http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김성숙(Sung Sook Kim),김도영(Doe Young Kim),문일환(Il Whan Moon),변광호(Kwang Ho Pyun),최인표(In Pyo Choi) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.4
N/A Rackground/Aims: Interleukin-6 (lL-6), also known as B cell stimulatory factor 2(BSF-2), induces the final maturation of B cells to antitxxiy-producing cells. IL-6 has many biologic properties including the immune and intlammatory responses. This study wos aimed to evaluate the role of local interleukin 6(IL-6) in the pathogenesis of chronic hepatitis. Methods; We examined the cellular site and grade of IL-6 staining in paraffin sections of the liver from 24 patients with liver disease, using immunohistochemistry with a polyclonal antitwdy. The patient. Were divided into two groups; Group A(n=l3) with high histologic uctivi1y consisted of CAH-type B(n=10) ond active cirrhosis(n=3), whilc Group B(n= l l) with low hi.itologic activity consisted of CPH-type B(n=4), inactive cirrhosis(n=2) and fatty liver(n=S). Results: There was no staining of IL-6 in normal liver tissue. Thv grade.I of IL-6 staining in Group A were three positive in seven cases (53.81o), two positive in five ca.ics(38.3%) and one positive in only one case(7.7%), while those in Group B were one positivc in three cases(27.3%) ancl trace in eight case.(72.7ln). IL-6 stained cells in chronic hepatitis were hepatocytcs, cspecially in the areu ot' piecemeol necrosi.I, bilc duct cel1., infiltrating inflammatory cells and endothelial cell.I. The score of histological activity index(HAJ), piecemeal necrosis and fibrasis and thc gradv. Of 1L-6 staining of Group A were ull significantly higher than those of Group B. The grade of IL-6 staining and HAI werc well correlated(r =0.74, p 0.0l), Conclusion: Locally produced IL-6 in the liver may contribute to the inflammatory process and immunological response in chronic hepatiti.. (Korean 3 Gastroenterol 1995;27:403-411)
건강 성인에서 삼차원 초음파검사를 이용한 위배출시간 측정에 관한 연구
김도영 ( Doe Young Kim ),정혜경 ( Hye Kyung Jung ),이유현 ( You Hyun Lee ),정성애 ( Sung Ae Jung ),문일환 ( Il Whan Moon ),백진영 ( Jin Young Paek ) 대한소화기학회 2004 대한소화기학회지 Vol.44 No.2
Background/Aims: Three dimensional (3-D) ultrasonography is definitely more accurate than conventional 2-D ultrasonography in volume measurement of intra-abdominal organs. However, its application in measuring gastric emptying time has been limited. Thus,
원발성 간암 111예에 대한 임상적 고찰 : 생존기간 및 예후인자를 중심으로 The Study for Survival Period and Prognostic Factors
심기남,김도영,문일환 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.1
이화여자대학교 의과대학부속 동대문병원에 입원하여 원발성 간암으로 진단받은 111예를 대상으로 후향적 조사로써 임상적, 생화학적 요인 및 기존 병기체계에 따른 생존기간을 비교하여 다음과 같은 결과를 얻었다. 1) 원발성 간암 환자의 연령 분포는 33세 부터 79세까지로 평균 연령은 54.8세였고, 50대가 47예(42.3%)로 가장 많았다. 남녀비는 4.6:1로 남자가 많았다. 2) 원발성 간암의 예후에 관한 인자로 혈청 albumin, SGOT, bilirubin치 및 치료(TAE) 시행 여부 등에 따른 중앙 생존기간은 albumin 3.0g/dl 이상인 군, SGOT 100U/L 미만인 군, bilirubin 3.0mg/dl 미만인 군 및 TAE 시행군에서 albumin 3.0g/dl 미만인 군, SGOT 100U/L 이상인 군, bilirubin 3.0mg/dl 이상인 군 및 TAE를 시행하지 않은 군에 비해 통계학적으로 유의하게 길었다. 3) 종양의 크기와 형태에 따른 생존기간은 유의한 차이가 없었다. 4) Primack 과 Okuda의 병기체계에 따른 생존기간에는 유의한 차이가없었으나 Child 분류에 따른 생존기간은 유의한 차이를 보여 A 군에서 C 군으로 갈 수록 생존기간이 짧았다. 5) TAE 시행군의 중앙생존기간은 11개월이었고 보존적 치료군의 중앙생존기간은 0.5개월로 TAE 시행군에서 중앙생존기간은 0.5개월로 TAE 시행군에서 중앙생존기간이 유의하게 길었다(p=0.0023). 6) 예후인자들의 상대 위험도를 조사한 결과 간암의 TAE 시행 여부가 가장 큰 상대 위험도(2.3배)를 보여 독립적 예후인자였다. 이상의 결과로 TAE 수술이 불가능한 간암에 대해 유용한 치료 방법으로 생각하며, 간암의 생존율을 더 향상시키기 위하여 TAE 시술 방법의 개선을 위한 전향적인 연구가 요망된다. Hepatocellular carcinoma(HCC), a highly malignant tumor with a poor prognosis, is one of the common cancers in Korea like other Asian and African countries. Despite of recent advances in diagnostic and surgical techniques, early diagnosis of HCC is difficult and chance of surgical resection is still very low due to the multiplicity of tumor and associated liver cirrhosis. Transcatheter arterial chemoembolization(TAE) is a proven effective method of treating HCC regardless of operability. The current study was undertaken on 111 cases to evaluate the survival period of the pat-ients with HCC and to find their prognostic factors. The results were as follows: 1) The mean age of the patients was 54.8 years, with a range from 33 to 79 years. The highest incidence of age was in the 6th decade and the male to female ratio was 4.6:1. 2) The survival period of the patients was significantly related to serum albumin, SGOT, bilirubin and treatment(TAE). 3) The survival period was not significantly related to size and type of tumor. 4) The revised staging systems by Primack and Okuda were not significantly related to the survival period. But Child's classification was significantly related to the survival period. 5) The median survival period of TAE group was 11 months while non-TAE group was 0.5 month(p=0.0023). 6) Multivariate Cox regression analysis showed that the treatment modality(TAE or non-TAE group) was the factor with the greatest relative risk and an independent prognostic value. Accordingly, it is suggested that TAE is an effective method for treating unresectable HCC, and the prospective investigations on TAE are needed.
새로운 신속요소분해효소 검사인 HP™ 검사와 CLO™검사의 유용성 비교
임정윤,안영미,김도영,문일환 梨花女子大學校 醫科大學 醫科學硏究所 1999 EMJ (Ewha medical journal) Vol.22 No.4
신속분해요소 검사는 위장질환에서 H. pylori의 감염을 진단하는데 있어서 가장 흔하게 사용하는 기본적인 방법으로 여러 가지 제품들이 소개되고 있다. CLO^TM 키트는 우리나라에서 가장 흔하게 사용되는 제품이나 수입품으로 최근 국내에서(종근당) 이와 유사한 원리로 보다 신속하게 감염여부를 판별할 수 있으며 한 개의 키트로 2개의 조직을 검사할 수 있는 장점으로 소개된 HP^TM 키트가 출원되었다. 이에 저자들은 HP검사를 CLO검사와 비교하여 반응 속도를 관찰하고 위전정부 및 체부에서 동시에 검사는 것이 장점이 있는지 알아보고자 하였다. 내시경 검사를 시행받은 108명의 환자를 대상으로 하여 3개의 조직을 얻었는데 두 개는 위전정부 대만측의 서로 인접한 부위에서 얻어 HP검사와 CLO검사에 이용하였고 다른 한 개는 위체중부 소만측에서 얻어 HP검사를 시행하였다. 각각에서 20분, 1시간, 3시간 및 24시간에서 양성유무를 판정하여 다음과 같은 결과를 얻었다. 1) 위전정부에서 시행한 CLO검사의 양성률은 49.1%(53/108), HP검사는 49.1%(53/108)였고, 두 검사의 결과 일차율은 98.1%였다. 2) 시간별로 반응속도 관찰시 위전정부에서 시행한 CLO 검사와 HP검사의 3시간 양성률은각각 92.5%, 94.4%로서 유의한 차이가 없었다(p=0.696) 24시간까지 반응을 관찰한 결과 HP검사 3예(5.6%)에서 양성반응이 관찰되었고 CLO검사는 4예(7.5%)에서 양성이었다. 3) 위체부 HP검사의 양성율은 108명중 57예로 52.8%였다. 위전정부와 체부의 일치율은 94.5%였다. 위전정부는 양성이나 체부 음성은 1예(0.9%), 위선정부는 음성이나 위체부 양성은 5예(4~6%)였고 이 5예는 위전정부에서 시행한 CLO검사도 음성이었다. 이상의 결과로 국내에서도 최근 개발된 HP검사는 두개의 조직을 검사할 수 있는 장점으로 검체오류를 줄일수 있을 것이며 CLO검사와 유사한 반응속도로 뒤지지 않는 가치가 있으나 최종판독시간의 재검토가 필요하다고 생각된다. Although CLO test is one of the most commonly used rapid urease test for the diagnosis of Helicobacter(H.) pylori infection. Recently a Korean company, Jongkeundang, has succeeded in manufacturing the rapid urease test and named it as HP^TM test. The advantages of HP test are to have two agar gels in a plate and react faster in despite of same cost with CLO test. We performed this study to compare the results of the HP test with those of the CLO test and know if there is any advantage of using two biopsy samples instead of using only one sample. One hundred and eight patients underwent gastroscopy and two biopsy specimens from the greater curvature of the antrum was used for HP test and CLO test. Another biopsy specimen from lesser curvature of midbody was used for HP test. We read them at 20min, 1hour, 3hours, and 24hours. The positive rate of HP test in antrum was 49.1%(53/108) which was the same as CLO test in antrum. The concordance rate of the results of two tests in the same site(antrum) were 98.2%. In terms of a time change to a positive test, both tests were not significantly different with each other. ; 3hour positive rate of HP test was 94.4% and that of HP test was 92.5%. Four patients(5.6%) performed HP test had positive results after 2hours known final reading time. The positive rate of HP test in body was 52.8%(57/108) and that of HP test in antrum or body was 53.7%(58/108). The concordance rate of the results of antrum and body in HP test was 94.4%. Five of the negative HP test in antrum(4.7%) had positive results in gastric body. They were negative CLO test in antrum. In conclusion, HP test was thought to be as valuable as CLO test for the diagnosis of H. pylori infection and has a merit of decreasing sampling error by using two samples, even though it is a little. However, It had not quicker time to positivity than CLO test and might have false negative results if it were read at 2hours after reaction. So, Final reading time should be reevaluated.
박혜선,손희정,이옥재,문일환,김성배,유현영,구혜수 대한내과학회 1990 대한내과학회지 Vol.39 No.5
A case of primary biliary cirrhosis was diagnosed in a 51-years-old woman. She complained of generalized weakness for 5years and presented mild hyperbilirubinemia, an increase in serum alkaline phosphatase and serum IgM, positive antimitochondrial antibody test, and compatible histologic findings of fibrosis, inflammatory cell infiiteration, destruction of bile ducts, and incomplete fibrous septal formation on liver biopsy.