백서에서 뇌실질내 혈종이 대뇌 피질 혈류량과 조직 허혈 손상에 미치는 영향

송준혁 대한신경외과학회 1997 Journal of Korean neurosurgical society Vol.26 No.8

골반경수술 146예에 대한 임상적 고찰

나준희,김용만,남주현,김영탁,김종혁,목정은 울산대학교 의과대학 1995 울산의대학술지 Vol.4 No.2

Pelviscopic surgery has been reported to have minimal tissue damage and bleeding, and to reduce cost and recovery time for patients undergoing a variety of procedures. The field of gynecologic operations that can be performed by pelviscopic procedures has expanded rapidly. This report is a retrospective review of 146 cases of pelviscopic surgery from January, 1991 to February 1996 to evaluate the efficacy of pelviscopic surgery in gynecologic patients. The results of this review were summarized as follows; 1. The majority of patients was between 21 and 40 years of age(84.2%), mean age was 33.1 years. 2. Preoperative clinical indications were adnexal mass 77 cases(52.7%), ectopic pregnancy 48 cases(33.9%), uterine myoma 9 cases(6.2%), and etc. 3. Types of surgery were salpingectomy 43 cases(29.5%), salpingoophorectomy 41cases(28.1%), LAVH 9 cases(6.2%) and etc. 4. The previous operation history was found in 34 cases(23.3%), and the type of previous operation were Cesarean section 11 cases(32.4%), appendectomy 10 cases(29.4%), and there were 5 cases of previous history of ectopic pregnancy. 5. The mean duration of hospitalization was 5.8 days.

요추 추간판 탈출증에서 황색 인대 보존 현미경 수술법의 임상 분석

송준혁 梨花女子大學校 醫科大學 醫科學硏究所 2000 EMJ (Ewha medical journal) Vol.23 No.2

Objectives : The microdiskectomy was developed out of attempts to refine the classical lumbar laminectomy and diskectomy. The ligament-sparing microdiskectomy, a more refined technique, was developed by the author. For this study a series of patients, operated by the present author, were reviewed. Methods : Consecutive patients admitted to Ewha Mokdong hospital between August 1997 and June 2000 who were to undergo virgin, unilateral single-level lumbar ligament-sparing microdiskectomy undergoing unilateral single-level microdiskectomies were included. The technique of the ligament-sparing diskectomy was described in detail. Results : A total of 83 patients were operated on(M : F/63 : 21), with an average age of 37.2 years. Successful outcome was achieved in 78 patients(93.9%). Surgical complications included one wound infection and one reoperation for residual disk herniation. Conclusion : The author believe that this technique is safe, can provide acceptable clinical outcome, and has an additional advantage of preserving the epidural fat.

소뇌교각에 발생한 교모세포종 1례 : 증례보고 Case Report

송준혁,임동준,정용구,이기찬,이훈갑 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.12

Glioblastomas rarely occur in the posterior fossa. The authors present clinical and pathological findings in a 59-year-old female patient with a glioblastoma growing primarily in the cerebello-pontine angle. The patient presented with a 1-month history of diplopia. Neurological examination revealed right-sided trigeminal and abducens nerve paresis. Cerebral magnetic resonance imaging showed a well-enhancing mass at cerebello-pontine angle. Following near total removal via petrosal approach, the pathological examination revealed a glioblastoma. To the authors knowledge, this represents the first case of glioblastoma arising at cerebello-pontine angle probably originating from the most proximal part of abducens nerve.

익상견갑에 대한 전거근 운동 : 증례 보고 1 Case Study

장준혁,구봉오,김선엽 대한정형물리치료학회 2003 대한정형도수물리치료학회지 Vol.9 No.2

Objective: The purpose of this study is to describe the effect of the serratus anterior muscle exercise in a patient with winging of the scapular. Background and Purpose: The patient was a 33-year-old man with an 3 years history of the left deltoid region. He had not responded to previous treatments of rest, TENS and medicine. Materials and Methods: After Surgical operation of the shoulder, the patient was treated for 6 months in 144 visits. treatment consisted of push-up with plus in the standing position with his hands against the wall and unique push-up with quadruped position at mat. Also, Sling exercise therapy was utilized to control scapular stabilization and reduce stress on the scapulohumeral joint. Result: Following 104 physical therapy visits, the patient was able to full range of motion of the shoulder without shrug motion Conclusion and Discussion : Scapular winging and serratus anterior muscle function are important consider in the rehabilitation of the shoulder dysfunction. Therefore, specific exercise program for people with the winging scapular should be considered.

전립선암과 전립선비대증 환자에서 혈청 유리 및 총전립선특이항원 측정의 의의

서혁준,박형민,권태균,정성광,김법완,이재태 경북대학교 의학연구소 2000 경북대학교병원의학연구소논문집 Vol.4 No.1

Purpose: This study was peformed to investigate whether the free to total PSA ratio(F/T PSA ratio) offers a better discriminant for the detection of patient with prostatic cancer(CaP) and those with benign prostatic hyperplasia(BPH) than serum total PSA alone. Materials and Methods: From September 1996 to February 1999, free and total PSA levels were measured on frozen sera samples of 154 men with BPH and 46 with CaP using immunoradiometric assay. Results: In all subjects, the mean total PSA was significantly higher in CaP group(72.57±66.58ng/ml) than BPH group(3.12±4.10ng/ml). The mean PSAD was significantly higher in CaP group(1.64± 1.86) than BPH group(0.08±0.01). The mean F/T PSA ratio was significantly lower in CaP group(0.19± 0.07) than BPH group(0.30±0.13). Among 41 subjects whose total PSA were between 4-20ng/ml, the mean PSAD was significantly higher in CaP group(0.37±7.16) than BPH group(0.17± 0.07), but the mean F/T PSA ratio was not significantly different between CaP(0.19± 0.10) and BPH group(0.25±7.13). By comparing the sensitivity and specificity of total PSA alone, PSAD and F/T PSA ratio on receiver operating characterislic (ROC) Cutie in all subiects and subiects with total PSA between 4-20ng/ml, F/T PSA ratio had no superiority than total PSA alone and PSAD for discrimination between CaP and BPH. Conclusions: We suggest that the F/T PSA ratio is not superior to total PSA alone and FSAD in the detection of prostatic cancer, and further evaluation of the usefulness of F/T PSA ratio should be required.

가토의 뇌동맥류 모형에서 모동맥 및 동맥류 협자에 따른 동맥류 내압의 변화 :기초 연구

김은영,송준혁,김명현,박향권,김성학,신규만,박동빈 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.4

실비우스 수도를 경유한 뇌낭미충 낭종의 이주 -증례 보고-

김정훈,송준혁,김명현,박향권,김성학,신규만,박동빈 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.4

두개강내 정맥기형들과 동반된 안와내 해면상 혈관종 1례

조도상,송준혁,김명현,박향권,김성학,신규만,박동빈 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.6

해면상 혈관종의 치료

신규만,송준혁 梨花女子大學校 醫科大學 醫科學硏究所 1996 EMJ (Ewha medical journal) Vol.19 No.2

Objective : The purpose of this study is to evaluate the clinical informations(symptoms, pathophysiologic phenomena, other associated vascular malformation and outcome) in order to define the guide of the management. Material & Methods : The authors reviewed the 54cases which were diagnosed by the high-resolution MRI and supplemented by computed tomography, from 1991 to 1996. The patho-physiologic phenomena of the CMs were classified into three groups by the finding of MRI. Surgical outcome was analysed according to the type of lesions, clinical variables, and indication of surgical management. Results : The mean patient age was 33.2 years, and the locations of CMs are in the cere-brum in 38 cases, basal ganglia/thalamus in 5 cases, brain stem in 16 cases, orbit in 2 cases and the spinal cord in 1case. Symptomatic hemorrhage were 25 patients(46%), seizure reported 16 patients(30%) and focal neurologic deficit 7(13%). Incidental cases were founded in 6 patients(11%) and their main complaints were headache. In 71% of the patients, the lesions were solitary and multiple in 29%. The 7 patients had coexisting venous angiomas. The A group had 24 patients(44%), B group 16 patients(30%) and the C group 14 patients(26%). Twenty nine patients who were asymptomatic or incidentally discovered lesions(6 patients) were treated conservatively. Twenty five patients(15 hemorrhage, 8 patients of intractable seizure and 2 patients of progressive neurologic deficits) underwent surgery. Conclusion : This study suggest that surgical extirpation of the lesions is an effective management in accessible lesions, overt hemorrhage, medical intractable epilepsy and pro-gressive worsening focal neurologic deficits. Objective : The purpose of this study is to evaluate the clinical informations(symptoms,pathophysiologic phenomena, other associated vascular malformation and outcome) in order todefine the guide of the management. Material & Methods : The authors reviewed the 54cases which were diagnosed by the high-resolution MRl and supplemented by computed tomography, from 1991 to 1996. The patho-physiologic phenomena of the CMs were classified into three groups by the finding of MRI.Surgical outcome was analysed according to the type of lesions, clinical variables, and indicationof surgical management. Results : The mean patient age was 33.2 years, and the locations of CMs are in the cere-brum in 33cases, basal ganglia/thalamus in 5cases, brain stem in 16cases, orbit in 2cases andthe spinal cord in case. Symptomatic hemorrhage were 25patients(46%), seizure reported 16patients(30%) and focal neurologic deficit 7(13%). Incidental cases were founded in 6 patients(11%) and their main complaints were headache. In 71% of the patients, the lesions weresolitary and multiple in 29%. The 7 patients had coexisting venous angiomas. The A group had24 patients(44%), B group 16 patients(30%) and the C group 14 patients(26%). Twenty ninepatients who were asymptomatic or incidentally discovered lesions(6 patients) were treatedconservatively. Twenty five patients(15 hemorrhage, 8 patients of intractable seizure and 2patients of progressive neurologic deficits) underwent surgery. Conclusion : This study suggest that surgical extirpation of the lesions is an efffctivemanagement in accessible lesions, overt hemorrhage, medical intractable epilepsy and pro-gressive worsening focal neurologic deficits.