral stricture, 2 ureteral TCC. I metastatic tumor, 3 blood clot, each case of ureteral polyp, epithelial hyperplasia and Von-Brunn's nest. In 7 cases, no causative lesions were identified. 4. 41 out of 45 radiolucent stones were successfully removed by ureteroscopic procedure and 9 ureteral strictures were dilated. 6 cases of ureteral mass were successfully biopsied for pathological diagnosis. 5. 23 cases of post-operative or fever were treated conservatively and 10 cases of mucosal tearing and 1 case of ureteral perforation were treated with double-J stent indwelling. Conclusions: The ureteroscopy is effective modality to evaluate and treat in the ureteral filling defect or obstruction on the excretory urogram.
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이재현,하용원,임재성,윤율로,설종구 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.2
Purpose: Nocturnal enuresis is defined as at least one wet night per month in children older than five years of age. Despite being a common disorder in children, not many reports about prevalence of enuresis in Korea have been written. To establish the prevalence of childhood enuresis in Taejon, an epidemiologic study was performed. Materials and methods: We evaluated 1,030 preschool and elementary school children living in Taejon city. The ages were between 5 and 10 years-old and the mean age was 7.5 years-old. The percentage of boys was 52.4% and the girls' was 47.6%. The questionaires was completed by the parents. Results: The overall prevalence of enuresis in Taejon city was 7%. The prevalence of enuresis was higher in boys(54.2%) than in girls(45.8%). The prevalence of primary and secondary enuresis was 55.6% and 44.4%, respectively. The inability to wake up in order to void because of deep sleep was 29.2% and positive family history was 20.8%. On the aspect of enuretic frequency, one episode per month was most common. The cases combined with diurnal enuresis were 9.7%. Among the enuretic children, the most common traditional treatment was self-voiding by awakening during night and most favored treatment was herbal medicine. Conclusion: These data show that the prevalence of nocturnal enuresis in Taejon city is lower than in other countries. It's prevalence is related to the positive family history, guilt feeling, diurnal enuresis, and early sleeping. However, concerning the prevalence of enuresis, there is statistically significant difference only in family history.
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표재성 방광 이행상피세포암에 있어서 방광내 항암제주입요법 밀 면역요법
설종구,신보현,하용원,김윤종,노안식,손성용 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.2
Intravesical chemotherapy and immunotherapy will commonly eradicate residual papillary transitional cell carcinoma or carcinoma in situ(CIS) and clearly reduce the short-term incidence and rate of tumor recurrence. So I reviewed the effects and complications of different therapeutic agents(thiotepa, mitomycin-C, epirubicin, adriamycin, bacillus Cal mette-Cue'rin(BCG)) in superficial bladder cancer confirmed with histopathology, with the literatures. Bladder cancer were recurred more commonly in multiple tumors(50.6-56.3%), high grade tumors(52.6%) rather than in single(30.9%) and low grade(31.6%). And recurrence rates according to therapeutic agents were 83.3% in mitomycin-C, 71.4% in thiotepa, 50.0% in epirubicin, 46.6% in adriamycin and 32.6% in BCG. But incidence of complications were highest in BCG(50.5%). So sufficient preventive manuevers should be needed before intravesical theraphy, especially in BCG immunotherapy.
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