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.

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오연희 목원대학교 2000 목원국어국문학 Vol.6 No.-

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.

Morgagni 탈장 : 1례 보고

오연희,이창욱,김승현,이성우,정병욱,이준희,박동일,권영무,신현종 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

Morgagni 탈장은 횡격막의 전내측 부위의 발달이상으로 열공을 통하여 장관이나 대망과 같은 복강내 구조물이 흉곽내로 빠져나가는 드문 질환으로 알려져 있다. 저자들은 호흡곤란을 주소로 내원하여 방사선학적 검사와 수술로 확진된 1례를 보고한다. Morgagni hernia is improperly located abdominal viscera into the thoracic cavity through the foramen of Morgagni which is a congenital defect at the anterornedial portion of diaphragm. We report a case of Morgagni hernia diagnosed by radiologic examination and operation.

Bleomycin에 의한 폐렴의 High Resolution Computed Tomography (HRCT) : 조기 진단 1예 Early diagnosis of a case

오연희 東國大學校醫學硏究所 2003 東國醫學 Vol.10 No.2

다양한 약물에 의한 폐손상 및 폐렴에 관한 많은 연구와 보고가 있어왔다. Bleomycin에 의한 폐렴의 경과는 결국 폐섬유화증으로 갈 수 있고, 치명적인 결과를 초래할 수도 있기 때문에 High Resolution Computed Tomography (HRCT)에 의한 조기진단이 중요하다. 저자는 음경의 편평세포암종으로 bleomycin이 포함된 항암치료를 받은 70세 남자 환자에서, 항암치료후 발생한 폐손상 및 폐렴에 대하여 HRCT 소견을 중심으로 보고하고자 한다. Drug-induced pulmonary damage has been known with HRCT findings. Among them, bleomycin-induced pneumonitis with HRCT findings, also has been reported. Early diagnosis of bleomycin-induced pneumonitis on HRCT, is very important for prevention of fetal side efffct. Herein, I presented a case of bleomycin-induced pneumonitis, developed in a 70-year-old man with squamous cell carcinoma on the penis. The author reviewed the patient's clinical features and HRCT findings.

CT를 이용한 한국 정상 성인의 비장 계측에 관한 연구

오연희 대한영상의학회 1989 대한영상의학회지 Vol.25 No.3

Computed tomography potentially offers the most accurate noninvasive method of estimation volume of a solid organ in vivo. The study was undertaken to obtain standard values of size volume and mass of normal spleen in Korean adults. The authors analyzed 109 cases of abdominal computed tomography of normal Korean adults. The results were as follows: 1, The average splenic volume in adults was 173.17 $\pm$ 59.02cm3 in male 160.43$\pm$61.72cm3 in female and total average 160.98$\pm$60.41cm3 2. The average splenic mass in adults was 181.20$\pm$61.6 gm in male 166.44$\pm$64.68 gm in female and total average 174.16$\pm$63.0gm 3. The average size of the spleen in adult males was 9.39$\pm$1.33 cm in breath 3.8$\pm$0.69 cm in thickness and 7.97$\pm$1.43 cm in height; in adult females 9.25$\pm$1.46 cm 3.51$\pm$0.65 cm , 8.05$\pm$1.35 cm and 7,97$\pm$1.43 cm in height in adult females 9.25$\pm$1,46 cm , 3.51$\pm$0.65 cm , 8.05$\pm$1.35 cm respectively total average 9.32$\pm$ 1.39 cm, 3.70$\pm$0.69 cm, 8.01$\pm$1.39 cm respec-tively. 4. There was no statistical difference of volume mass and size between sex and age.

선천성 관상동맥루

오연희 대한영상의학회 1986 대한영상의학회지 Vol.22 No.6

Congenital coronary artery fistula (CCAF) is communication of a coronary artery or its main branch with one of the atria or ventricles, the coronary sinus, the superior vena, cava, or the pulmonary artery. In Korean peoples, only 4 cases of the CCAF were reported as rare as worldwide and authors want to report another case of CCAF, confirmed by operation. 10-years-old girl shows a fistula between sinus node artery of the right coronary artery and right atrium on root aortogram with left-to-right shunt and Qp/Qs=1.58, in which simple ligation of the origin of the sinus node artery from right coronary aretery was performed. All of the 5 Korean CCAF(4 were proviously reported and 1 of authors) were originated from right coronary artery, and of which 4 were opening into right ventricle and 1 of authors were into right atrium. Associated cardiac anomaly was noted in only 1 case coronary artery. Ages were from 9 months of age to 10 years old and no adult lefe case were found. 3 were female and 2 were male patients.

사지의 연부조직 종양의 동맥조영술

오연희 대한영상의학회 1988 대한영상의학회지 Vol.24 No.1

Soft tissue tumors of the limbs are relatively infrequent and the alignant variants must be resected radically. Arteriography were performed in all cases (12cases) CT in 5 and US in 4 cases. Those are confirmed histologically except 1 clinically; thdrd were 4 cavemous hemangiomas 1 venous hemangioma 3 angiomatoses 1 lipoma 1 alveolar soft part sarcoma 1 myxiod liposarcoma and 1 malignant schwannoma. The results were as follows : 1. The all soft tissue tumors were 6 males and 6 females and the age ranged 3 to 61 years old with 10 cases (83.3%) under 30 years old. The lower limb is more frequently involved than the upper as 10 cases to 2 2. In the 9 benign soft tissue tumors male to female was 1:2 and the age ranged 3 to 20 years old. Six were lower limb and 3 upper limb. 3. Three cases of the malignant soft tissue tumors were men and two cases of those were occurring in the above 50-year-old All of the 3 malignant tumors are involved in the lower limb. 4. The vascular displacement was dependent on the mass size. 5. Arterial and capillary neovascularity and tumor stain were well visualized in all of the malignant soft tissue tumors in arteriogram. But those findings were also noted in 2 case of cavernous hemangioma. 6. Satellite extension was noted in benign soft tissue tumor such as 1 cavernous hemangioma and 2 angiomatoses. 7. phlebolith were found in venous hemangioma and 1 angiomatosis 8. the demonstration of the displacement of adjacent major arteries and tumor vascularity are useful to the surgeon preparing for radical excision or biopsy.

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오연희 한국문학이론과 비평학회 2000 한국문학이론과 비평 Vol.9 No.-

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.