07-심대무(교정완9.20)

Size: px
Start display at page:

Download "07-심대무(교정완9.20)"

Transcription

1 대한척추외과학회지제 13 권제 3 호 Journal of Korean Spine Surg. Vol. 13, No. 3, pp 200~204, 2006 광배근절개없이경흉도달법을이용한상부흉추추간판탈출증의치료 - 술기보고 - 심대무 김정우 박진영 # 양환덕 # 박성규 $ 권석현 정을오 김봉규 원광대학교의과대학정형외과학교실, 원광대학병원운영군산의료원정형외과학교실 #, 원광대학병원부속군포병원정형외과학교실 $ Treatment of Upper Thoracic Disc Herniation Using Transthoracic Approach without Division of Latissimus Dorsi - Technical Note - Abstract Dae Moo Shim, M.D., Jung Woo Kim, M.D., Jin Young Park, M.D. #, Hwan Deok Yang, M.D. #, Seong Kyu Park, M.D. $, Seok Hyun Kweon, M.D., Ul Oh Jeung, M.D. and Bong Gyu Kim, M.D. Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Department of Orthopaedic Surgery, Gunsan Medical Center of Wonkwang University #, Department of Orthopaedic Surgery, Kunpo Hospital of Wonkwang University $ Thoracic disc herniation is a rare condition in which a posterior approach, extrapleural approach, posterolateral approach, or transthoracic approach is currently used. The posterior approach is not recommended in thoracic disc herniation surgery because of the risk of spinal cord injury. The transthoracic approach makes it possible to remove the intervertebral disc and is considered a standard method. However, due to an extensive transverse skin incision, division of the latissimus dorsi muscles, and rib resection, the conventional open approaches involve a risk of complications, such as infection and post-thoracotomy pain syndrome; and a long period of rehabilitation and recovery is required. Excision of the intervertebral disc under thoracoscopic guidance can reduce the damage to the skin and muscles, but the equipment and surgical materials are expensive and a long learning curve is required. Therefore, we report a case and a new muscle splitting transthoracic approach that can be performed by incising 10 cm of skin longitudinally and preserving the serratus anterior and latissimus dorsi muscles. Key Words: Upper thoracic disc herniation, Transthoracic approach, Non-division of latissimus dorsi 서 론 흉추추간판탈출증은비교적드물다고알려져있는질환으로 1), 척수손상의위험이높은후방도달법 (posterior approach) 은거의이용되지않고있으며, 주로늑골횡돌기절제술 (costotransversectomy) 를이용한후외방 도달법 (posterolateral approach) 이나외측흉막외도달법 (extrapleural approach), 흉곽을통한경흉도달법 (transthoracic approach) 등이이용되고있다. 이중에직접추간판을관찰하고제거할수있는경흉도달법이가장안전한방법으로알려져있다 2). 그러나고식적인늑골절제경흉도달법으로치료하는경우광범위한절개 Address reprint requests to Ul Oh Jeung, M.D. Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital, Shinyong-dong, , Iksan, Chunbuk, Korea. Tel: , Fax: , llwind@hanmail.net

2 흉추추간판탈출증에서광배근절개없는경흉도달법 심대무외 와근육의손상으로감염및흉곽절개후통증증후군등의합병증이유발될가능성이높으며, 긴재활및회복기간이필요하다. 반면흉강경을이용하여추간판절제술을시행하는경우에는피부및근육의손상을줄일수는있지만, 장비및수술재료가비싸고, 긴숙련기간이요구된다는단점이있다. 이에저자들은 10 cm 의종피부절개및광배근과전거근을분리하여근육을절개하지않으면서시행할수있는경흉도달법으로수술을시행하였으며, 유사한술식을문헌적고찰하였으나찾을수없어증례와함께보고하고자한다. 새로운술기의보고및증례 1. 병력및이학적검사 2004 년 6 월, 31 세남자환자가 2 개월전부터시작되어점차하부로진행되는배꼽이하부위의감각저하와, 시리는느낌및간헐적인하지의무력감으로인한보행장애를주소로본원외래에내원하였다. 신경학적검사나이학적검사소견은유두밑으로감각저하와배꼽밑으로이상감각소견을보이고있었으며, 이외의근력및건반사소견은정상이었으며병적반사소견은보이지않았다. 2. 단순방사선및자기공명영상 단순방사선검사상제 11 흉추및 12 흉추부위에쐐기형변형을보이고있었으나그외의이상소견은관찰되지않았다. 자기공명영상소견상제 3 흉추와제 4 흉추사이에우측후외방으로돌출된추간판탈출증의소견과중등도의척수압박 (cord compression) 소견이관찰되었다 (Fig. 1). 3. 수술방법 환자를수술대에측와위로모래주머니를이용하여고정하고, 우측상지는환자의두부위쪽으로위치시켜고정하였다. 아래쪽에위치한겨드랑이아래에는액와신경, 액와혈관이눌리지않게패드를대고다리사이와아래쪽다리의측면에도패드를대어신경등이눌리지않게보호하였다. 수술자는환자의복측 (ventral) 에위치하고환자의광배근 (latissimus dorsi muscle) 의전면경계부위를촉진하여확인하고흉추추간판탈출증이있는부위의늑골이피부절개부의중심에위치하는지를방사선으로확인하였다. 일반적접근법인견갑골내측의경계를따라피부절개를하고액와부아래를지나제 3 늑골의늑연골까지절개를연장하는제 3 늑골절제도달법이나, 척추측방근육의외측경계에서부터절제해야할늑골의흉늑골관절부위까지횡으로절개하는전방도달법과는달리광배근의전면경계부를따라추간 Fig. 1. (A) Sagittal T2 weighted magnetic resonance image shows a disc extrusion at T3/4. (B) Axial T2 weighted magnetic resonance image shows a right posterolateral disc herniation

3 대한척추외과학회지 Vol. 13, No. 3, 2006 판탈출증이있는부위의늑골을중심으로몸체와평행하게약 10 cm 정도의종 (longitudinal) 피부절개를시행하였다. 피부절개선과동일한피하절개를시행한후, 광배근의전면과전거근 (serratus anterior muscle) 의경계부를박리하여늑골에도달하였다. 늑골을절제하지않고늑골간도달법 (intercostals approach) 을이용하기위해늑골사이를전기소작기로절개하여늑골연전기 (rib spreader) 를삽입하고근육이적응하는시간을주면서서서히늑골사이를벌렸다 (Fig. 2, 3). 수술부위가깊기때문에수술현미경을이용하여밝은조명과확대된시 야를확보한상태에서늑횡돌기관절 (costotransverse joint) 을제거한후에탈출된추간판을확인할수있었다. 탈출된추간판을제거하고주변부에경막을누르는구조물이없음을확인한후에결손부를 Gelform 으로채우고창상을봉합하였다. 수술시간은 2 시간 35 분걸렸으며, 술중출혈량은 220 cc 였다. 4. 임상경과 술후다리의시린느낌은바로회복되었으며, 술후 3 일째에보행기보조하에보행을시작하고, 흉관을제거하였다. 2 주째에는보행기없이보행할수있었으며, 유두밑으로의감각저하가조금씩회복되었다. 술후 3 개월째증상은없었으며, 술전에종사하던기술직에복귀할수있었다. 1 년 6 개월최종추시상증상은전혀없었으며, 직업수행에지장없었다. 고 찰 Fig. 2. White line indicates incision to be made in skin along the anterior border of latissimus dorsi muscle. 흉추추간판탈출증은척수를압박하는원인중드물게발생하는질환으로, 흉추의척추관은경추의척추관과는달리척수의유동성이작아후방도달법으로는척수전방에위치한탈출된추간판을제거하기어려우며, Fig. 3. (A) 10 cm straight longitudinal incision is made to skin along the anterior border of latissimus dorsi muscle. (B) Instead of dividing muscle, dissection is carried out between serratus anterior muscle and latissimus dorsi muscle to preserve them. (C) Latissimus dorsi muscle is retracted posteriorly by self retractor. (D) A rib spreader is inserted to hold the ribs apart

4 흉추추간판탈출증에서광배근절개없는경흉도달법 심대무외 흉추의척수는혈액공급이불충분하여약간의조작에의해서도심한손상을받을수있어후방도달법을이용하는경우는드물며 3), 일반적으로늑골횡돌기절제술 (costotransversectomy) 을이용한후외방도달법, 외측흉막외도달법, 흉곽을통한경흉도달법등이사용되고있다. 이외에경척추경 (transpedicular) 도달법, 경후관절 (transfacetal) 도달법등이이용되고있으나, 이러한방법들은척수에대해사선 (oblique) 방향으로접근하게되어흔한형태인중앙부의탈출된추간판을직접관찰하는데는제한이있으며이로인해척수손상의위험성없이안전하게추간판을제거하기에는어려움이있다 4,5). 현재까지는흉곽을통한경흉도달법이노출을잘할수있으며, 추간판제거를가장안전하게할수있는방법으로알려져있다 2). 신경학적회복에있어서도 Mulier 등 6) 은부분또는전체적인경흉도달법에서 93% 를보여, 외측도달법에의한 80% 보다더좋은결과를보였다고하였다. 그러나경흉도달법은늑간동맥, 늑간정맥, 교감신경총, 대동맥, 대정맥등의손상이있을수있으며, 폐를노출시키면서발생하는흉막의열상, 폐렴, 무기폐등의호흡기계의합병증이생길수있다 7). 또한, 고식적인경흉도달법을시행하기위한개방성도달법은흉추도달시에피부절개의방향이횡이며, 이에따라근육의절개또한근육의주행방향과직각이되게절개하면서도달한다는단점이있으며, 제 3 늑골절제도달법의경우, 필요에따라승모근 (trapezius), 광배근 (latissimus dorsi), 주능형근 (rhomboid major), 후거근 (serratus posterior) 등의근육의일부를절제해야하는단점이있다. 최근흉강경을이용한흉추추간판절제술이시행되어근육등의손상을감소시키고이환율을감소시킨다고보고되고있으나, 이는고가의수술장비를갖추어야하고, 많은소모품을사용해야하는경제적인부담이있으며, 수술자의긴숙련기간이필요하다는등의단점이있다 8). 이에저자들은근육을절개하지않고근육의손상을최소화하기위해, 광배근의전면경계부를따라종으로약 10 cm 정도의피부절개를가하고, 광배근의전면경계부와전거근의근육면사이를분리하여늑골에도달하였다. 또한, 늑골절단에의한통증을줄이기위해늑골간도달법을이용하여, 수술현미경하에서상부흉추추간판을제거하였다. 수술시간은 Otani 등 2) 의경흉도달법과비 슷하였으며, 출혈량은 Otani 등 2) 의평균출혈량보다 160 cc 정도적었다. 1 년 6 개월최종추시상증상은없었으며, 특별한문제없이술전의직장에서일하고있어, National Murayama Hospital 의흉추추간판수술결과분류 2) 상우수한결과를보였다. 증례가한례에불과하고, 이러한술식으로수술한문헌을찾을수없어정확한비교는불가능하지만, 고식적경흉도달법을이용한 Otani 등 2) 의우수한결과와비교하였을때, 비슷한결과를보여상부흉추추간판탈출증의새로운수술적치료방법의하나로고려할수있을것으로사료된다. 참고문헌 01) Jefferson A: The treatment of thoracic intervertebral disc protrusions. Clin Neurol Neurosurg 1975; 78: ) Otani K, Yosida M, Fujii E, Nakai S, Shibasaki K: Thoracic disc herniation. Surgical treatment in 23patients. Spine 1988; 13: ) Benson MK, Byrnes DP: The clinical syndromes and surgical treatment of thoracic intervertebral disc prolapse. J Bone Joint Surg Br 1975; 57: ) Patterson RH Jr, Arbit E: A surgical approach through the pedicle to protruded thoracic discs. J Neurosurg 1978; 48: ) Simpson JM, Silveri CP, Simeone FA, Balderston RA, An HS: Thoracic disc herniation. Re-evaluation of the posterior approach using a modified costotransversectomy. Spine 1993; 18: ) Mulier S, Debois V: Thoracic disc herniation: Transthoracic, lateral, or posterolateral approach? A review. Surg Neurol 1998; 49: ) Fessler RG, Sturgill M: Review: Complications of surgery for thoracic disc disease. Surg Neurol 1998; 49: ) Regan JJ, Mack MJ, Picetti GD: A Technical report on video-assisted thoracoscopy in thoracic spinal surgery. Preliminary description. Spine 1995; 20:

5 대한척추외과학회지 Vol. 13, No. 3, 2006 국문초록 흉추추간판탈출증은드문질환이며, 후방도달법에의한추간판절제술은척수손상의위험성이있어후외방도달법, 외측흉막외도달법 (extrapleural approach), 흉곽을통한경흉도달법 (transthoracic approach) 등이이용된다. 이들중직접추간판을관찰하고제거할수있는고식적인늑골절제경흉도달법이가장안전한방법이나, 광범위한절개와근육의손상으로감염, 흉곽절개후통증증후군등의합병증을유발할수있으며, 긴재활및회복기간이필요하다. 반면에흉강경을이용한추간판절제술은피부및근육의손상을줄일수는있으나, 장비및수술재료가비싸며, 긴숙련기간이요구된다는단점이있다. 이에저자들은 10 cm의종피부절개및광배근과전거근을분리하여근육을절개하지않으면서시행할수있는경흉도달법으로수술을시행하였으며, 유사한술식을문헌적고찰하였으나찾을수없어증례와함께보고하고자한다. 색인단어 : 상부흉추추간판탈출증, 경흉도달법, 광배근무절개 통신저자 : 정을오전라북도익산시신용동 원광대학병원정형외과학교실 Tel: Fax: llwind@hanmil.net

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

(

( 317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,

More information

Continuing Education Column Ossification of Posterior Longitudinal Ligament(OPLL) of Cervical Spine Ki Hong Cho, M.D. Department of Neurosurgery Ajou

Continuing Education Column Ossification of Posterior Longitudinal Ligament(OPLL) of Cervical Spine Ki Hong Cho, M.D. Department of Neurosurgery Ajou Ossification of Posterior Longitudinal Ligament(OPLL) of Cervical Spine Ki Hong Cho, M.D. Department of Neurosurgery Ajou University College of Medicine & Hospital E mail : khcho54@ajou.ac.kr Abstract

More information

1장

1장 Thorax CHAPTER 1 (, thorax). (chest) (thorax),. (chest) (pectoral),, () ( ), ( )., (breast). (, thoracic cavity).. ( ) (thoracic cage, rib cage), (, sternum) (, thoracic vertebrae) (, rib) (, costal cartilage)

More information

untitled

untitled 대한정형외과학회지 : 제 43 권제 5 호 2008 J Korean Orthop Assoc 2008; 43: 588-594 자기공명영상을이용한요추부척추관면적계측방법및분석 심대무ㆍ최윤홍ㆍ양정환ㆍ오성균ㆍ김채근ㆍ박정현 원광대학교의과대학정형외과학교실 Analysis and Measurement of the Lumbar Spinal Canal Dimension using

More information

012임수진

012임수진 Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar

More information

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou 제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuous vs single injection, interscalene vs supraclavicular approach 의정부성모병원

More information

Microsoft PowerPoint - 발표자료(KSSiS 2016)

Microsoft PowerPoint - 발표자료(KSSiS 2016) Sang Jun Kim, MD, PhD Application of 3D Printing in the Orthotic Fields Hallux Valgus, Charcot Marie Tooth, ADL Kit, Foot Insole, Wrist Pain, Foot Drop Development of Automated Program for Ankle Foot Orthosis

More information

( ) Jkra076.hwp

( ) Jkra076.hwp Vol. 11, No. 4, December, 2004 Objective: Ultrasonography (USG) of joints has a unique position for the diagnosis of joint diseases. Bone surface, cartilage, periarticular soft tissue and their pathologic

More information

04조남훈

04조남훈 Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache

More information

P.P.Templat Korea

P.P.Templat Korea Physical examination of the shoulder contents 1. Shoulder anatomy 2. Inspection 3. Bony palpation 4. Soft tissue palpation Shoulder joint의 구성 type of joint - ball and socket joint, degree of freedom :

More information

Kjhps016( ).hwp

Kjhps016( ).hwp Surgical Extent and Types in Pancreatic Cancer Song Cheol Kim, M.D. Department of Surgery, Ulsan University College of Medicine & Asan Medical Center, Seoul, Korea Pancreatic cancer continues to pose a

More information

P.P.Templat Korea

P.P.Templat Korea Physical examination of the shoulder Range of motion Range of motion 1. active ROM test - Apley scratch test Range of motion 2. passive ROM test - limitation in ROM 신경학적검사 (neurologic examination) 2. Muscle

More information

ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of

More information

황지웅

황지웅 Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic

More information

442 pissn : , eissn : Original Article J Korean Orthop Assoc 2017; 52:

442 pissn : , eissn : Original Article J Korean Orthop Assoc 2017; 52: 442 pissn : 1226-2102, eissn : 2005-8918 Original Article J Korean Orthop Assoc 2017; 52: 442-447 https://doi.org/10.4055/jkoa.2017.52.5.442 www.jkoa.org 요추극외측추간판탈출증과후외측추간판탈출증의수술에대한상대위험도 : 후향적코호트연구 하대호

More information

<342EBEC8BCBABFAD2CB9DAC7E2C1D82E687770>

<342EBEC8BCBABFAD2CB9DAC7E2C1D82E687770> 大 韓 癩 學 會 誌 : 第 41 卷, 第 1 號 2008 Korean Leprosy Bulletin, Vol. 41, No. 1, June, 2008 마비성 하안검 외반증에 대한 lateral tarsal strip의 재조명 안성열 성형외과의원 1), 제일병원 피부과 2) 안성열 1), 박향준 2) - Abstract - Reappraisal of the

More information

005송영일

005송영일 Received : 2015. 12. 09 Reviewed : 2015. 12. 16 Accepted : 2015. 12. 16 Sternal Fracture occurred after Thai Massage : A Case Report Young-Il Song, K.M.D. 1, Dong-Eun Kim, K.M.D. 1 1 Department of Rehabilitation

More information

( )Jksc057.hwp

( )Jksc057.hwp 직장암환자의전직장간막절제술의 예측인자분석 : 불완전절제와절제시간에영향을미치는인자에관한연구 Analysis of Factors Affecting the Degree of Difficulty in Total Mesorectal Excision for Rectal Cancer: Investigation of the Factors Affecting Incomplete

More information

untitled

untitled 대한정형외과학회지 : 제 43 권제 2 호 2008 J Korean Orthop Assoc 2008; 43: 166-170 요추추간판수술과관련된정형외과와신경외과병의원홈페이지에대한비교분석 심대무ㆍ정을오ㆍ김태균 * ㆍ김정우ㆍ박진영 * ㆍ권석현ㆍ박성규ㆍ최병산 원광대학교의과대학정형외과학교실, 원광대학교병원운영군산의료원정형외과학교실 * Analysis of Homepages

More information

충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교

충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교 충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~5 2017 Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교의과대학마취통증의학교실, 의학연구소 (28644), happycat19@hanmail.net

More information

Osteokinematics and Athrokinematics of the shoulder(정동춘).ppt

Osteokinematics and Athrokinematics of the shoulder(정동춘).ppt Osteokinematics and Athrokinematics of the shoulder 정동춘 ( 국민체력센터) Kinematics 공간에서의 운동(motion) 에 대한 과학 인간움직임에대한설명 주요 변인 a. 운동형태(translatory, rotatory, curvilinear) b. 운동위치(cardinal planes & diagonal planes)

More information

untitled

untitled Case Report J Korean Orthop Assoc 2012; 47: 227-231 http://dx.doi.org/10.4055/jkoa.2012.47.3.227 www.jkoa.org 골절 / 탈구가없는하경추부신전손상에서발생한광범위한전경추부혈종에의한기도압박 Airway Compression as a Result of Extensive Prevertebral

More information

246 pissn : , eissn : Case Report J Korean Orthop Assoc 2013; 48:

246 pissn : , eissn : Case Report J Korean Orthop Assoc 2013; 48: 246 pissn : 1226-2102, eissn : 2005-8918 Case Report J Korean Orthop Assoc 2013; 48: 246-250 http://dx.doi.org/10.4055/jkoa.2013.48.3.246 www.jkoa.org 민상혁 윤성현 이준열 단국대학교의과대학정형외과학교실 Intervertebral Foraminal

More information

( )Jkoa040.hwp

( )Jkoa040.hwp 대한정형외과학회지 : 제 42 권제 2 호 2007 J Korean Orthop Assoc 2007; 42: 249-254 요추추간판탈출증에대한웹사이트정보의질평가 심대무 정을오 김태균 * 박진영 * 박성규 김창수 원광대학교의과대학정형외과학교실, 원광대학교병원운영군산의료원정형외과학교실 * Evaluation of Quality of Website Information

More information

<31382D322D3420BDC5B1D4C8AF5FB3EDB9AE28C3D6C1BEBABB292E687770>

<31382D322D3420BDC5B1D4C8AF5FB3EDB9AE28C3D6C1BEBABB292E687770> 醫 史 學 제18권 제2호(통권 제35호) 2009년 12월 Korean J Med Hist 18ː57 72 18ː173-188 Dec. Dec. 2009 2009 C 大 韓 醫 史 學 會 ISSN ISSN 1225 505X 1225-505X 지방병 연구와 식민지배 : 1927년 영흥 및 해남지역 에메틴 중독사건을 중심으로 신 규 환* 1. 머리말 2. 일제의

More information

35-11A.hwp

35-11A.hwp 윤 석 원* 김 동 관* 김 정 원* 박 창 률* 김 용 희* 박 기 성* 박 승 일* =Abstract= Video Assisted Thoracic Surgery(VATS) of Pericardial Window Operation Seok Won Youn, M.D.*, Dong Kwan Kim, M.D.*, Jeong Won Kim, M.D.* Chang

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: : Researc

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI:   : Researc Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp.251-273 DOI: http://dx.doi.org/10.21024/pnuedi.27.2.201706.251 : 1997 2005 Research Trend Analysis on the Korean Alternative Education

More information

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770> 대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실

More information

975_983 특집-한규철, 정원호

975_983 특집-한규철, 정원호 Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology

More information

Jkbcs012( ).hwp

Jkbcs012( ).hwp Complications and Reasons for Dissatisfaction in Augmentation Mammoplasty - Analysis of 42 Cases of Re-operation - Sangdal Lee M.D. Clinic Purpose: Breast augmentation has recently become a common plastic

More information

Journal of Korean Society of Spine Surgery Incidentally Detected Concurrent Lower Thoracic Lesions in Extended Lumbar Spine MRI Jae-Yoon Chung, M.D.,

Journal of Korean Society of Spine Surgery Incidentally Detected Concurrent Lower Thoracic Lesions in Extended Lumbar Spine MRI Jae-Yoon Chung, M.D., Journal of Korean Society of Spine Surgery Incidentally Detected Concurrent Lower Thoracic Lesions in Extended Lumbar Spine MRI Jae-Yoon Chung, M.D., Ji-Hyeon Yim, M.D., Hyoung-Yeon Seo, M.D., Ha-Sung

More information

Trd022.hwp

Trd022.hwp 김신태, 이선녕, 이석정, 정필문, 박홍준, 신명상, 김종환, 이부길, 김상하, 리원연, 신계철, 용석중 Shin-Tae Kim, M.D., Shun Nyung Lee, M.D., Seok Jeong Lee, M.D., Pil Moon Jung, M.D., Hong Jun Park, M.D., Myung Sang Shin, M.D., Chong Whan Kim,

More information

14-05정재윤

14-05정재윤 대한척추외과학회지제 14 권제 3 호 Journal of Korean Spine Surg. Vol. 14, No. 3, pp 212~219, 2007 요추수핵탈출증에대한경피적내시경하절제술 정재윤 이재준 전남대학교의과대학정형외과학교실 Percutaneous Endoscopic Discectomy for Lumbar Disc Herniation Jae-Yoon

More information

Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Ki

Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Ki Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Kim, M.D., Hoon-Jae Chung, M.D. J Korean Soc Spine Surg

More information

Microsoft Word - 20-김용민.DOC

Microsoft Word - 20-김용민.DOC 대한골절학회지제 17 권, 제 2 호, 2004 년 4 월 Journal of the Korean Fracture Society Vol. 17, No. 2, April, 2004 흉요추부골절에서자기공명영상을통하여진단된골및연부조직손상의진단 김용민 김동수 최의성 손현철 박경진 한기석 * 정재중 정경일 김융성 충북대학교의과대학정형외과학교실, 진단방사선과학교실 *

More information

몸통근육근 (Trunk muscle)

몸통근육근 (Trunk muscle) 몸통근육근 (Trunk muscle) 대흉근 (Pectoralis Major) 증상 : 대흉근은자세가불량핛때스트레스를특히맋이받는근육이며 홧병근육 심장발작 근육으로도알려져있는근육이다. 대흉근 (Pectoralis Major) 증상 : 대흉근은구부정핚자세를맋이하게되는사무직종사자, 학생, 아이를안고다니는습관, 팔짱끼는습관, 가슴에쿠션등물건을안고자는사람, 안쪽돌림

More information

review050829.hwp

review050829.hwp 한국무역협회 무역연구소 서울시 강남구 삼성동 무역센터 트레이드타워 4801호 Tel: 6000-5174~9 Fax: 6000-6198 홈페이지 : http://tri.kita.net - 1 - 5 4 (% ) 경상수지(G DP 대 비) 추 이 일본 독일 3 네덜란드 2 1 아일랜드 0-1 -2 [1만불 - 2 만불 달성기간 ] -일본(80-88) -독일(79-90)

More information

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee University College of Medicine & Hospital E mail : ycell2@yahoo.co.kr Abstract

More information

Original Article pissn eissn J Korean Soc Spine Surg Jun;19(2): Is It Nece

Original Article pissn eissn J Korean Soc Spine Surg Jun;19(2): Is It Nece Journal of Korean Society of Spine Surgery Is It Necessary to Add Anterior Decompression after Posterior Decompression for Thoracolumbar and Lumbar Fractures with Neurologic Deficit? Jae-Won You, M.D.,

More information

<30372EC0CCC0AFC1F82E687770>

<30372EC0CCC0AFC1F82E687770> 산전 초음파상 진단된 단독 대조확장증의 출생 후 예후 울산대학교 의과대학 서울아산병원 산부인과학교실 이유진 원혜성 박상민 조현진 정 의 김선권 심재윤 이필량 김 암 Yu-Jin Lee, M.D., Hye-Sung Won, M.D., Sang-Min Park, M.D., Hyun-Jin Cho, M.D., Eui Jung, M.D., Sun-Kwon Kim,

More information

09-이재철

09-이재철 대한척추외과학회지제 14 권제 2 호 Journal of Korean Spine Surg. Vol. 14, No. 2, pp 115~119, 2007 척추관협착증환자에서발견된제 4 요추부선천성편측척추경결손 - 증례보고 - 김연일 이재철 최우석 신병준 순천향대학교의과대학정형외과학교실, 척추센터 Congenital Absence of a Pedicle of L4

More information

02-김석곤/

02-김석곤/ 대한척추외과학회지제 16 권제 3 호 Journal of Korean Spine Surgery Vol. 16, No. 3, pp 160~166, 2009 DOI:10.4184/jkss.2009.16.3.160 흉요추부골절에서후방고정술식에따른설상각교정이후만의진행에미치는영향 김석곤 * 김명호 이성철 민상혁 이진원 단국대학교의과대학정형외과학교실, 단국대학교의과대학마취통증의학과교실

More information

Kaes017.hwp

Kaes017.hwp 갑상선의 Poorly Differentiated (Insular) Carcinoma Insular Carcinoma: An Aggressive Subtype of Differentiated Thyroid Neoplasms Seok-Jin Nam, M.D., Sang-Dal Lee, M.D., Hal-lin Park, M.D., Young-Ryun Oh, M.D.

More information

001-학회지소개(영)

001-학회지소개(영) Review Article Randomization, What is the Proper Method? Jin Ho Hong, M.D., Jae Chul Yoo, M.D. Shoulder & Sports medicine, Department of Orthopedic Surgery, Samsung Medical Center Purpose: Among the numerous

More information

01-권영준

01-권영준 대한척추외과학회지제 14 권제 2 호 Journal of Korean Spine Surg. Vol. 14, No. 2, pp 67~72, 2007 경추신경근병증환자에서최소침습적후방추간공절개술의조기수술결과 권영준 성균관대학교의과대학강북삼성병원신경외과학교실 Early Surgical Results of Minimally Invasive Posterior Foraminotomy

More information

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285 13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914

More information

Journal of Korean Society of Spine Surgery Brown-Séquard Syndrome and Cervical Vertebral Fractures after Blunt Cervical Trauma in a Traffic Accident -

Journal of Korean Society of Spine Surgery Brown-Séquard Syndrome and Cervical Vertebral Fractures after Blunt Cervical Trauma in a Traffic Accident - Journal of Korean Society of Spine Surgery Brown-Séquard Syndrome and Cervical Vertebral Fractures after Blunt Cervical Trauma in a Traffic Accident - A Case Report - Seung-Pyo Suh, M.D., Won Rak Choi,

More information

KISEP Clinical Research J Korean Neurosurg Soc , 1997 극돌기절제및부분적후궁절제술을이용한추간공내요추간판탈출증의수술적치험 * 김주영 이승명 신호 = Abstract = Surgical Experience of L

KISEP Clinical Research J Korean Neurosurg Soc , 1997 극돌기절제및부분적후궁절제술을이용한추간공내요추간판탈출증의수술적치험 * 김주영 이승명 신호 = Abstract = Surgical Experience of L KISEP Clinical Research J Korean Neurosurg Soc 26416-421, 1997 극돌기절제및부분적후궁절제술을이용한추간공내요추간판탈출증의수술적치험 * 김주영 이승명 신호 = Abstract = Surgical Experience of Lumbar Foraminal Disc Herniation by Resecting the Spinous

More information

Jkss hwp

Jkss hwp 급성복증을보이는감염성요막관기형 Infected Urachal Remnants with Symtoms of the Acute Abdomen: The Differential Diagnosis & Proper Management Jan Dy Lee, M.D., Chee Young Lim, M.D. 1, Hyoung Il Kim, M.D. 1, Chul Woon Chung,

More information

- iii - - i - - ii - - iii - 국문요약 종합병원남자간호사가지각하는조직공정성 사회정체성과 조직시민행동과의관계 - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - α α α α - 15 - α α α α α α

More information

슬라이드 1

슬라이드 1 Examination of the Knee 기능해부학 functional anatomy Knee joint 의구성 - distal of femur + med, lat epicondyle of tibia - meniscus : fibroscartliage : knee joint에내, 외측에부착된연골륜 : 외측 < 내측, 내측이외상받기쉽다 http://www.eorthopod.com/images/contentimages/knee/knee_anatomy/knee_anatomy01.jpg

More information

Kbcs002.hwp

Kbcs002.hwp Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,

More information

Thieme: Color Atlas of Acupuncture

Thieme: Color Atlas of Acupuncture IX Contents Part 1: Body Acupuncture Points Part 2: Ear Acupuncture Points The Lung Channel... 2 The Large Intestine Channel... 7 The Stomach Channel... 15 The Spleen Channel... 23 The Heart Channel...

More information

세라뉴스-2011내지도큐

세라뉴스-2011내지도큐 2 2 8 17 18 22 23 24 Heinrich Wecker 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 예정된 이벤트 증례2 : 세라믹-폴리에틸렌 고관절 치환술후 발생한 비구-대퇴 해리로 세라믹-세라믹 관절면을 사용하여 재수술 진단 : 고관절 통증으로 내원한 65세 여자환자, 20년전 세라믹-폴리에틸

More information

#Ȳ¿ë¼®

#Ȳ¿ë¼® http://www.kbc.go.kr/ A B yk u δ = 2u k 1 = yk u = 0. 659 2nu k = 1 k k 1 n yk k Abstract Web Repertoire and Concentration Rate : Analysing Web Traffic Data Yong - Suk Hwang (Research

More information

노영남

노영남 Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding

More information

- i - - ii - - iii - - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - - 15 - - 16 - - 17 - - 18 - - 19 - α α - 20 - α α α α α α - 21 - - 22 - - 23 -

More information

Ⅰ. 서 론 요추부 질환으로 내원하는 환자는 정밀검사 전 병력청취 및 정확한 이학적 검사 등을 통하여 치료방향을 결정하게 된다. 검사자는 일반적으로 시진, 능동적, 수동적 운동범위, 촉진, 신경학적 평가, 유발 검사 등의 이학적 검사를 시행하게 되는데 1) 유발 검사

Ⅰ. 서 론 요추부 질환으로 내원하는 환자는 정밀검사 전 병력청취 및 정확한 이학적 검사 등을 통하여 치료방향을 결정하게 된다. 검사자는 일반적으로 시진, 능동적, 수동적 운동범위, 촉진, 신경학적 평가, 유발 검사 등의 이학적 검사를 시행하게 되는데 1) 유발 검사 J Oriental Rehab Med 2013;23(2):129-138 요추부 추간판 탈출 정도와 SLR, valsalva test의 관계 엄태웅 추원정* 이차로* 김호준 이명종 동국대학교 한방재활의학과 교실, 부천자생한방병원 한방내과* A Study of the Relationship between Straight Leg Raising, Valsalva Test

More information

패션 전문가 293명 대상 앙케트+전문기자단 선정 2010.1 Fashionbiz CEO Managing Director Creative Director Independent Designer

패션 전문가 293명 대상 앙케트+전문기자단 선정 2010.1 Fashionbiz CEO Managing Director Creative Director Independent Designer READY-TO-WEAR Fashionbiz 2010.1 패션 전문가 293명 대상 앙케트+전문기자단 선정 2010.1 Fashionbiz CEO Managing Director Creative Director Independent Designer READY-TO-WEAR Fashionbiz 2010.1 1 2 3 4 5 6 7 8 9 9 2010.1 Fashionbiz

More information

( )Kjhps043.hwp

( )Kjhps043.hwp Difference of Fistula Maturation Degree and Physical Property by the Types of Tube Material: An Experimental Study Sang Koo Kang, M.D. 1, Hee Chul Yu, M.D. 1,4, Woo Sung Moon, M.D. 2,4, Ju Hyoung Lee,

More information

Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bu

Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bu Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bum Kim, M.D., Youn Moo Heo, M.D., Byung Hak Oh, M.D.,

More information

139~144 ¿À°ø¾àħ

139~144 ¿À°ø¾àħ 2 139 DOI : 10.3831/KPI.2010.13.2.139 2 Received : 10. 04. 08 Revised : 10. 04. 26 Two Case Report on Wrist Ganglion Treated with Scolopendrid Pharmacopuncture Accepted : 10. 05. 04 Key Words: Wrist Ganglion,

More information

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770> 개원의와함께하는임상강좌 2011 역류성식도질환제대로이해하기 Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea Jae-Young Jang, M.D., PhD. 개원의와함께하는임상강좌 2011 109 최신치료

More information

KISEP Clinical Research J Korean Neurosurg Soc , 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * 조용은 김영수 장호열 = Abstract = Clinical Efficacy of Digita

KISEP Clinical Research J Korean Neurosurg Soc , 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * 조용은 김영수 장호열 = Abstract = Clinical Efficacy of Digita KISEP Clinical Research J Korean Neurosurg Soc 27237-245, 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * = Abstract = Clinical Efficacy of Digital Infrared Thermographic Imaging in Multiple Lumbar Disc Herniations

More information

슬라이드 1

슬라이드 1 Movement Impairment Syndrome of shoulder & scapular joint 세란척추운동센터김대훈 1 Normal alignment of scapula Vertebral borders about 2 to 3 inches frome the spine and parallel to the spine Scapula held flat against

More information

Case Report pissn eissn J Korean Soc Spine Surg Sep;22(3): Posterior Ri

Case Report pissn eissn J Korean Soc Spine Surg Sep;22(3): Posterior Ri Case Report pissn 2093-4378 eissn 2093-4386 J Korean Soc Spine Surg. 2015 Sep;22(3):118-122. http://dx.doi.org/10.4184/jkss.2015.22.3.118 Posterior Ring pophysis Fracture ssociated with Lumbar Disc Herniation

More information

03-ÀÌÁ¦Çö

03-ÀÌÁ¦Çö 25 3 (2004 9 ) J Korean Oriental Med 2004;25(3):20-31 1), 2), 3) 1) 2) 3) Grope for a Summary Program about Intellectual Property Protection of Traditional Knowledge (TK)etc. Discussed in WIPO Hwan-Soo

More information

359 pissn : , eissn : Case Report J Korean Orthop Assoc 2017; 52: 미

359 pissn : , eissn : Case Report J Korean Orthop Assoc 2017; 52: 미 359 pissn : 1226-2102, eissn : 2005-8918 Case Report J Korean Orthop Assoc 2017; 52: 359-363 https://doi.org/10.4055/jkoa.2017.52.4.359 www.jkoa.org 미추경막외신경주사후발생한 Serratia marcescens 에의한척추경막외농양 유창은 최병열

More information

04_이근원_21~27.hwp

04_이근원_21~27.hwp 1) KIGAS Vol. 16, No. 5, pp 21~27, 2012 (Journal of the Korean Institute of Gas) http://dx.doi.org/10.7842/kigas.2012.16.5.21 실험실의 사례 분석에 관한 연구 이근원 이정석 한국산업안전보건공단 산업안전보건연구원 (2012년 9월 5일 투고, 2012년 10월 19일

More information

45-51 ¹Ú¼ø¸¸

45-51 ¹Ú¼ø¸¸ A Study on the Automation of Classification of Volume Reconstruction for CT Images S.M. Park 1, I.S. Hong 2, D.S. Kim 1, D.Y. Kim 1 1 Dept. of Biomedical Engineering, Yonsei University, 2 Dept. of Radiology,

More information

........-55..9.30

........-55..9.30 MYONGJI ST. MARY S HOSPITAL EXCELLENT STROKE TREATMENT CENTER The president of Myongji St. Mary s Hospital M.D. HUH, CHOON WOONG Graduated from Seoul Catholic Medical College. Achived M.D. in Neurosurgeon.

More information

21-강호정/

21-강호정/ 대한견 주관절학회지제 12 권제 2 호 J. of Korean Shoulder and Elbow Society Volume 12, Number 2, December, 2009 수술적으로치료한주관절삼두근탄발증후군과척골신경탈구 - 2 예보고 - 연세대학교의과대학정형외과교실 강호정 이희영 이정길 한수봉 김성재 Operative Treatement of Snapping

More information

Case Report J Korean Bone Joint Tumor Soc 2011; 17: 요추부척추관협착증과동반된경막내신경초종 : 증례보고

Case Report J Korean Bone Joint Tumor Soc 2011; 17: 요추부척추관협착증과동반된경막내신경초종 : 증례보고 Case Report J Korean Bone Joint Tumor Soc 2011; 17: 106-110 http://dx.doi.org/10.5292/jkbjts.2011.17.2.106 www.kbjts.or.kr Intradural Schwannoma Associated with Lumbar Spinal Stenosis: A Cese Report 소재완

More information

대한척추외과학회 KOREAN SOCIETY OF SPINE SURGERY The 32 nd Fall Congress Korean Society of Spine Surgery 제 32 차대한척추외과학회추계학술대회 November 20(Fri), 2015 Seoul Gra

대한척추외과학회 KOREAN SOCIETY OF SPINE SURGERY The 32 nd Fall Congress Korean Society of Spine Surgery 제 32 차대한척추외과학회추계학술대회 November 20(Fri), 2015 Seoul Gra 대한척추외과학회 KOREAN SOCIETY OF SPINE SURGERY The 32 nd Fall Congress Korean Society of Spine Surgery 제 32 차대한척추외과학회추계학술대회 November 20(Fri), 2015 Seoul Grand Hilton Hotel Convention Center 서울특별시강남구언주로 211 (

More information

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr Original Article pissn 1738-2637 J Korean Soc Radiol 2012;67(2):129-134 The Survey of Magnetic Resonance Imaging Quality according to in Korea 1 자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 1 Hyun-Hae

More information

KISEP Case Reports J Korean Neurosurg Soc , 1998 척추불안정을동반한척추후관절근접낭종 (Juxtafacet Cyst) 의수술치험례 최찬영 민병국 권정택 석종식 = Abstract = A Case of Juxtafac

KISEP Case Reports J Korean Neurosurg Soc , 1998 척추불안정을동반한척추후관절근접낭종 (Juxtafacet Cyst) 의수술치험례 최찬영 민병국 권정택 석종식 = Abstract = A Case of Juxtafac KISEP ase Reports J Korean Neurosurg Soc 27530-534, 1998 척추불안정을동반한척추후관절근접낭종 (Juxtafacet yst) 의수술치험례 = bstract = ase of Juxtafacet yst of the Lumbar Spine ccompanied by Spinal Instability han Young hoi,

More information

The Window of Multiple Sclerosis

The Window of Multiple Sclerosis THE WINDOW OF MULTIPLE SCLEROSIS Vol.2 No.1 MAR 2009 Topic Review Article Review 01. 02. 03. 04. Case Review The Window of Multiple Sclerosis THE WINDOW OF MULTIPLE SCLEROSIS The Window of Multiple Sclerosis

More information

09김정식.PDF

09김정식.PDF 00-09 2000. 12 ,,,,.,.,.,,,,,,.,,..... . 1 1 7 2 9 1. 9 2. 13 3. 14 3 16 1. 16 2. 21 3. 39 4 43 1. 43 2. 52 3. 56 4. 66 5. 74 5 78 1. 78 2. 80 3. 86 6 88 90 Ex e cu t iv e Su m m a r y 92 < 3-1> 22 < 3-2>

More information

09-김명호

09-김명호 대한척추외과학회지제 15 권제 4 호 Journal of Korean Spine Surg. Vol. 15, No. 4, pp 272~276, 2008 자발성척추경막외혈종의수술적치료 - 증례보고 - 김명호 민상혁 유현열 단국대학교의과대학정형외과학교실 Surgical Treatment of Spontaneous Spinal Epidural Hematoma - A

More information

- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

More information

27 2, 1-16, * **,,,,. KS,,,., PC,.,,.,,. :,,, : 2009/08/12 : 2009/09/03 : 2009/09/30 * ** ( :

27 2, 1-16, * **,,,,. KS,,,., PC,.,,.,,. :,,, : 2009/08/12 : 2009/09/03 : 2009/09/30 * ** ( : 27 2, 1-16, 2009. * **,,,,. KS,,,., PC,.,,.,,. :,,, : 2009/08/12 : 2009/09/03 : 2009/09/30 * ** (: jjhkim@cau.ac.kr) 2 한국교육문제연구제 27 권 2 호, 2009 Ⅰ.,. 2008 3,536, 10 99.9% (, 2008). PC,, (, 2007). (, 2008),.,

More information

Case Report J Korean Orthop Assoc 2010; 45: doi: /jkoa 경추신경근차단술후발생한급성척수손상 Acute Spinal Cord Injury after Cerv

Case Report J Korean Orthop Assoc 2010; 45: doi: /jkoa 경추신경근차단술후발생한급성척수손상 Acute Spinal Cord Injury after Cerv Case Report J Korean Orthop Assoc 2010; 45: 408-412 doi:10.4055/jkoa.2010.45.5.408 www.jkoa.org Acute Spinal Cord Injury after Cervical Nerve Root Block 심대무 김태균 임재창원광대학교의과대학정형외과학교실 선택적경추신경근차단술은경부방사통의치료를위해비수술적치료단계에서널리이용되고있는방법이다.

More information

02-류종선(전화교정진행중)

02-류종선(전화교정진행중) 대한척추외과학회지제 13 권제 4 호 Journal of Korean Spine Surg. Vol. 13, No. 4, pp 234~239, 2006 단분절퇴행성추간판질환에의한경추척수증 류종선 채종우 조우진 문명상 장 @ 한 대전선병원정형외과교실 Mono-segment Cervical Spondylotic Myelopathy Abstract Jong Seon

More information

???춍??숏

???춍??숏 Suseong gu Council Daegu Metropolitan City www.suseongcouncil.daegu.kr Contents SUSEONG GU COUNCIL DAEGU METROPOLITAN CITY 10 www.suseongcouncil.daegu.kr 11 SUSEONG GU COUNCIL DAEGU METROPOLITAN CITY

More information

Journal of Korean Society of Spine Surgery Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Su

Journal of Korean Society of Spine Surgery Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Su Journal of Korean Society of Spine Surgery Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Sublaminar Wiring and Posterolateral Fusion - Case Report

More information

02-유재원

02-유재원 대한척추외과학회지제 13 권제 2 호 Journal of Korean Spine Surg. Vol. 13, No. 2, pp 81~86, 2006 경추전방추간판제거술및유합술의방사선학적및임상적결과의상관관계 유재원 손홍문 이자용 이철갑 # 조선대학교의과대학정형외과학교실, 산업의학과학교실 # The Correlation Between Radiographic and

More information

대한한의학원전학회지24권6호-전체최종.hwp

대한한의학원전학회지24권6호-전체최종.hwp 小兒藥證直訣 의 五臟辨證에 대한 小考 - 病證과 處方을 중심으로 1 2 慶熙大學校大學校 韓醫學科大學 原典學敎室 ㆍ 韓醫學古典硏究所 白裕相1,2*1)2) A study on The Diagnosis and Treatment Using The Theory of Five Organs in Soayakjeungjikgyeol(小兒藥證直訣) 1 Dept. of Oriental

More information

12이문규

12이문규 Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental

More information

Journal of Educational Innovation Research 2019, Vol. 29, No. 1, pp DOI: * Suggestions of Ways

Journal of Educational Innovation Research 2019, Vol. 29, No. 1, pp DOI:   * Suggestions of Ways Journal of Educational Innovation Research 2019, Vol. 29, No. 1, pp.65-89 DOI: http://dx.doi.org/10.21024/pnuedi.29.1.201903.65 * Suggestions of Ways to Improve Teaching Practicum Based on the Experiences

More information

Can032.hwp

Can032.hwp Chromosomal Alterations in Hepatocellular Carcinoma Cell Lines Detected by Comparative Genomic Hybridization Sang Jin Park 1, Mahn Joon Ha, Ph.D. 1, Hugh Chul Kim, M.D. 2 and Hyon Ju Kim, M.D. 1 1 Laboratory

More information

878 Yu Kim, Dongjae Kim 지막 용량수준까지도 멈춤 규칙이 만족되지 않아 시행이 종료되지 않는 경우에는 MTD의 추정이 불가 능하다는 단점이 있다. 최근 이 SM방법의 단점을 보완하기 위해 O Quigley 등 (1990)이 제안한 CRM(Continu

878 Yu Kim, Dongjae Kim 지막 용량수준까지도 멈춤 규칙이 만족되지 않아 시행이 종료되지 않는 경우에는 MTD의 추정이 불가 능하다는 단점이 있다. 최근 이 SM방법의 단점을 보완하기 위해 O Quigley 등 (1990)이 제안한 CRM(Continu 한 국 통 계 학 회 논 문 집 2012, 19권, 6호, 877 884 DOI: http://dx.doi.org/10.5351/ckss.2012.19.6.877 Maximum Tolerated Dose Estimation Applied Biased Coin Design in a Phase Ⅰ Clinical Trial Yu Kim a, Dongjae Kim

More information

Journal of Korean Society of Spine Surgery Subacute Delayed Ascending Myelopathy after Spinal Cord Injury from Flexion-distraction Injury of Low Thora

Journal of Korean Society of Spine Surgery Subacute Delayed Ascending Myelopathy after Spinal Cord Injury from Flexion-distraction Injury of Low Thora Journal of Korean Society of Spine Surgery Subacute Delayed Ascending Myelopathy after Spinal Cord Injury from Flexion-distraction Injury of Low Thoracic Spine - A Case Report - Sang Jae Park, M.D., Jae

More information

<4D F736F F F696E74202D20C1F7C0E5C7D7B9AEB1E2C7FC20C8AFBEC6BFA1BCAD20B5BFB9DDC7CFB4C220C0CCBAD0C3B4C3DFC1F52E707074>

<4D F736F F F696E74202D20C1F7C0E5C7D7B9AEB1E2C7FC20C8AFBEC6BFA1BCAD20B5BFB9DDC7CFB4C220C0CCBAD0C3B4C3DFC1F52E707074> 직장항문기형환아에서동반하는이분척추증 -12 예환아에대한전향적연구 김성민 1, 장혜경 2, 심규원 3, 김동석 3, 오정탁 2, 최승훈 4, 한석주 2 연세대학교의과대학외과학교실, 용인세브란스병원외과 1 연세대학교의과대학외과학교실, 세브란스어린이병원소아외과 2 연세대학교의과대학신경외과학교실, 세브란스어린이병원소아신경외과 3 연세대학교의과대학외과학교실, 강남세브란스병원소아외과

More information

김범수

김범수 Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis

More information

암센터뉴스레터1

암센터뉴스레터1 CANCER HOSPITAL News News Letter For Yonsei University Gangnam Severance Hospital http://gs.iseverance.com 2012.06.21 2012.08.16 2012.09.19 2012.10.04 2012.10.25 CONTENTS 2012.07.27 2012.10.06 2012.11.06

More information

wheel+32_2013+05+06.pdf

wheel+32_2013+05+06.pdf ISSN 2234-7380 2013 5 6 p36 p16 p30 contents vol. 32 2013 5 6 04 06 wheel_32 Review & Column 08 10 12 Communication 14 Information 16 22 26 28 30 Rehabilitation 32 34 Special Interview 36 Life News 42

More information

untitled

untitled ISSN 1225-1682 (Print) ISSN 2287-9293 (Online) 대한골절학회지제 27 권, 제 2 호, 2014 년 4 월 J Korean Fract Soc 2014;27(2):157-161 http://dx.doi.org/10.12671/jkfs.2014.27.2.157 Case Report 후궁성형술을이용한천골횡골절의치료 - 증례보고

More information

Journal of Korean Society of Spine Surgery Sequestrated Intradural Disc Herniation Around Couns Medullaris - A Case Report - Jaewon Lee, M.D., Wan-Sik

Journal of Korean Society of Spine Surgery Sequestrated Intradural Disc Herniation Around Couns Medullaris - A Case Report - Jaewon Lee, M.D., Wan-Sik Journal of Korean Society of Spine Surgery Sequestrated Intradural Disc Herniation Around Couns Medullaris - A Case Report - Jaewon Lee, M.D., Wan-Sik Seo, M.D., Ye-Soo Park, M.D., Young-Ha Oh, M.D. J

More information