• Title/Summary/Keyword: 자연 소실

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Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - (탈출된 요추 추간판 자연 소실 후 발생한 추간판 간격 감소 - 증례 보고 -)

  • Kim, Hyoung Bok;Chung, Hoon-Jae
    • Journal of Korean Society of Spine Surgery
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    • v.25 no.4
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    • pp.175-179
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    • 2018
  • Study Design: Case report. Objectives: We report 3 cases of loss of disc height after spontaneous regression of a herniated lumbar disc. Summary of Literature Review: Reports of spontaneous regression of a herniated lumbar disc were identified. Materials and Methods: We conservatively treated 3 patients who were diagnosed with a herniated lumbar disc. During outpatient follow-up, radiating pain improved in all patients, but they complained of chronic lower back pain. Magnetic resonance imaging (MRI) was performed for diagnostic purposes. Results: On MRI, spontaneous regression of the herniated lumbar discs was observed, but loss of disc height was also found. Conclusions: A herniated lumbar disc may be a risk factor for loss of disc height. It is important to recognize that a patient with a herniated lumbar disc can struggle with chronic lower back pain even if spontaneous regression of the herniated lumbar disc occurs.

Spontaneous Resolution Rate and Predictive Factors of Resolution in Children with Primary Vesicoureteral Reflux (소아에서 일차성 방광요관역류의 자연소실율 및 관련 인자)

  • Kang, Eun-Young;Kim, Min-Sun;Kwon, Keun-Sang;Park, Eun-Hye;Lee, Dae-Yeol
    • Childhood Kidney Diseases
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    • v.11 no.1
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    • pp.74-82
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    • 2007
  • Purpose : To analyze the clinical characteristics, spontaneous resolution rate and predictive factors of resolution in children with primary vesicoureteral reflux(VUR). Methods : Between October 1991 and July 2003, 149 children diagnosed with primary VUR at Chonbuk National University Hospital were reviewed retrospectively. All of the patients were maintained on low-dose antibiotic prophylaxis and underwent radionuclide cystograms at 1 year intervals over 3 years after the initial diagnosis of VUR by voiding cystourethrogram was made. Results : The median time to resolution of VUR was 24 months and the total 3 year-cumulative resolution rate of VUR was 61.7%. The following variables were associated with resolution of VUR according to univariate analysis-; age<1 year, male gender, mild grade of reflux, unilateral reflux, congenital hydronephrosis as clinical presentation at time of diagnosis of VUR, absence of focal defects in the renal scan at diagnosis, absence of recurrent UTI, renal scars and small kidney during follow-up. After adjustment by Cox regression model, five variables remained as independent predictors of VUR resolution; age<1 yew, relative risk 1.77(P<0.05), VUR grade I+II 2.98(P<0.05), absence of renal scars 2.23(P<0.05), and absence of small kidney 5.20(P<0.01) during follow-up. Conclusion : In this study, spontaneous resolution rate of VUR, even high grade reflux, is high in infants during medical management, and it was related to age, reflux grade at diagnosis, absence of renal scars and small kidney during follow-up. Therefore early surgical intervention should be avoided and reserved for the selected groups.

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Spontaneous Regression of Extensive Pulmonary Metastasis of Benign Giant Cell Tumor of Bone - A Case Report - (자연 소실된 거대 세포종의 광범위한 폐전이 - 1예 보고-)

  • Park, Ru-Ppo;Lee, Sang-Hoon;Cho, Whan-Sung;Kim, June-Hyuk;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.1
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    • pp.39-44
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    • 2004
  • A Giant cell tumor of bone has unusual characteristics of pulmonary metastasis as well as local aggressiveness. Clinical courses of pulmonary metastasis of benign giant cell tumor vary including rapid growth, continuously slow growth or spontaneous regression. We report a case of extensive pulmonary metastasis of giant cell tumor of bone, which regressed spontaneouly.

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The Clinical Characteristics of Infantile Primary Vesicoureteral Reflux and Its Spontaneous Resolution Rate (영아기 일차성 방광요관역류의 임상적 특성과 자연 소실율)

  • Choi, Youn-Sung;Kim, Ji-Hye;Shim, Yoon-Hee;Lee, Seung-Joo
    • Childhood Kidney Diseases
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    • v.11 no.1
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    • pp.83-91
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    • 2007
  • Purpose : Childhood primary VUR is generally diagnosed after urinary tract infection, is more prevalent among girls and has a low spontaneous resolution rate in cases of severe VUR. The aim of the present study is to examine the age and gender-related characteristics and the spontaneous resolution rate of infantile primary VUR. Methods : The medical records of 96 infants with primary VUR, diagnosed after their first UTI, were retrospectively reviewed(1995-2004). The clinical characteristics including gender, the degree of VUR and presence of renal scars were evaluated. The spontaneous resolution rate and contributing factors were also analyzed Results : Infantile primary VUR was more prevalent in males than females. The percentage of atrophic scarred kidney was significantly higher in males than females(17.2% vs 3.4%) (P<0.05). The cumulative spontaneous resolution rate in 3 years was very high(89.1%), and was not significantly different between gender and among VUR grades. But in the first year, the spontaneous resolution rate of severe refluxing ureters was significantly higher in males than in females(46.2% vs 7.1%)(P<0.05) and the spontaneous resolution rate of refluxing ureters with no scarred kidneys was significantly higher than those associated with atrophic scarred kidneys(76.6% vs 20%)(P<0.05). Conclusion : Infantile Primary VUR was more prevalent among males and tends to be associated with atrophic scarred kidneys In male infants. The cumulative spontaneous resolution rate in 3 years was very high, even in high-grade VUR and associated atrophic scarred kidneys. In infantile primary VUR, surgery should be withheld even in infants with high-grade VUR with atrophic scarred kidneys.

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A case of bullous lung disease disappeared spontaneously (자연소실의 경과를 보안 기포성 폐질환 1예)

  • Kim, Chong-Ju;Yong, Suk-Joong;Gang, Sin-Gu;Song, Gwang-Seon;Shin, Kye-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.3
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    • pp.455-460
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    • 1996
  • In general, a bulla of the lung is large, air contained sac and it is more than 1cm in diameter, and its wall is well defined and less than 2mm thick. The natural course of bulla of the lung is said to follow a pattern of progressive deterioration. It is a progressive disease, and spontaneous resolution of bulla is very unusual. In the world only two cases of spontaneous resolution of bulla have been reported. We experienced a case of bullous lung disease complicated from miliary tuberculosis in which the bulla was disappeared spontaneously following bulla infection.

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A Case of Pulmonary Alveolar Proteinosis with Spontaneous Resolution (자연 소실된 폐포단백증 1예)

  • Nam, Seung Bum;Park, Kwang Young;Lee, Ho Jin;Jung, Jae Wook;Choi, Yoon Hee;Kim, Hyo Seok;Kim, Cheol Hyeon;Lee, Jae Cheol
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.3
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    • pp.294-298
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    • 2007
  • Pulmonary alveolar proteinosis is a rare disorder that is characterized by the abundant accumulation of surfactant-derived material within the alveolar spaces and distal bronchioles. Although the findings of homogenous ground-glass opacities overlaid by thickened septa, which form a "crazy paving" pattern on high-resolution computed tomography, can assist in making a diagnosis, a lung biopsy is usually required. This disorder has a variable clinical course, from spontaneous resolution to respiratory failure and death. While a whole lung lavage has been the standard treatment since the early 1960s, GM-CSF therapy has been attempted based on the recently suggested pathogenetic mechanism. We report a case of pulmonary alveolar proteinosis that resolved spontaneously after an open lung biopsy.

Effect of ${\alpha}$-Interferon 2b on Chronic Hepatitis B Patients with High Serum ALT (급상승된 혈청 ALT치를 나타낸 만성 B형 간염 환자에 대한 ${\alpha}$-Interferon 2b의 치료 효과)

  • Lee, Heon-Ju;Song, Young-Doo
    • Journal of Yeungnam Medical Science
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    • v.15 no.2
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    • pp.237-245
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    • 1998
  • 만성 B형 간염 환자에서 Interferon (IFN) 치료 후 혈청 HBeAg 소실 및 anti-HBe의 양전율을 높이고 효율적인 치료의 근거를 알기 위하여 치료 전 간기능검사상 갑자기 상승한 혈청 ALT치를 나타낸 환자군과 그렇지 않은 대조군을 대상으로 하여 IFN을 투여한 군과 IFN 치료없이 정상 HBeAg의 자연 소실을 보인 환자군을 임상적으로 장기간 관찰하고 조사하였다. ALT치가 정상 상한치의 4배 이상 높이 증가되어 3개월 이상 왕복을 보인 40명의 환자(A군)와 ALT치가 정상 상한치의 3배 이하로 증가된 10명(B군)에게 ${\alpha}$-IFN 2b를 매일 300만 단위 피하주사로 3~12개월 주사하였다. 대조군으로는 ALT치가 A군처럼 장승한 45명 (C군)이었으며, IFN 치료없이 평균 2.9년을 관찰하였다. HBeAg/anti-HBe 혈청 양전율은 A군 68%, B군 20%, C군 13%이었으며 IFN 치료 중단 후 1년까지의 HBeAg 재양성율은 A군에서 29%였고 HBeAg이 소실된 A와 B군의 38명중에서 6명에서 HBV DNA가 양성이었다. 6명중 4명은 HBeAg/anti-HBe 양전을 보였으나 HBV DNA 양성이었고 나머지 2명은 HBeAg, anti-HBe 및 HBV DNA (hybridization) 모두 음성이었으나 중합효소연쇄반응검사상 HBV DNA 양성이었다. 이상의 결과를 보면 비록 IFN 치료 후에 HBeAg이 소실되었다가 다시 양성화되더라도 IFN은 단기간내에 혈중 HBeAg이나 DNA가 자연적으로 감소가 될 환자나 그렇지 않은 환자에게도 HBV의 비증식화를 유발하여 도움이 될 것으로 사료된다. 그러나 IFN 투여 후에도 혈중 HBeAg과 DNA 소실에 전혀 도움이 되지 않을 환자 및 HBV 증식 억제효과가 기대되는 HBV 간질환 환자의 조건, IFN 투여량, 기간 등에 대한 계획적이고 체계적인 연구로 더 나은 치료효과를 기대할 수 있으리라 생각된다.

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The Method of Pavement Line Detection using Kalman Filter (칼만필터를 이용한 보도 라인검출 기법)

  • Kim, Jin-Suk;Weon, Sun-Hee;Kim, Gye-Young
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2011.01a
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    • pp.265-268
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    • 2011
  • 본 논문은 시각 장애인 및 보도 보행에 어려움을 갖는 사람들에게 안전한 보도 보행을 돕기 위한 보도 및 차도 영역 추출을 위해 보도 및 차도의 라인검출 기법을 제안한다. 사람의 눈높이에서 영상을 취득, 자연영상에서 입력된 잡음 및 노이즈를 제거하고, 캐니 에지 맵 추출, 허프 변환을 통해 보도/차도의 라인을 추출한다. 추출된 라인은 본 논문에서 제안한 방법으로 유효라인을 얻게 되며, 얻어진 유효 라인의 교점을 통해 소실점 영역을 생성, 이후 추출되는 라인의 기준이 된다. 제안된 방법은 자연영상의 보도 위치에서 보도와 차도의 올바른 라인을 추출하는데 강인함을 실험을 통해 검증하였다.

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The Method of Vanishing Point Estimation in Natural Environment using RANSAC (RANSAC을 이용한 실외 도로 환경의 소실점 예측 방법)

  • Weon, Sun-Hee;Joo, Sung-Il;Choi, Hyung-Il
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.9
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    • pp.53-62
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    • 2013
  • This paper proposes a method of automatically predicting the vanishing point for the purpose of detecting the road region from natural images. The proposed method stably detects the vanishing point in the road environment by analyzing the dominant orientation of the image and predicting the vanishing point to be at the position where the feature components of the image are concentrated. For this purpose, in the first stage, the image is partitioned into sub-blocks, an edge sample is selected randomly from within the sub-block, and RANSAC is applied for line fitting in order to analyze the dominant orientation of each sub-block. Once the dominant orientation has been detected for all blocks, we proceed to the second stage and randomly select line samples and apply RANSAC to perform the fitting of the intersection point, then measure the cost of the intersection model arising from each line and we predict the vanishing point to be located at the average point, based on the intersection point model with the highest cost. Lastly, quantitative and qualitative analyses are performed to verify the performance in various situations and prove the efficiency of the proposed algorithm for detecting the vanishing point.