고환 파열의 초음파 검사

오연희 대한외상학회 1996 大韓外傷學會誌 Vol.9 No.2

Purpose: To determine the accuracy of ultrasonographic evaluation for the diagnosis of testicular rupture due to blunt scrotal trauma. Materials and Methods: Twenty operat.ed cases of blunt scrotal trauma were reviewed. Seventeen cases were evaluated by ultrasonography and twenty cases were evaluated by clinical examination, preoperatively. Ultrasonographic findings of testicular rupture included direct and indirect findings. Direct fidindings focused on the discontinu- ation of tunica albuginea, fracture line, and testicular protrusion. Indirect findings focused on the irregular contour, inhomogenous echo, enlarged testis, hematocele, and intratesticular hematoma. Results: Direct ultrasonographic findings were discontinuation of tunica albuginea in 6 cases, fracture line in 3 cases, and testicular protrusion in 4 cases. Indirect findings were irregular contour in 8 cases, inhomogenous echo in 8 cases, enlarged testis in 8 cases, intratesticular hematoma in 9 cases, and hematocele in 9 cases. The sensitivity of ultrasonography for testicular rupture was 100% with 71% of specificity and 83% of (+) predictive value. The sensitivity of clinical examination for testicular rupture was 80% with 30% of specificity and 53% of (+) predictive value. Conclusion: Ultrasonography is a valuable diagnostic method in the accurate detection of testicular rupture.

지방간이 동반된 호산구성 간농양 1예

오연희,김순 東國大學校醫學硏究所 2004 東國醫學 Vol.11 No.1

최근의 영상진단법의 발전은 각종 국소적 간병변의 방사선학적 감별과 진단에서 중요한 역할을 하고 있다. 그러나 때때로 여러 방사선학적인 검사에서 비특이적이거나 흔치 않은 소견을 보이는 병변을 만나면 정확한 진단이 어려워진다. 이러한 경우 혈중 호산구증의 존재여부가 감별진단에 도움을 주는 경우가 있다. 저자들은 중증의 지방간이 동반된 호산구성 간농양을 경험하였기에 문헌고찰과 함께 영상 소견을 보고한다. Radiologic examination plays a major role in the differential diagnosis of focal hepatic lesions due to the recent advent of various imaging modalities. However, nonspecific or unusual imaging finding of focal hepatic lesions are occasionally encountered, and this makes correct diagnosis difficult. In such a situation, the presence of peripheral eosinophilia helps narrow the differential diagnoses. We report a case of eosinophilic liver abscess with fatty liver, and review the previous literature.

고해상도 CT상 측두골의 다양한 정상 변이 : 발생빈도와 임상적 유의성 Incidence and Clinical Significance

오연희,이성우 동국대학교 경주대학 1999 東國論集 Vol.18 No.-

Purpose: We evaluated normal variation of the temporal bone on high-resolution CT and investigated their incidence and clinical significance. Materials and methods: High-resolution CT scans of the temporal bone of 74 patients were retrospectively reviewed. Six groups of variants were evaluated. These were group1 ; an incomplete bony covering of a jugular bulb, group2 ; a severe asymmetry of the jugular foramen, group3 ; an anteriorly; located sigmoid sinus, group4 ; a deep sinus tympanum. group5 ; a large internal auditory canal, group6 ; a large cochlear aqueduct, Contiguous axial secans parallel to Reid's base line were obtained. Patients with symptoms which could possibly be related to the location of variants were excluded from the group. Patients with tumors or inflammatory masses surrounding the jugular bulb, the sigmoid sinus, or sinus tympani were excluded. Patients with middle ear anomalies were also excluded. Finally patients with abnormal audiograms or congenital anomalies in the inner ear were excluded. Results: The incidences of the variations were as follows: group1; 5 cases(3.4%), group 2; 3 cases(2.0%), group3; 2 cases(1.4%), group4; 7 cases(4.7%), group5; 1 case(0.7%), group6;8cases(5.4%). A large cochlear aqueduct is the most common normal variation of temporal bone detected on high resolution CT. Other group is descending order of frequency, group4, group1, group2. Conclusion: Normal anatomical variations of the temporal bone are not rare and awareness of the possible variations in necessary before surgery on the inner ear, middle ear and posterior fossa.

후부비동에 관한 시신경의 해부학적 관계 : Ostiomeatal Unit CT상 연구 Ostiomeatal Unit(OMU)CT Anatomic Study

오연희,이성우 동국대학교 경주대학 1998 東國論集 Vol.17 No.1

PURPOSE : To delineate the relationship between the optic nerves and the posterior paranasal sinuses using CT data. MATERIALS AND METHODS : Direct coronal CT scans of 93 consecutive patients with chronic inflammatory sinus disease were reviewed two radiologist. The direct relationship between the optic nerves and the posterior ethmoid and sphenoid sinuses was recorded, as were indentations into the sinus wall, course of the nerve through the sinus region and bone dehiscence. RESULTS : A total of 186 optic nerves were evaluated in 93 patients. The relationship of the optic nerve to the posterior paranasal sinus fell into one of four discrete categories, type 1 through type 4. In most common form, type 1 nerves, course adjacent to the sphenoid sinus without indentation of the wall(153 nerves, 82%). Type 2 nerves course adjacent sphenoid sinus, causing indentation of the sinus wall (20 nerves, 16%). Type 3 nerves course through the sphenoid sinus(3 nerves, 2%). Type 4 nerves course immediately adjacent to the sphenoid sinus and posterior ethmoid air cell(0 nerves, 0%), Boone dehiscence was present in 11% of type 1 nerves, in 57% of type 2 nerves, and in 100% of type 3 nerves. CONCLUSION : The type 1 nerves were the most common form of the relation of the optic nerve to the posterior paranasal sinus and we had no case in contact with the posterior ethmoid sinus. Anatomic configurations that predispose the optic nerve to injury include type 2 or 3 optic nerves, bone dehiscence over the nerve. These configurations are common and should be routinely sought out so that devastating complications from surgery can be avoided.

흉요추 방출성 골절의 방사선학적 소견

오연희,이현경,이원재,이성우,박수성 동국대학교 경주대학 1993 東國論集 Vol.12 No.-

A retrospective review of 22 burst fractures of the thoracolumbar spine was performed to define the radiographic features found on CT and plain radiography. Characteristic components of the injury include : 1. Male to female ratio was 2.7 : 1, and the most prevalent age was 21 to 40 years. 2. Multiple level injuries were 6 cases (27.3%), and the most common cause of injury was fall down(14 cases, 63.6%). 3. The most cammon location was L1(45.5%) 4. The most common pattern of the retropulsed fragment in burst fracture was single midline fragment type(14 cases, 63.6%) and the most common type of burst fracture was classical form(10 cases, 45.5%). 5. Posterior element involvement of vertebra was seen in Ⅱ cases(50%) and the most common finding was laminar fracture in 9 cases. 6. The degree of anterior wedging above the 50% in height of vertebral body was in 4 cases (18.2%). 7. Degree of spinal canal narrowing and degree of neurological impairment is not directly correlated.

근대 충남 여성 예술인의 탄생

오연희 배재대학교 주시경교양교육연구소 2016 대학교양교육연구 Vol.2 No.2

본고는 근대 충남지역의 로컬리티를 기반으로 여성 예술인 세 사람의 삶과 예술을 살펴 보았다. 여기서 충남지역은 여성 예술인이 태어나거나 성장한 출신지만이 아니라 인생의 어느 한 순간이라도 자기 삶의 근거지로 삼아 예술활동을 펼쳤던 공간을 의미한다. 이렇 게 해서 선별된 근대 충남의 여성 문학/예술인은 영화배우 복혜숙, 화가이자 작가인 나혜 석, 작가이자 여권운동가이며 승려였던 김일엽 세 사람이다. 먼저 충남 밀령군 대천면에서 출생한 복혜숙은 한국 근대 영화계와 방송계를 대표하는 충남지역 최초의 여성 ‘연예인’이라 할 수 있다. 그리하여 그녀는 새로운 여배우 상을 보여 준 선구자로 평가받아야 마땅하다. 다음으로 충청남도 예산군에 위치한 수덕사와 수덕여관을 중심으로 나혜석과 김일엽의 삶과 예술세계에 대해 알아보았다. 한국 근대 초창기 신여성이라 불리던 일군의 지식인들 의 몸은 그 자체가 헤테로토피아적 공간이었다. 과거와 현재와 미래의 시간이 봉인된 몸, 그 몸은 폭력적인 현실을 피해 숨어들 틈새 공간이 필요했고, 그곳이 곧 현실 속의 헤테로 토피아적 공간으로 기능한 충남 예산의 유서 깊은 사찰 수덕사였다. 수덕사와 수덕여관은 여성화가이자 작가인 나혜석과 대표적인 모던 걸 김일엽에게 있어서 예술가의 영혼이 깃든 공간이라 할 수 있다. 이 공간은 남성 중심의 세계에서 자신들의 입지를 만들고 싶었던 그 녀들이 마지막으로 쫓겨 들어온 곳으로, 근대적이지도 전근대적이지도 않은 공간이며, 서 로 다른 이질적인 것들이 공존할 수 있는 공간이었다. 따라서 수덕사와 수덕여관은 1세대 여성 예술인인 나혜석과 김일엽에게 헤테로토피아적 공간으로 기능한다. This article examines the life and art of three female artists based on the locality of modern Chungnam area. In Chungcheongnam-do, this means not only a female artist born or grown up but also a space where he made artistic activities based on his own life at any moment in his life. The female literature / artist of modern Chungnam that was selected in this way is three actresses such as movie actor Bok Hye-sook, painter and writer Na Hye-suk, writer, feminist activist and monk Kim Il-yeop. Born in Daecheon-myeon, Millyeong-gun, Chungnam Province, she is the first woman in Chungnam to represent Korea's modern film and broadcasting industries. Therefore, she should be regarded as a pioneer who showed the image of a new actress. Next, this article studied about the life and art world of Na Hye-seok and Kim Il-yeop, focusing on Sudeogsa and Sudeog Inn located in Chungcheongnam-do. The body of a group of intellectuals, called the early modern Korean early novels, was itself a heterotopia space. The past, present and future time sealed body, the body needed to hide from the violent reality, and it was a historical temple of Chungnam budget that functioned as a heterotopia space in reality. Sudeogsa and Sudeog Inn are space where the soul of an artist lies in Nae Hye-seok, a feminine writer, and Kim Il-yeop, a representative modern girl. This space was the last place where they wanted to make their place in a male-centered world, a space that was neither modern nor pre-modern, and was a space where different and disparate things could co-exist. Therefore, Sudeogsa and Sudeog Inn are functioning as a heterotopia space for the first generation female artists Na Hye-seok and Kim Il-yeop.

복막가점액종 3례의 CT 및 US 소견

오연희,이현경,이원재,이성우,박수성,윤혜원,심재철 동국대학교 경주대학 1992 東國論集 Vol.11 No.-

Pseudomyxoma peritonei is a clinical entity in which the peritoneal surfaces and omentum are involved to a variable degree with gelatinous, mucinous implants, and gelatinous ascites, which is often massive. CT and US findings in three cases of Pseudomyxoma peritonei were presented. (1) The primary tumors of three patients are mucinous cystadenoma 1, mucinous cystadenocarcinoma 2 in ovaries. (2) CT demonstrated extensive ascites some high HU(20∼40HU), multiseptated cystic mass with partly calcifications, and centrally located and posterior fixation of the bowel loops. (3) US revealed septated, dirty ascites, echogenic mass with numerous tiny cysts. In all cases, CT and US features were able to suggest the correct preoperative diagnosis, the extent of the diseases and primary sites.

수포성 갑개 : 만성 부비동염 123예에서 Ostiomeatal Unit(OMU)CT상 빈도수와 부비동 질환과의 상관 관게 Frequency and Appearance on OMU CT and Correlations with Sinus Disease in 123 patients with chronic Sinusitis

오연희,이성우 동국대학교 경주대학 1998 東國論集 Vol.17 No.1

Purpose: To determine the prevalence of concha bullosa in patients with chronic sinusitis, to assess the origin of the pneumatisation(from the anterior or posterior ethmoid cells), and to evaluate the significance of the concha bullosa in the genesis of inflammatory sinus disease. Materials and methods: We reviewed the OMU CT studies of 123 patients with chronic sinusitis, assigning four grades of pneumatisation; no, little, moderate, extensive. Results: Unilateral or bilateral concha bullosa was found in 51 patients(41%). In 76% of cases, it was pneumatised via the posterior ethmoid cells and in 24% via the anterior. A small concha bullosa was associated with abnormalities of the maxillary sinus, ethmoid cells and ostiomeatal unit respectively in 59%, 29%, and 41% of cases, whereas with a large concha bullosa the association was 50%, 30%, and 30% respectively on the ipsilateral side and also 50%, 10%, and 20% on the contralateral side. Conclusion: The presence of concha bullosa with variable size didn't correlate with sinus diseases in 123 patients with chronic sinusitis. And so usually accepted hypothesis that concha bullosa may contribute to the pathogenesis of inflammatory sinus disease seems doubtful.

난소 및 난소 종양 염전의 초음파 소견

오연희,이현경,이원재,이성우,박수성,윤혜원,임문환,심재철,김용탁,김성숙,김정란 동국대학교 경주대학 1993 東國論集 Vol.12 No.-

Acute torsion of the ovary and ovarian mass is a recognized surgical emergency, but rarely has the diagnosis been made preoperatively on the basis of imaging studies. The sonographic findings in 14 cases of surgically proven torsion of the ovary and ovarian mass are described. Mostly cystic ovarian mass, engorged vessel, dilated uterine tube, beak-like echo(torsion site), smooth mass wall thickening an free-fluid collection in cul-de-sac are described. More significant in terms of specificity were the demonstration in 6 cases(42.9%) of the smooth mass wall thickening and in 8 cases(57.1%) of a free fluid in the cul-de-sac. We report the sonographic findings of ovary and ovarian mass torsion that may suggest the preoperative diagnosis of this condition.

비후성 유문협착증의 초음파 진단

오연희 대한영상의학회 1991 대한영상의학회지 Vol.27 No.4

Idiopathic hypertrophic pyloric stenosis(IHPS) is one of the most common causes of persistent nonbilous vomiting in early infancy. The authors retrospectively studied 123 patients with nonbilous vomiting and analyzed the ultrasonographic findings of 51 cases of surgically proven IHPS. No false negative or false positive cases by ultrasonography were confirmed by follow-up clinical observation. US was performed with real-time scanners equipped with a 5MHz transducer(Acuson 128) and a 10MHz transducer(Spectra, Diasonic). All symptomatic infants were first screened in a supine position to determine the amount of gastiric retention. The pylorus, if necessary, the infants were fed E-solution(60-100cc) and then examined. The average sonographic measurements of pyloric muscle thickness(MT), pyloric diameter(PD), and pyloric canal length(PL) were 5.46mm(range 3.6-7.9mm), 15.4mm(range 12.0-18.3mm), and 22.58mm(range 18.0-29.9mm). The ratio of pyloric muscle thickness to the pylorus(MT/PD) was 0.36(range 0.22-0.55). With these measurements, the authors considered the hypertrophic pyloric muscle and the elongated pylorus as a cylinder, and so the pyloric volume was calculated. The pyloric volume(PV), which was equated to 1/4 PD2x PL, was 4.24mL(range 2.62-6.36mL). It was concluded that high-resolution, real-time sonography is a simple and accurate method for the diagnosis of IHPS and should be the initial imaging modality.