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The Effect of Combined Estrogen/calcium Therapy on Bone Metabolism in Ovariectomized Rats II. A Study on Metabolism of calcium, Phosphorus and Nitrogen in Ovariectomized Rats (에스트로겐/칼슘 혼합요법이 난소절제 쥐의 골대사에 미치는 영향 II. 칼슘, 인 및 질소대사에 관한 연구)

  • 이경화;오승호
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.25 no.6
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    • pp.1006-1015
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    • 1996
  • This study was carried out to investigate the effects of dietary calcium-salt, estrogen-treatment, and estrogen/calcium treatment on calcium, phosphorus and nitrogen metabolism. Female Sprague-Dawley rats with a body weight of 250~280g were underwent ovariectomy or sham-operation. The ovariectomized rats were divided into 9 different experimental groups including the saline-treated group, the estrogen-treated group, the high calcium salt-treated group, and the estrogen/calcium treated groups and fed for 6 weeks. Each group daily intake and excretion of calcium, phosphorus and nitrogen were measured and apparent digestibility and balance were also studied. The results were as follows: The excretion level of winn calcium was significantly higher the ovariectomized rats than the sham-operation group(p<0.01) and reduced with estrogen treatment but this difference was not statistically significant. Fecal loss of calcium was higher the ovariectomized rats than the sham-operation group(p<0.001). When the estrogen was treated, fecal loss was decreased and then apparent digestibility of calcium was increased. Calcium balance was significantly higher the high calcium treated groups than the control diet groups. The excretion level of urinary Phosphorus was higher the ovariectomized rats than sham-operation group, while these showed to be decreased in the calcium salt, the estrogen and the estrogen/calcium treated groups(p<0.01). Fecal loss of phosphrous was higher in the ovariectomized rats. When the estrogen was treated, the fecal loss was decreased in the avariectomized rat than that of other groups. The excretion level of urinary nitrogen was higher the ovariectomized rats than the sham-operation, while these showed to be decreased in the estrogen, the estrogen/calcium, and the estrogen gradually reduction/calcium intensification. Fecal loss of nitrogen was decreased in tile estrogen treated group. The results in this study showed that high calcium, estrogen/calcium and estrogen gradually reduction/calcium intensification in the ovariectomized rats enhanced calcium balance compared to the ovariectomized rats without calcium treatment, but little effects on the phosphorus and nitrogen balance.

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Relation between Ablation Execution Time and Radiation Exposure Effect in the Treatment of Atrial-fibrillation using Cryo-balloon and 3D Radio-frequency Ablation (냉각 풍선 절제술과 3D 고주파 절제술을 이용한 심방세동 치료 시 절제술 시행 시간과 방사선 피폭 영향과의 연관성)

  • Seo, Young-Hyun
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.427-434
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    • 2022
  • Atrial fibrillation treatment includes 3D RFCA and Cryo-balloon ablation. Both procedures have in common that they enter after understanding the structure of the heart using angiography equipment. Therefore, there is a disadvantage that the effect of exposure according to the procedure time can be a threat to both the patient and the operator, so this study aims to confirm the relationship between the total ablation time and the effect of radiation exposure. We used follow-up data (retrospective) from 41 patients who underwent coronary angiography and arrhythmia at the same time from March 2019 to July 2022. The range for total ablation time was based on the recorded data from the start to the end of the total ablation. The end point of 3D RFCA was when the ablation was completed for 4 pulmonary veins, and in the case of Cryo-balloon ablation, the data that succeeded in electrical insulation were included. As a result of analyzing the total ablation time, the time taken for Cryo-balloon ablation was 1037.29±103.66 s, which was 2448.61 s faster than 3D RFCA using 3485.9±405.71 s, and was statistically significant. (p<0.05) As a result of analyzing the total fluoroscopy time, the exposure time for 3D RFCA was 2573.75±239.08 s, which was less by 1717.15 s than the exposure time for Cryo-balloon ablation, 4290.9±420.42 s, and was statistically significant. In the case of total area dose product, 3D RFCA was 59.04±13.1 uGy/m2, which was lower than Cryo-balloon ablation 980.6±658.07 uGy/m2 by 921.56 uGy/m2, which was statistically significant. As the insulation time of the Cryo-balloon ablation is shorter than that of the 3D RFCA, the method using the Cryo-balloon ablation is considered to be effective when the patient's condition is not good and a quick procedure is required. However, in patients with permanent Atrial fibrillation, there is a high probability of structural changes in the heart, so it is considered that 3D RFCA is better than Cryo-balloon ablation, which is difficult to manipulate.

Early Tailoring Thoracoplasty in Patients Undergoing Pulmonary Resection (폐의 부분 절제시 조기 변형식 흉곽성형술의 임상적 의의)

  • Lee, Sam-Yun;Yang, Hyeon-Ung;Choe, Jong-Beom;Choe, Sun-Ho
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.396-401
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    • 1997
  • Tailoring thoracoplasty is employed prior to, following, or concomitant with pulmonary resection when it is anticipated that insufHclent lung tissue will remain to fill the pleural space following a pulmonary resection. This study reviewed a series of eight patients treated with tailoring thoracoplasty between 1990 and 1995. Indications were to close a persistent space In four patients and to tailor the thoracic cavity to accept diminished lung volume concomitant with a pulmonary resection in the other four patients. The primary underlying disease was lung cancer in three patients and pulmonary tuberculosis In five patients, two of whom had concomitant aspcrgilloma, two, pneumothora , and one, empyema with bronchopleural fistula. In four patients with a prior pulmonary resection, the tailoring thoracoplasty was performed within eight days after the resection surgery. There was no failure to accommodate the thoracic cavity to insufficient lung tissue, even though two patients needed a second thoracoplasty. We conclude that tailoring thoracoplasty may be performed to close anticipated persistent pleural space and to accommodate diminished lung volume with acceptable cosmetic results Early, after, or concomitant with pulmonary resection in selected patients.

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Endoscopic Resection of Early Gastric Cancer in Korea: Recent Results and Future Directions (조기위암 내시경절제술-최근 국내 성적과 발전방향)

  • Lee, Jun-Haeng
    • Journal of Gastric Cancer
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    • v.9 no.2
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    • pp.39-45
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    • 2009
  • Endoscopic resection has been established as one of the treatment options for selected cases of early gastric cancer in Korea. Yet the indications, best treatment methods, management of complications and follow-up methods after the procedure are still uncertain. Some large-scale multicenter studies have recently been reported in Korea. In this review, I will provide an overview of the recent published articles and future directions for endoscopic resection of early gastric cancer.

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Thoracoscopic Sympathetic Surgery for Axillary Hyperhidrosis (액와부다한증에서의 흉부교감신경절제수술)

  • 홍윤주;이두연;백효제;신화균;황정주;정은규
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1106-1110
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    • 1999
  • 배경: 다한증의 치료에 있어서 흉강경을 이용한 교감신경절제술의 시술 빈도가 급증하고 있다. 그러나 액와부 다한증의 경우 수장부나 안면 두부다한증에 비하여 절제범위가 광범위하여 이에 따른 보상성 다한증 및 기타 합병증의 발생의 높고 액취증이 동반되어있는 경우 장기적인 만족도가 낮아서 크게 각광 받지 못해왔다. 대상 및 방법: 본 교실에서는 1997년 3월부터 1999년 4월까지 45례의 액와부 다한증 환자에서 2 mm 흉강내시경을 이용하여 흉부교감신경절제술 또는 잘단술을 시행하였다. 남자 28례 여자 17례로 평균연령은 28(13-46세) 였고 평균추적기간은 10개월(1-24)이었다. 24례가 액와부에만 국한된 과도발한을 호소 하였고 2례에서 수술 전 심한 액취증이 동반되어있었다. 21례의 T3,4 교감신경절제술, 20례의 T2,4 교감신경단술 그리고 4례의 T4 교감신경절제수을 시행하여 즉각적인 증상치유효과 보상성 다한증 및 장기적 만족도를 비교 분석하였다. 중등도 이상의 흉막유착으로 5mm 내시경이 필요했던 2례을 제외한 전 환자에서 2mm 트로카 2개를 사용하여 수술을 하였다 결과: 평균수술시간은 T3,4 교감신경절제술이 46.2$\pm$11분 T2, 4 교감신경절단술이 32.5$\pm$23분 T4 교감신경절제술이 53.8$\pm$18분이 소요되었고 수술직후의 효과는 T3,4 교감신경절제술과 T2,4 교감신경절단술에서 '전혀땀이 나지 않는다'가 17례(81%) 와 12례(60%) '수술전보다 감소했으나 약간땀이 난다'가 4례(19%) 와 8례(40%) 로 모든 환자에서 효과가 있었으나 T4 교감신경절제술은 4례중3례(75%)에서 전혀 효과가 없었다. 보상성 다한증은 T3,4교감신경절제술과 T2,4 교감신경절단술에서 각각 67%, 60%로 나타났고 생활에 불편을 줄 정도의 심한경우는 10% 5%에 불과했으며 장기적인 만족도는 T3,4 교감신경절제술이 86% T2,4 교감신경절단술이 89%로 나타나 높은 성공률을 보았다 결론 : 액와부다한증의 치료에 있어서 T3,4 교감신경절제술과 T2,4교감신경절단술은 증상치유효과가 높고 절제범위의 제한에 따른 보상성 다한증의 감소로 장기적 만족도가 우수한 효과적인 방법이다. 액취증이 동반된 경우 이에대한 충분한사전 설명과 원인 감별후 적절한 보조요법을 병행함으로써 환자의 만족도를 높힐수 있다고 본다.

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Histologic Effects of a Contact Diode Laser on Intraoral Soft Tissue (접촉식 다이오드레이저조사가 구강연조직에 미치는 조직학적 영향)

  • White, Joel M.;Shin, Keum-Back;Thompson, Rick;Myers, Terry D.
    • Journal of Oral Medicine and Pain
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    • v.23 no.2
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    • pp.101-108
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    • 1998
  • 본 연구는 두 가지 관점, 즉 다이오드레이저를 구강연조직에 접촉식으로 조사하여 조직을 절제할 경우 첫째 심부조직에서의 온도 상승 정도에 대한 분석 평가, 둘째 절제에 따른 조직의 열적 응고에 대한 조직학적 분석 평가를 위해 시도되었다. 연구를 위해 도축된 소의 혀 배면으로부터 5.0mm깊이에 T형 열전대(type T thermocouple)를 설치하고 조사조건에 따른 레이저절제 도주의 온도변화를 측정하고, 또한 해당조사부위의 조직을 대상으로 통법에 의한 H-E염색 후 조직학적 측면에서 열적 응고상을 검색하여 Nd:YAG레이저의 경우에서와 비교하였다. 즉 파장815nm의 다이오드레이저를 0-10W의 출력, 50Hz와 연속파의 주파수조건에서 접촉식으로 조사하였으며, 또한 파장1064nm의 Nd:YAG레이저를 0-10W의 출력, 50Hz와 100Hz의 주파수 조건에서 접촉식으로 조사하였다. 레이저의 접촉조사시 레이저광섬유 첨단부에서 10(10gm의 일정한 압력과 25mm/sec의 이동속도로 조직을 절제하였다. 레이저가 접촉조사된 조직부위를 통법에 의해 조직학적으로 H-E염색을 시행하였으며, 계측현미경을 이용하여 10배율 아래에서 조직절제의 폭과 깊이, 측방 및 하방 쪽으로 열적 응고의 폭을 계측하였다. 계측치에 대한 통계학적 처리결과 조직절제의 폭과 측방쪽으로 열적응고의 폭은 다이오드레이저에와 Nd:YAG레이저에서 같은 정도를 나타냈다. 조직절제의 깊이는 Nd:YAG레이저에서에 비해 다이오드레이저에서 더 깊었다. 하방쪽으로의 열적응고의 폭은 Nd:YAG레이저를 10Hz의 조건에서 조사한 경우에서 가장 넓었으며, 다이오드레이저를 50Hz와 연속파의 조건에서 조사한 경우에서 가장 좁았다. 레이저절제 도중 심부조직에서의 온도변화는 다이오드 레이저에서와 Nd:YAG레이저에서 모두 출력이 증가함에 따라 상승되었으며, 다이오드레이저에서 보다 Nd:YAG레이저에서 더 높이 상승되었다. 결론적으로 본 연구에서 시도된 조사조건 범위 이내에서는 구강연조직 절제시 다이오드레이저가 펄스형 광섬유 전달식 Nd:YAG레이저 보다 심부조직에서의 낮은 온도상승과 하방쪽으로의 좁은 열적 응고의 폭을 보이면서 우수한 조직절제효과를 나타냈다.

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양측 성대 마비 환자에서 레이저를 이용한 내측 피열연골 절제술

  • 김영모;조정일;김영진;정동학
    • Proceedings of the KSLP Conference
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    • 1997.11a
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    • pp.258-258
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    • 1997
  • 전체 성대 마비 환자의 약 10%에서 발생하는 것으로 알려진 양측 성대 마비는 안정 혹은 경미한 운동시에도 호흡 장애를 초래하는 경우라면 이에 대한 치료가 요구되는 질환이다. 이에 대한 치료 방법으로는 성문 기도를 넓히면서 흡인이 되지 않고 음성장애를 일으키지 않는데 목적을 두고 피열연골 고정술, 피열연골 절제술, CO2, 레저 피열연골 절제술, 성대 측방 고정술, 후성대 절제술, 점막하 성대 절제술, 근-신경식술 등 다양한 방법이 사용되어져 왔다. (중략)

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The Effect of Foliage Clipping on the Growth and the Agronomic Characteristics, as Affected by its Time, Degree, and Nitrogen Top-Dressing, in Rice plants (절엽의 시기 및 정도, 그리고 절엽 후의 시비가 수도의 생육 및 수량제형질의 변화에 미치는 영향)

  • Eun-Woong Lee;Yong-Woong Kwon;Pyeong-Ki Yim
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.4 no.1
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    • pp.81-91
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    • 1968
  • To investigate the effects of foliage clipping time, degree, and nitrogen top-dressing after clipping on the growth and the agronomic characteristics, rice plants grown under ordinary cultural practices were clipped at the maximum tiller stage, 10 days prior to, and after that stage, respectively, with varying clipping, height, as 0, 1/3, 1/2, and 2/3 of plant height. And nitrogen was top-dressed at the rate of 0, 2, 4, 6 kg per 10 are immediately after clipping. The variety used was "Jinheung". The results obtained are outlined as follows: 1. Effect of clipping on the growth of rice plant: The subsequent growth was quite rapid during 10 days after clipping, and resulted, on the whole, in nearly complete recovery of defoliation by 20 days after clipping. a) Generally, the later the clipping time, the more growth accelerated. Rice plants clipped before the differentiation of ear primordia nearly recovered the damage, and in certain cases exceeded non-clipped plants in height. But the height of the rice plant clipped after the differentiation of ear primordia was somewhat smaller than that of non-clipped. b) Growth rate was rather rapid in the case of severe cutting, and the height of slightly clipped plants was taller than that of non-clipped plants. However, rice plants clipped to the extent of 2/3 of plant height did not fully recover the damage of defoliation compared to non-clipped plants. c) Nitrogen dressing was effective to rapid recovery of defoliation, the effect increasing with the increasing amount of application. d) Ear-heading was delayed in clipped plots, and this tendency was more apparent with later clipping time, more severe clipping, and increased amounts of nitrogen application after cutting. The range was 6 days at maximum. 2. Effect of defoliation on the yield and its components of rice plants: The yield response to clipping varied somewhat with its time, degree, and nitrogen application after cutting: yield increase of about 10% and decreasement of about 25% at maximum compared to the control plot. Grain yield of most plots was decreased. a) Clipping before the differentiation of ear primordia did not much affect the agronomic characteristics of rice plants. However, clipping after that growth stage decreased culm length, number of panicles, number of spikelets per panicle, and maturing rate of grain to some extent. Consequently this treatment resulted in decrease of about 10% in grain and straw production in spite of increase in panicle length and effective tillering rate. b) Slight, clipping decreased number of spikelets per panicle a little, and the yield of grain and straw by 4-5%, although effective tillering rate was somewhat increased. With severe clipping, panicle kngth, number of panicles, and number of spikelets per panicle decreased more, and the yield of grain and straw decreased about 10%. c) Nitrogen dressing after clipping at the rate of 2 kg per 10 are was effective in increasing grain yield. Nitrogen application over the rate of 4 kg per 10 are increased culm length, number of spikelets per panicle, and straw production, but this decreased the maturing rate, and the 1, 000-grains weight to some extent and resulted in decrease of grain yield.

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ALTERED EXPRESSION OF SODIUM TRANSPORTERS AND WATER CHANNELS FOLLOWING SYMPATHETIC AND PARASYMPATHETIC DENERVATION IN RAT SUBMANDIBULAR GLAND (흰쥐 악하선에서 교감신경과 부교감신경에 의한 나트륨 운반체 및 수분 통로 조절)

  • Kim, Gi-Young;Ryu, Sun-Youl
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.1
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    • pp.24-30
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    • 2005
  • The flow of saliva is controlled entirely by nervous stimuli. The present study was aimed to explore the role of sympathetic and parasympathetic nerves in the regulation of sodium transporters and water channels in the salivary gland. Rats were denervated of their sympathetic and parasympathetic nerves to the submandibular gland, and the expression of sodium transporters and water channels was determined. The expression of either ${\alpha}-1$ or ${\beta}-1$ subunit of Na, K-ATPase was not significantly affected by the sympathetic denervation. On the contrary, the expression of both subunits was decreased by the parasympathetic denervation. The expression of ${\alpha}-,\;{\beta}-$, and ${\gamma}$-subunits of ENaC was not significantly affected by the sympathetic denervation, but was increased by the parasympathetic denervation. On the contrary, the expression of NHE3 was markedly decreased by both the sympathetic and the parasympathetic denervation. The sympathetic denervation significantly increased the expression of AQP1, while the parasympathetic denervation was without effect. The sympathetic and parasympathetic denervation significantly increased the expression of AQP4. The sympathetic denervation did not affect the expression of AQP5, but the parasympathetic denervation significantly decreased it. These results suggest that sympathetic and parasympathetic nerves have tonic effects on the regulation of sodium transporters and AQP water channels in the salivary gland. The sympathetic and parasympathetic denervation may then result in alterations of secretory rate and electrolyte composition of the saliva.

Reconstruction with Non-vascularized Fibular Graft and Anterolateral Thigh Free Flap after Wide Resection for Unplanned Intralesional Resection of Synovial Sarcoma of the Thenar Muscle - A Case Report - (불완전 절제된 무지구근 활막육종에서 광범위 절제술후 비골 이식술과 전외측 대퇴부 유리 피판 이식술 - 증례 보고 -)

  • Choi, Byung-Wan;Kim, Jung-Ryul
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.124-129
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    • 2007
  • Synovial sarcomas of the hand are rare. It should be treated with wide resection. In the cases of soft tissue sarcomas of the hand, functional reconstruction must be considered. We report 46-year-old male patient with synovial sarcoma of the right thenar muscle which was treated with unplanned intralesional resection at outside hospital, that has been treated with wide resection including trapezium and first metacarapl bone then, reconstructed with nonvascularized fibular graft and anterolateral thigh free flap.

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