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임상적용을 위한 족배부 및 광배근의 혈관분포에 대한 형태학적 연구
김한중 梨花女子大學校 醫科大學 醫科學硏究所 1983 EMJ (Ewha medical journal) Vol.6 No.4
The free flap and myocutaneous flap transfer by microvascular anastomosis has been developed recently for wide employment in reconstructive surgery and has been used in many clinical applications. The anatomy of the flap and the specific size, pattern and location of the vessel are important in the wide and varied reconstructive applications of the flap. The mean length and diameter were measured and the course and variation of the dorsalis pedis artery and adjacent area were studied in 44 dissections using 22 Korean cadavers and the vascular pedicles in the latissimus dorsi and adjacent area in 18 dissections using 9 Korean cadavers. The results are summerized as follows: 1) The mean diameter of the dorsalis pedis artery on the upper limit of the extensor retinaculum is 2.9㎜ and the mean length of the vascular pedicle from the 1st web space is 13.5㎝. 2) The mean diameter of the 1st dorsal metatarsal artery is 1.5㎜ and the mean length of the vascular pedicle from the 1st web space is 4.5㎝. 3) The mean diameter of the thoracodorsal artery and vein before distribution to the latissimus dorsi are 2.1㎜ and 2.2㎜ and the mean length of the vascular pedicle from the axillary artery and vein before distribution to the latissimus dorsi is 11.9㎝. 4) In the couse and variation of the dorsalis pedis artery, type Ⅰ, 77%, normal course of the dorsalis pedis artery is most common. 5) There are consistent T-shaped relationship among subscapular, thoracodorsal, circumflex scapular arteries and serratus arterial branch. 6) Vascular structures at the latissimus dorsi are bifurcated into lateral and medial intramuscular bundles.
金漢仲 梨花女子大學校 韓國生活科學硏究院 1980 韓國生活科學硏究院 論叢 Vol.25 No.-
액취증 치료의 궁극목적은 겨드랑이에서 나는 독특하고 심한 냄새를 제거하는 데 있다. 액취증의 제어에는 피부표면과 털로부터 apocrine sweat의 외관적 광범위 절제뿐이다. 저자는 1978년 3월부터 1980년 2월까지 만 2년간 이화여자대학교 의과대학 부속병원 성형외과에서 입원수술을 받았던 액취증 환자 31예에 대한 임상적 연구 결과 다음과 같은 결론을 얻었다. 1) 액와부위의 피부와 선조직의 광범위 절제술을 시행한 31예 중 독특한 악취가 재발된 예가 없었던 것으로 보아 광범위 절제술이 액추증 치료에 만족한 방법임을 나타내었다. 2) 광범위 절제술과 동시에 Z-성형술을 시행하면 선상반흔 구축으로 인한 견부의 외전 운동 장애를 예방할 수 있다. Bromhidrosis, or osmidrosis, is a condition in which an excessive odor, usually offensive, emanates from the skin, The axilla is really the only site from which the distinctive apoctine odor derives. Thirty-one patients have had a total exicision of all the axillary sweat glands, with closure incorporating a Z-plasty. The result of this method has been found to be more reliable than other methods. Brief review of literature is added.
김한중,이영두,남정모,Kim, Han-Joong,Lee, Young-Doo,Nam, Chung-Mo 대한예방의학회 1991 Journal of Preventive Medicine and Public Health Vol.24 No.1
A multiple regression analysis using ordinary least square (OLS) is frequently used for the projection of health expenditure as well as for the identification of factors affecting health care costs. Data for the analysis often have mixed characteristics of time series and cross section. Parameters as a result of OLS estimation, in this case, are no longer the best linear unbiased estimators (BLUE) because the data do not satisfy basic assumptions of regression analysis. The study theoretically examined statistical problems induced when OLS estimation was applied with the time series cross section data. Then both the OLS regression and time series cross section regression (TSCS regression) were applied to the same empirical da. Finally, the difference in parameters between the two estimations were explained through residual analysis.