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내시경적 레이저 요법의 임상적경험 : 조기위암을 중심으로
최석렬 대한소화기내시경학회 1992 Clinical Endoscopy Vol.12 No.1
I tried the endoscopic laser therapy for the malignant and benign disease of the alimentary tract to evaluate efficacy in rejection of surgical treatment or inoperable state. I have experienced 16 cases of the laser therapy in my hospital from July 1990 to June 1991. The apparatus I used is the SLT contact Nd-YAG laser with the ceramic endoprobe of rounded or chisel or hollow type in each case. The irradiation was made at an output of 15-20 Watts within 1.5 seconds. Between the 2-4 weeks laser therapy, the treatment response was observed by rebiopsy, I treated 7 cases of early gastric cancer and post-laser follow-up study showed 70% negative for cancer cells by endoscopic biopsy. Failure of laser treatment was found in case of IIc type, Two cases of advanced gastric and I case of rectal cancer with severe obstruction were relieved by laser therapy. I also experienced 3 cases of esophageal or gastric polyp which were completely. resolved after irradiation. Besides, I could get hemostasis in 1 case of gastric ulcer bleeding with exposed vessels and 1 case of Mallory-Weiss syndrome. And a case of gastric bezoar was completely fragmentated after irradiation. As mentioned above, I achieved satisfactory results of 13 cases in 16 cases. Contact Nd - YAG laser treatment ean be applicated with excellent efficacy in any age, sex and severity of disease with or without complications and any site of lesions which can be reached within the endoscope. I suggest it is maybe highly promising medical technique in the future.
최석렬,김동수,전종휘 인제대학교 1986 仁濟醫學 Vol.7 No.1
장티푸스에 대한 항균요법 실시 30년간에, 국내외에서 발표된 문헌 고찰과 함께 1982년부터 1984년까지 인제의대 부산백병원 내과에 입원한 장티푸스 환자 112예에 대한 임상적 분석을 시도하여 그 얻은 바 성적을 보고한다. The authors have reviewed domestic and foreign literatures related to typhoid fever and a series of 112 inpatients with typhoid fever admitted to Pusan Paik Hospital over a period of 3 years, from January of 1982 to December of 1984. Clinico-epidemiological studies were done comparing with pre- and post-chemotherapeuticera, and the following results were obtained. 1.The seasonal prevalence was predominant in summer. The female-predominance was evident in recent years. 2.Admission date was delayed in chemotherapeutic era. 3.In clinical features, appearance of rose spots, splenomegaly, conscious disturbance, hearing difficulty and epilation were less frequent than pre-chemotherapeutic era. The hepatomegaly was more frequent than the splenomegaly in recent years. 4.Appearance of recurrence, intestinal bleeding and intestinal perforation were more frequent than pre-chemotherapeutic era, and intestinal perforations in childhood have been more experienced considerably than prechemotherapeutic era. Fatality rate is still high comparing to developed country. These trends suggest the unreasonable chemotherapy and inappropriate general care (esp, at home before admission.) 5.Incidence of drug resistant strain is an increasing tendency.