하늘방향 가쪽반고리관 양성자세현훈에서 온도눈떨림검사 이상의 가역성

송현석 강원대학교 대학원 2009 국내석사

배경과 목적 가쪽반고리관 양성자세현훈 (lateral canal benign positional vertigo, LC-BPV)은 환자가 누워서 고개를 좌우로 돌릴 때 방향이 바뀌는 눈떨림 (direction-changing nystagmus)이 위에 있는 귀 쪽으로 있거나(하늘방향눈떨림, apogeotropic (Apo) nystagmus) 아래에 있는 귀 쪽으로 있는(땅방향눈떨림, geotropic (Geo) nystagmus) 것이 특징이다. 이런 LC-BPV에서 청각안뜰기능에 대한 연구는 몇 개 밖에 없다. 이 연구는 Apo-LC-BPV에서 온도눈떨림검사 (caloric test) 이상의 가역성 (reversibility)과 임상관찰 결과 및 안뜰기능검사결과에 대한 것이다. 대상 및 방법 30명의 연속적인 Apo-LC-BPV 환자들을 대상으로 하였다. 진단은 자세잡기수기 (positioing maneuver)에 의해 전형적인 눈떨림이 어지럼증과 함께 나타나는 것으로 하였다. 인구학적 특징, 증상지속시간, 자발눈떨림 (spontaneous nystagmus), 자세눈떨림 (positional nystagmus), 머리충동검사 (head impuse test) 그리고 도리질눈떨림 (head-shaing nystagmus) 을 분석했다. 22명의 환자에서 치료 전에 양온도눈떨림검사 (bitheraml caloric test)를 하였고 치료 후에 추적검사는 8명의 환자에서 했다. 11명의 환자에서 주관적시수직 (subjective visual vertical)을 검사하였다. 결과 18명의 여자 환자 (60.0%)와 12명의 남자 환자 (40.0%)가 포함되었고 이들의 평균나이는 64.4±11.1세였다. 누울 때 나타나는 수평눈떨림 (lying-down nystagmus)은 26명의 환자에서 나타났는데, (86.7%)이 중 23명이 병변과 같은 방향으로 눈떨림이 있었다. (88.4%) 도리질 후에 나타나는 수평눈떨림 (head shaking nystagmus)은 18명의 환자에서 있었는데 (60.0%) 이들 모두 병변의 반대 방향으로 있었다. 치료 전 온도눈떨림검사 이상 (반고리관마비지수 (CP) >30%)은 31.8%(22명 중 7명)에서 있었고 치료 후에 검사한 환자들은 모두 그 이상이 정상으로 돌아왔다. 온도눈떨림검사에서 반고리관마비가 있는 쪽은 85.7%에서 병변 쪽이었다. 결론 이번 연구에서 Apo-LC-BPV 환자에서의 도리질눈떨림은 모두 병변 반대 방향이었고 반고리관마비는 대부분 병변과 같은 방향이었다. 이러한 도리질눈떨림과 온도눈떨림검사 이상은 유리이석 (otolithic debris)에 의해 내림프액의 대류에 물리적인 장애가 생겼을 것으로 추정된다. 도리질눈떨림은 Apo-LC-BPV에서 병변의 방향을 결정하는 데 도움을 줄 것으로 보인다. Background: Lateral canal benign positional vertigo (LC-BPV) is characterized by direction-changing nystagmus beating to the lowermost (geotropic) or uppermost ear (apogeotropic) induced by head turning while the patient is lying down. There have been few studies evaluating the audiovestibular function in LC-BPV. This study was focused on the reversibility of caloric weakness in apogeotropic LC-BPV and concerned about the related clinical and the vestibular function test findings. Methods: Consecutive thirty patients with apogeotropic LC-BPV were recruited from February to October 2008. The diagnosis was based on the typical nystagmus concurrent with vertigo elicited by positioning maneuvers. The demographic features, symptom duration, spontaneous nystagmus, positional nystagmus, results of head thrusting and head shaking, and nystagmus induced by lying down were analyzed. Twenty two patients also underwent bithermal caloric tests before treatment and the follow-up test was done after treatment in 8 patients. Eleven patients also had testing of the subjective visual vertical. Results: The patients included 18 (60.0%) women and 12 (40.0%) men. Mean age of the patients was 64.4±11.1. Lateral nystagmus was induced by lying down from sitting to supine position in 26 patients (86.7%), which was ipsilesional in 23 (88.4%). The lateral nystagmus after head shaking was present in 18 patients (60.0%) and was contralesional in all the patient. The caloric weakness (CP>30%) was present in 7 patients (31.8%, 7/22) before treatment and became normalized in every patients after treatment. The caloric paresis was ipsilesional in 6 patients (85.7%, 6/7). Conclusion: In apogeotropic LC-BPV, the direction of head-shaking nystagmus was uniformly contralesional and the caloric paresis was mostly ipsilesional. The head shaking nystagmus and caloric paresis observed in our patients with apogeotropic LC-BPV may be explained by mechanical interference of the endolymphatic flow by the otolithic debris. Head-shaking nystagmus may have lateralizing value in apogeotropic LC-BPV.

소비자 기술준비도가 프로슈머 태도와 온라인 구전 의도에 미치는 영향

송현석 한양대학교 대학원 2010 국내석사

The growth of technology is important to the market environments. Especially, the growth of IT and a development of a long range communication brought a dramatic change into the world. Consumers' needs which are based on the information technology, become various, and consumers' competitive environments become heated among a global economy. However, most producers have difficulties to satisfy every consumer. Therefore, the consumers began to cooperate with the producers in order to satisfy themselves. And it is called prosumer. Although we call it prosumer, every consumer doesn't adopt a same attitude which is prosumer. If the consumers are more innovative and precede, they play an important role on the prosumer's attitude. The speed of the adoption of innovations depends on various kinds of characteristics of consumers. The most important element is the growth of technology, but the technology is shown to consumers in both positive and negative way since it is paradoxical. Based on a paradox of the technology, Technology Readiness Index is formed by how much consumers agree to accept a new technology. In Technology Readiness Index, there are two kids of variables: a driver as optimism and innovativeness and a inhibitor as discomfort and insecurity. A driver will lead to the positive side on the technology, and a inhibitor will lead to the negative side. The prosumer's attitude can be measured by the belief of how much consumer agree to accept a new technology. Also electronic Word-of-Mouth can be mentioned as a factor which is influenced by the prosumer's attitude. The results are as follows. First of all, as a driver in Technology Readiness Index, optimism and innovativeness have a significant effect on making the prosumer's attitude. However, as a inhibitor in Technology Readiness Index, a discomfort and insecurity does not have significant effects of making the prosumer's attitude. Secondly, the variables of prosumer's attitude have significant effects on electronic Word-of-Mouth, Individuation, Do-It-Yourself and Participation function as drivers on electronic Word-of-Mouth, while Self-efficacy functions as an inhibitor on electronic Word-of-Mouth. In conclusion, Technology Readiness Index can be effective on the prosumer's attitude, and the prosumer's attitude can be effective on electronic Word-of-Mouth. Also, what changes the prosumer is not inhibitors in Technology Readiness Index but drivers in Technology Readiness.

EDF 기대손실에 기초한 로버스트 공정능력 지수에 대한 연구

송현석 崇實大學校 2002 국내석사

주의력 결핍 과잉 행동장애(ADHD)중학생의 중요 타인 인식에 관한 연구

송현석 여수대학교 2003 국내석사

본 연구에서는 ADHD중학생이 인식하는 중요 타인, 중요 타인과의 관계 그리고 중요 타인과의 관계유지 전략을 알아보았다. 그 주요 내용을 살펴보면 첫째, ADHD중학생이 인식하는 중요 타인 중 부모는 성별, 학년에 관계없이 인간 관계 및 사회 관계 형성에 중요한 영향을 미치는 것을 알 수 있으며, 경찰관에 대해서는 여학생이 긍정적인 시각으로 남학생이 부정적인 시각으로 나타났다. 또한 친구에 대한 인식은 성별, 학년에 관계없이 인간 관계 및 사회 관계 형성에 매우 중요한 영향을 미치는 것으로 나타났으며, 선생님에 대해서는 남·여학생 모두 긍정적 반응(58.4%)이 다소 높으나, 부정적 반응(41.6%)도 많아 인간 관계 및 사회관계 형성에 매우 중요한 영향을 미치는 존재임을 알 수 있다. 위의 분석 결과를 종합해 보면 ADHD중학생이 인식하는 중요 타인의 긍정적(솔직하다, 친절하다, 인정이 있다) 순위는 친구(82.6%), 부모(70.1%), 선생님 (58.3%), 경찰관(58.3%) 순으로 나타났고, 부정적 (무섭다, 욕심이 많다, 이기적이다) 순위는 경찰관(41.7%), 선생님(41.7%), 부모(29.9%), 친구(17.4%) 순으로 나타나 친구가 가장 중요한 타인으로, 경찰관과 선생님이 부정적인 중요 타인으로 밝혀졌다. 그러므로 ADHD중학생이 겪게 되는 어려움을 해소하기 위해서는 친구 관계를 잘 맺도록 해야 되며, 선생님과 경찰관이 부정적인 중요 타인으로 인식되어 선생님이 ADHD중학생에게 원만한 인간관계를 형성할 수 있도록 많은 도움을 주어야 할 교육적 과제가 있음을 시사하였다. 둘째, ADHD중학생이 인식하는 중요 타인과의 관계 조사에서 성별, 학년에 관계없이 친구가 도움이 필요하면 도와주고, 친하게 지내고 싶으며 내가 어려울 때 친구에게 도움을 청하겠다고 나타나는 것으로 보아 말보다는 행동으로, 간접적인 방법보다는 직접적인 방법으로 중요 타인과 관계를 유지하고 싶어하는 것을 알 수 있었다. 셋째, ADHD중학생이 인식하는 중요 타인과의 관계유지 전략 조사 결과 성별, 학년에 관계없이 중요 타인과 약속된 일에는 반드시 참여하고, 도움을 요청하면 신속히 도와준다는 것으로 보아 ADHD중학생이 중요 타인과 관계를 유지하는 전략이 매우 적극적임을 알 수 있다. 따라서 ADHD중학생이 ADHD를 극복하고 원만한 사회 생활을 영위할 수 있도록, 본 연구 결과를 통해 나타난 문제점 파악을 위해 다양한 프로그램을 제시할 수 있어야 할 것이다. On this thesis, the important others to middle school students with ADHD, the relationship between them, and the strategies for maintaining the relationship were studied. First, we can find that parents among the important others to middle students with ADHD have crucial effect on the forming of human and social relationship regardless of students' gender and grade, and about policemen, female students have a positive view, while male students have a negative view. It is also shown that friends have very crucial effect on the forming of personal and social relationship regardless of students' gender and grade, and so do teachers because positive responses (58.4%) are somewhat high, while negative responses(41.6%) are also high for the teachers to both male and female students. To synthesize the results from the above analysis, positive order(to be honest, kind, and humane) of the important others to middle students with ADHD is ranked as follows friends(82.6%), parents(70.1%), teachers (58.3%), pohcemen(58.3%), and negative order(to be frightening, greedy, and selfish) as follows policemen (41.7%), teachers (41.7%), parents(29.9%), friends(17.4%). From this result it is revealed that friends are the most positive important others but teachers and policemen are negative ones. Thus, it is suggested that it is necessary to have them make good friends with others to solve the difficulties which the students with ADHD may have, and since teachers and policemen are recognized as negative important others, there is an educational task that teachers should help the students with ADHD form amicable human relationships. Second, from the survey on the relationship between the students with ADHD and the important others, we can see that they want to maintain the relationship with them by deeds rather than by words, and by direct ways rather than by indirect ways, saying, regardless of their gender and grade, that they will help their friends in need and want to be friends with them, and when they need help, they will ask their friends for help. Third, from the survey on the strategies for maintaining the relationship, we can find that their strategies are very active, judging from the fact that they say they will always attend the promise with the important others and when asked, they will promptly help them. Accordingly, various programs should be able to be offered to catch hold of the problems revealed through the result of this study and to let the students with ADHD overcome ADHD and live amicable social life.

국어 양화부사 '거의'에 대하여

송현석 서울대학교 대학원 1998 국내석사

의료용 방사선발생장치의 X선관 설치 방향에 따른 영상 형성에 관한 연구

송현석 한서대학교 일반대학원 2023 국내석사

Accurate diagnosis methods using radiographic examinations are increasing in the medical field due to interest in health and increase in life expectancy, rather than methods relying on experience and palpation. The installation of radiation generators increased by about 14% over 3 years, and chest radiographs, which are basically performed for diseases such as physical examination and tuberculosis, increased by about 10% over 4 years. On the other hand, although the safety management of radiation generators for diagnosis is carried out according to the Ordinance of the Ministry of Health and Welfare, there is no management regulation on whether they are correctly installed and used. If it is not installed correctly, errors in medical images may occur due to inaccurate radiation dose. Therefore, it is necessary to study the current state of X-ray tube installation of radiation generators and images according to changes in the direction of the X-ray tube. This study is to find out whether general characteristics (gender, age, type of hospital, career, type of work) of subjects recognize the inclination effect during examination and the degree of awareness of the direction of X-ray tube installation of fixed and mobile radiation generators in medical institutions. saw. In addition, image formation and dose were analyzed when the X-ray tube installation direction was changed. As a result of the study, it was found that there was no statistically significant difference in recognition and inspection of the inclination angle effect (p>0.05). It turned out that the X-ray tube installation direction of the radiation generator was recognized as the wrong installation direction rather than the correctly installed picture. As a result of comparing the images according to the direction of the X-ray tube, the SNR and PSNR decreased, and the RMSE and MAE increased based on the forward direction of the fixed radiation generator. The mobile radiation generator increased SNR and PSNR in the right (anode)-left (cathode) direction, but decreased RMSE and MAE, but it was statistically significant (p<0.001). The difference in dose showed the largest difference in T1-T2(1) and L1(4) for both fixed and mobile radiation generators as the direction of the X-ray tube was changed. In this study, radiologists were aware of the inclination angle effect, but in many cases, they recognized it as the direction in which the radiation generator was installed incorrectly, and the image and dose showed a difference as the direction of the X-ray tube changed. Therefore, it is considered that accurate image inspection can be performed if the X-ray tube is installed in the correct direction when installing the radiation generator. 건강에 대한 관심 및 기대수명의 증가 등으로 의료영역에서는 경험과 촉진에 의존하는 방법보다는 방사선검사를 이용한 정확한 진단법이 증가하고 있다. 방사선발생장치의 설치는 3년간 약 14% 증가하였으며, 신체검사와 결핵 등의 질환에서 기본적으로 시행되는 흉부 방사선검사는 4년간 약 10% 증가하였다. 한편, 진단용방사선발생장치는 보건복지부령으로 안전관리는 실시되고 있지만 정확히 설치되어 사용되고 있는지의 관리 규정은 없는 실정이다. 정확하게 설치되지 않으면 부정확한 방사선량으로 인하여 의료영상의 오류가 발생할 수 있다. 따라서 방사선발생장치 X선관 설치 현황과 X선관 방향의 변화에 따른 영상에 관한 연구가 필요하다. 본 연구는 대상자의 일반적 특성(성별, 연령, 병원 종별, 경력, 근무 형태)이 검사를 할 때 경사각 효과에 대해 인식하는지와 의료기관의 고정형 및 이동형 방사선발생장치의 X선관 설치 방향에 대한 인식도를 알아보았다. 또한 X선관 설치 방향이 변화하였을 때의 영상 형성과 선량을 분석하였다. 연구 결과는 경사각 효과에 대해 인식도와 경사각 효과를 인식하고 검사하는지에 대해서는 통계적으로 유의하지 않은 것으로 나타났다(p>0.05). 방사선발생장치의 X선관 설치 방향은 정확하게 설치된 그림보다 잘못된 설치 방향으로 인식하고 있음으로 나타났다. X선관 방향에 따른 영상을 비교한 결과에서는 고정형 방사선발생장치의 정방향을 기준으로 SNR과 PSNR이 감소하였으며, RMSE와 MAE는 증가하였다. 이동형 방사선발생장치는 우(양극)-좌(음극) 방향에서 SNR과 PSNR은 증가하였으나 RMSE와 MAE는 감소하였으나 통계적으로 유의하였다(p<0.001). 선량의 차이는 X선관의 방향이 변화함에 고정형과 이동형 방사선발생장치 모두 T1-T2(1)과 L1(4)에서 가장 큰 차이를 보였다. 본 연구에 방사선사는 경사각 효과에 대해 인식하고 있으나 방사선발생장치가 잘못 설치된 방향으로 인식한 경우가 많았고, 영상과 선량은 X선관의 방향이 변화함에 따라 차이가 나타났다. 그러므로 방사선발생장치를 설치할 때 정확한 방향으로 X선관을 설치한다면 정확한 영상 검사를 할 수 있으리라 사료 된다.

열린수업 방식과 전통수업방식에 의한 초등학교 아동의 창의성과 학습태도 비교·분석

송현석 경성대학교 교육대학원 1996 국내석사

The purpose of this study is to search for the methods of expanding the chances of open education by comparing and analyzing the creativity and the learning attitude between open classrooms, which have been supported as an expedient of education reform and traditional classrooms, which are regarded as opposite classrooms. Following problems were set up to achieve the purpose in this study. 1. What is the difference of the creativity between open classroom students and traditional classroom students ? 2. What is the difference of the learning attitude between open classroom students and traditional classroom students ? 3. What is the difference of the creativity and the learning attitude with sex distinction ? The subject of study was one hundred and seven fourth grade students of 'N'elementary school in Pusan, which had performed the open education since 1992, and one hundred and nineteen fourth grade students including thirty-eight of 'D'elementary school and eighty-one of 'J'elementary school as comparative schools. The instruments used were Standardized Creativity Test for Elementary School Students by Lee, Yong-dok and Chong, Won-seek, and Learning Attitude Test which was made by Park, Kyong-suk and Kim, Hye-son, and then amended by Park, Byong-nyang. The data were delt with t-test after calculating the means and the standard deviations by subordinate items to solve the three study problems. The results are summarized as follows: First, as the result of analyzing the difference of the creativity between open classroom students and traditional classroom students, it turned out to be meaningful between two groups. Especially the subordinate items, openness, fluency, flexibility and originality had meaningful differences statistically. It told that the students of open classrooms were more creative. Second, in the comparison of the difference of the learning attitude between open classroom students and traditional classroom students, there didn't come out a meaningful difference between two groups according to the statistics. But the students of open classrooms generally had better scores in the attitudes. Third, the result of analyzing the difference of the creativity between open classroom boy students and traditional classroom boy students showed that there was a meaningful difference between two groups. That is, the open classroom boy students were more creative then the traditional boy students. Fourth, according to the analysis of the creativity between open classroom girl students and traditional classroom girl students, the difference of the creativity was meaningful with the level of p<.001 between two groups. In other words, the students of open classrooms took the lead of those of traditional classrooms. But as for flexibility, there was not a meaningful difference between two groups statistically. Fifth, as the result of analyzing the difference of the creativity between boy students and girl students within the open classrooms, there was not a meaningful difference statistically. But, on the other hand, the girl students were more original with the level of p<.05. Lastly, as for the learning attitude between boy students and girl students within the open classrooms, the statistics didn't show any meaningful difference. But in the subordinate item of the attitude toward study, the girl students went ahead of the other group with the meaningful level of p<.01.

마찰부의 표면 개질법을 적용한 기관의 성능 평가

송현석 국민대학교 산업기술대학원 2011 국내석사

전 세계적으로 자동차의 수요가 지속적으로 증가함에 따라서 발생되는 대기오염의 심각성이 부각되고 있는 실정이다. 특히 자동차에서 배출되는 이산화탄소(CO2)의 증가로 인한 지구 온난화 현상이 뚜렷이 나타나고 있다. 또한 고갈되어 가는 화석연료에 대한 관심도 높아짐에 따라 대체할 수 있는 에너지도 꾸준히 증가하고 있으며, 자동차의 증가는 CO2 배출량 증가와 온실효과의 가속화를 초래할 것으로 예상된다. 이에 따라 최근 유럽, 미국 등의 선진국에서는 자동차에서 배출되는 CO2를 저감하기 위한 직접적인 규제 수단을 채택하고 있다. 연료의 연소에 의해 배출되는 CO2는 연료소비율에 매우 밀접한 관련이 있으므로 차량의 연비를 향상시킴과 동시에 연소효율을 높이는 것으로 CO2 배출을 저감할 수 있다. 자동차에서 연비를 향상시켜 CO2를 저감하는 방법으로 기관효율 향상, 동력전달 효율 향상, 경량화, 대체 에너지의 이용이 있으며 현재 자동차 제작사에서는 이러한 기술들의 개발을 통해 연비를 향상 시키고 CO2 규제에 대응하기 위해 노력하고 있다. 이에 본 연구에서는 국내 운행 중인 가솔린 기관을 사용하는 차량을 선정하여 엔진을 이루는 주요 부품인 피스톤 링, 피스톤 핀 및 Tappet에 DLC 코팅을 적용하고, 기관 동력계를 이용하여 성능 및 배출 가스를 비교하였다. 국내 운행 중인 실제 기관에 DLC 코팅된 피스톤 링, 피스톤 핀 및 Tappet의 마찰성능 실험을 진행함으로서 가솔린 기관의 배출가스 저감 및 연비향상에서의 기초자료로 제시하고자 한다.

Acetaminophen 代謝過程에 미치는 phenobarbital의 影響

송현석 慶星大學校 大學院 1990 국내석사

Acetaminophen is widely used as an analgesic and antipyretic in clinical field. The major metabolites of this drug is conjugated by glucuronide and sulfate at usaul dose. whenas, large dose of acetaminophen is transformed by cytochrome P-450 into a reactive metabolite which may either bind to hepatic glutathione and inactivated or may bind to hepatic macromolecules; the latter binding may be involved in acetaminophen hepatotoxicity. In the present work, the purpose was to study the effect of phenobarbital (90mg/kg i.p.) pretreatment on morphological and functional changes after acetaminophen (400mg/kg per. os. ) administration in rats. To evaluate the effect of phenobarbital administration on the metabolism of acetaminophen. young male rats were fasted 24hr before decapitation and were given acetaminophen. in the other group, rats were given phenobarbital and acetaminophen concomitantly. Pretreatment with phenobarbital significantly increased the activities of aniline hydroxylase, aminopyrine N-demethylase, UDP-glucuronyl transferase, sulfotransferase, glutathione S-transferase, cytochroae P-450 (especially 51.2 kd, 53 kd) and serum transaminase as compared with acetaminophen-treated group, and elevated the content of liver lipid peroxide, the motality, and the hepatic necrosis by histopathology, too. On the other hand, the orall administration of acetaminophen did not different as compared with control in most above observation. Both phenobarbital and acetaminophen increased the concentration of acetaminophen within the ranges of blood and bile juice as compared with acetaminophen-treated group but decreased within the range of urine Consequently, these results suggest that the administration of acetaminophen and phenobarbital could increase the hepatotoxicity by acetaminophen.

한국사람의 앞가쪽넙다리유리피판술에서의 관통동맥과 피판줄기에 대한 국소 해부

송현석 아주대학교 대학원 2008 국내석사

The anterolateral thigh free flap has many advantages over other conventional free flaps. In particular, its moderate thickness and large cutaneous area allow aesthetic and functional refinement. Despite these advantages, the anterolateral thigh free flap needs considerable long learning periods because perforating arteries exhibit a wide range of anatomic variations and are difficult to dissect when small. The aims of this study is to identify the vascular variability of perforators and pedicle in the anterolateral thigh free flap in Korean. We studied 12 cadavers and could dissect 23 thighs. An anterolateral thigh flap( 12x 12cm) was designed and centered at the midpoint of a line drawn from anterior superior iliac spine to the superolateral border of the patella We began the dissection at the medial border of the flap in the suprafascial or subfascial plane. After the identification of the perforators the flap was elevated and dissected up to their origin from lateral circumflex femoral artery along descending branch of lateral circumflex femoral artery. We then investigated the number, position and diameter of perforating arteries, length and diameter of vascular pedicle and pattern of lateral circumflex femoral arterial system. On average 2.3 perforating areteries per thigh were identified. The musculocutaneous perforators were 64% and septocutaneous perforators were 36%. In those perforators five perforators were arose from transverse branch of lateral circumflex femoral artery and two perforators were arose from rectus femoral artery. Most perforators were near the intermuscular septum between rectus femoris muscleand vastus lateralis muscle. The length and diameter of pedicle was 11.9cm and 3.1mm on average. In 14 of the thighs, the descending branch of lateral circumflex artery branched into a medial and a lateral branch. This study was to describe the regional anatomy of perforating artery and pedicle used in anterolateral thigh free flap. This study will be helpful for the success in anterolateral thigh free flap. 목적:1984년 처음 보고된 앞가쪽넙다리유리피판술은 다른 피판술에 비하여 얇 으면서 충분한 면적의 피판을 얻을 수 있으며 신경을 포함시킬 수 있어 두경부 및 하지 재건술에 많이 이용되고 있다.앞가쪽넙다리유리피판술은 근육피부관통 동맥이 주된 관통동맥이며 피판줄기 및 관통동맥의 다양성 때문에 피판의 박리 가 어려워 사용이 제한적이다.이 연구의 목적은 한국인에게 있어서 앞가쪽넙다 리유리피판술에 쓰이는 관통동맥 및 피판줄기를 해부함으로써 앞가쪽넙다리유리 피판술의 안정성을 높이는데 도움을 주는 것이다. 재료 및 방법:한국 성인 시신 12구 중 전체 23쪽의 넙적다리를 해부하였다.골 반의 위앞엉덩뼈가시에서 무릎뼈위가쪽을 잇는 선을 긋고 중간 지점으로부터 반 경 6cm의 피판을 작도하고 해부하였다.해부는 가쪽넙다리휘돌이동맥의 내림가 지가 가쪽넙다리휘돌이동맥과 만나는 부위까지 시행하였으며 관통동맥의 위치, 길이 및 직경,피판줄기의 그것을 계측하고 가쪽넙다리휘돌이동맥의 분지양상을 도식화하였다. 결과:넙적다리한쪽당 평균 2.3개의 관통동맥을 확인할 수 있었으며 이 중 64% 가 근육피부관통동맥이었으며 36%가 사이막피부관통동맥이었다.총 53개의 관통 동맥들 중 46개는 가쪽넙다리휘돌이 동맥의 내림가지에서 5개는 가쪽넙다리휘돌 이동맥의 가로가지에서 나왔으며 2개는 넙다리곧은근동맥에서 유래하였다.대부 분의 관통동맥은 근육사이막 기준으로 내측과 외측으로 3cm 이내에 위치하였으 며 피판줄기의 평균 직경 및 길이는 각각 3.1mm와 11.9cm 이었다.14쪽의 넙적 다리에서는 가쪽넙다리휘돌이동맥의 내림가지가 안쪽분지와 가쪽분지로 갈라졌 다. 결론:이 연구에서 앞가쪽넙다리유리피판술에서 쓰이는 관통동맥 및 피판줄기에 대하여 알 수 있었다.이 연구는 성공적인 앞가쪽넙다리유리피판술을 시행하는데 도움을 줄 것이다.