• 제목/요약/키워드: Gallbladder

검색결과 330건 처리시간 0.023초

뇌성마비의 침자(鍼刺) 치료에 대한 문헌적 고찰 -최근 중의잡지를 중심으로- (A Literature Study on Acupuncture for Cerebral Palsy -Based on the Current Traditional Chinese Medical Journals-)

  • 하수연;민상연;김장현
    • 대한한방소아과학회지
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    • 제23권1호
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    • pp.205-228
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    • 2009
  • Objectives The purpose of this study is to investigate the current acupuncture therapy of cerebral palsy. Methods We investigated the Chinese clinical papers which were published in the last 10 years(from 1999 to 2008). We found these papers from the oriental medical library in university and we also used the China National Knowledge Infrastructure(CNKI) through the internet and selected 32 papers for analyzing. Results Most papers were described the effect of acupuncture or acupoint-injection. This is more effective way to treat than the general rehabilitation treatment such as the physical therapy, the occupational therapy, and the speech therapy. Acupuncture or acupoint-injection has overall $80{\sim}100%$ of rehabilitation rate. The younger the children were, the longer the treatment period was, and the more successful in treatment. The acupuncture was often used with the general acupuncture and scalp acupuncture. Commonly used major acupuncture points were sishencong(四神聰), bohui(百會), zusanli(足三里), yundongqu(運動區), pinghengqu(平衡區), quchi(曲池), and sanyinjiao(三陰交). Commonly used main meridian pathways were bladder, governor vessel, gallbladder, large intestine, stomach, small intestine meridian. Head is the common site for acupuncture. The main acupoint-injection points were zusanli(足三里), dazhui(大椎), shenshu(腎兪), yamen(啞門), neiguan(內關), and fengchi(風池). For the injection, brain activator, ganglioside M1, cerebroprotein hydrolysate, cytidine diphosphate choline, Vit B1, Vit B12, the salviae root, the safflower were commonly used. Conclusions Acupuncture and acupoint-injection have been shown as an effective treatment on cerebral palsy. The acupuncture was used often the general acupuncture and scalp acupuncture all together. Commonly used main acupuncture points were sishencong, bohui, zusanli, yundongqu, pinghengqu, quchi, sanyinjiao.

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Sensitiv ImagoTM 측정에 의한 틱 장애 환아의 검사 결과 보고 (Report of Sensitiv ImagoTM Test Results in Tic Disorder Children)

  • 김민주;김덕곤;이진용
    • 대한한방소아과학회지
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    • 제28권3호
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    • pp.85-101
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    • 2014
  • Objectives The purpose of this study is to report test results in eight tic disorder children using Sensitiv $Imago^{TM}$. Methods Eight tic disorder children were tested using Sensitiv $Imago^{TM}$. Also, they were diagnosed with tic disorders by DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, $4^{th}$ edition) and we evaluated tic disorder cases by Yale Global Tic Severity Scale (YGTSS). Results In 8 cases, 1 case was transient tic disorder, 3 cases were Tourette's disorder and 4 cases were unspecified tic disorder. In the result of Sensitiv $Imago^{TM}$, 4 cases showed the lowest score at filter ${\sharp}5^*$ and 4 cases showed the lowest score at filter ${\sharp}6^*$ in [Express Monitoring] of [Review of System Disorders of Homeostasis]. Filter #5 includes urogenital organs, liver, gallbladder, kidneys, urinary bladder and ureter and Filter #6 stands for organs of immune and respiratory systems. Conclusion We report test results in eight tic disorder children using Sensitiv $Imago^{TM}$. Further studies about the principle, repeatability, reproducibility of Sensitiv $Imago^{TM}$ are needed.

유루증(流淚症)의 원인(原因).증상(症狀).치법(治法).침치료(鍼治療)에 관(關)한 문헌적(文獻的) 고찰(考察) (A Investigation into the Causes, Symptoms, Treatment, and Acupuncture of Epiphora(Watery Eye))

  • 오기남;남상수;이재동;최도영;안병철;박동석;이윤호;최용태
    • Journal of Acupuncture Research
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    • 제15권2호
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    • pp.519-536
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    • 1998
  • Purpose ; This Investigation was aimed to find out the Causes, Symptoms, Treatment, and Acupuncture of Epiphora(Watery Eye) in Oriental Medicine Methods ; 49 books were surveyed from to recent published books those referred to Epiphora. Results ; In Oriental Medicine, Epiphora is divided into two types; Cool Watery eye and Hot Watery eye. Both cool and hot type can be redivided into the mild and serious cases. The mild Watery eye means tears on the cheek with the wind; The serious Watery eye means tears on the cheek unrelated the wind from time to time. Conclusions ; The cause of Epiphora can be concluded with the shortage of functional division of Liver and Kidney(肝腎虛), and the chaos and fever of Liver meridian(肝經風熱). In Acupuncture agenst Epiphora, the acupuncture point at Bladder, Gallbladder and Liver meridian occupied the high level of the most often-used acupuncture point list; The acupuncture point at the portion of head and neck, upper extremities, lower extremities, and back, especially around orbit, were mainly used against Epiphora. Recently, beyond conventional acupuncture, Auricular- Acupuncture(耳鍼療法), Herb- Acupuncture(藥鍼療法), Bleeding-Acupuncture(潟血療法), Manipulation(手技療法) used against Epiphora.

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Is Immunohistochemical Sex Hormone Binding Globulin Expression Important in the Differential Diagnosis of Adenocarcinomas?

  • Bulut, Gulay;Kosem, Mustafa;Bulut, Mehmet Deniz;Erten, Remzi;Bayram, Irfan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8203-8210
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    • 2016
  • Adenocarcinomas (AC) are the most frequently encountered carcinomas. It may be quite challenging to detect the primary origin when those carcinomas metastasize and the first finding is a metastatic tumor. This study evaluated the role of sex hormone binding globulin (SHBG) positivity in tumor cells in the subclassification and detection of the original organ of adenocarcinomas. Between 1994 and 2008, 64 sections of normal tissue belonging to ten organs, and 116 cases diagnosed as adenoid cystic carcinoma and mucoepidermoid carcinoma of the salivary gland, lung adenocarcinoma, invasive ductal carcinoma of the breast, adenocarcinoma of stomach, colon, gallbladder, pancreas and prostate, endometrial adenocarcinoma and serous adenocarcinoma and mucinous adenocarcinoma of the ovary, were sent to the laboratory at the Department of Pathology at the Yuzuncu Yil University School of Medicine, where they were stained immunohistochemically, using antibodies against SHBG. The SHBG immunoreactivity in both the tumor cells and normal cells, together with the type, diffuseness and intensity of the staining were then evaluated. In the differential diagnosis of the adenocarcinomas of the organs, including the glandular structures, impressively valuable results are encountered in the tumor cells, whether the SHBG immunopositivity is evaluated alone or together with other IHC markers. Further extensive research with a larger number of cases, including instances of cholangiocarcinoma and cervix uteri AC [which we could not include in the study for technical reasons] should be performed, in order to appropriately evaluate the role of SHBG in the differential diagnosis of AC.

The Qualitative Analysis of Single Shot Fast Spin Echo (SSFSE) and Maximum Intensity Projection (MIP) on Magnetic Resonance Cholangiopancreatography

  • Park, Cheol-Soo;Cho, Jae-Hwan;Lee, Hae-Kag;Dong, Kyung-Rae;Chung, Woon-Kwan;Seok, Jong-Min;Han, Man-Seok;Lee, Sun-Yeob;Goo, Eun-Hoe;Kim, Eng-Chan
    • Journal of Magnetics
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    • 제17권2호
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    • pp.138-144
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    • 2012
  • 3-dimensional magnetic resonance cholangiopancreatography (MRCP) images reconstructed using the maximum intensity projection technique were analyzed qualitatively in patients diagnosed with pancreatobiliary diseases to determine their diagnostic utility. Single shot fast spin echo (SSFSE), fast spin echo (FSE) and 3-dimensional reconstructive images were acquired from 20 patients diagnosed histologically with pancreatobiliary diseases using a 3.0T MR scanner. According to qualitative analysis, the fast spin echo images and 3-dimensional reconstructed images of the hepatic duct, gall bladder and common bile duct had a higher signal to noise ratio (SNR) than the single shot fast spin echo images. Fast spin echo images and 3-dimensional reconstructed images did not show any differences. The contrast to noise ratio of the hepatic duct, gallbladder and common bile duct on the fast spin echo images and 3-dimensional reconstructed images was higher than that of the single shot fast spin echo images. The fast spin echo images and 3-dimensional reconstructed images showed similar quality.

비구, 비체(鼻涕), 비색(鼻塞), 비연(鼻淵)의 침구치료(鍼灸治療)에 관(關)한 문헌적(文獻的) 고찰(考察) (The study of literature review on acupuncture & moxibustion treatment for allergic rhnitis, nasal diacharge(鼻涕), stuffy nose(鼻塞), and rhinorrlea with turbid discharge(鼻淵))

  • 김영화;이병렬
    • 혜화의학회지
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    • 제8권2호
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    • pp.259-272
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    • 2000
  • About the acupuncture & moxibustion therapy of allergic rhnitis, nasal discharge(鼻涕), stuffy nose(鼻塞), and rhinorrlea with turbid discharge(鼻淵), the results are obtained as follows: 1. It appeared that the reasons for allergic rhnitis are the lung's contacting to Wind-Coid(風寒), Damhwa(痰火), and accumulated fever of stomach, the reasons for nasal discharge(鼻涕) is the Cold-Hot of a lung. the reasons for stuffy nose(鼻塞) is the harmonization of the Lung(肺氣), the reasons for the rhinorrlea with turbid discharge(鼻淵) are the heat of the Brain(腦熱), heat of the Gallbladder(膽熱), most probably. 2. When we do a acupuncture & moxibustion therapy for the allergic rhnitis, we used P'ungmun(風門), Shinjong(神庭), mostly. For the nasal diacharge(鼻涕) ; Yonghyang(迎香), P'ungmun(風門), Sangsong(上星) and Sugu(水溝) were the most useful acupuncture point. For the stuffy nose(鼻塞) ; Sangsong(上星), Yonghyang(迎香), Hapkok(合谷), and Sugu(水溝) were used most frequently. For the rhinorrlea with turbid discharge(鼻淵); Sangsong(上星), Hapkok(合谷), Yonghyang(迎香), and P'ungji(風池) were the best acupuncture point. 3. Concerning the frequencies of the acupuncture & moxibustion therapy for these four symptoms, Bladder Meridian(膀胱經) and Governor Vessel Meridian(督脈) were the most useful ones. As to the acupuncture point, Sangsong(上星), Yonghyang(迎香), Sugu(水溝) and Hapkok(合谷) were used most repeatedly.

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Mesenteric Pseudocyst of the Small Bowel in Gastric Cancer Patient: A Case Report

  • Lee, Sang-Eok;Choi, In-Seok;Choi, Won-Jun;Yoon, Dae-Sung;Moon, Ju-Ik;Ra, Yu-Mi;Min, Hyun-Sik;Kim, Yong-Seok;Kim, Sun-Moon;Sohn, Jang-Sihn;Lee, Bong-Soo
    • Journal of Gastric Cancer
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    • 제12권1호
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    • pp.43-45
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    • 2012
  • Mesenteric pseudocyst is rare. This term is used to describe the abdominal cystic mass, without the origin of abdominal organ. We presented a case of mesenteric pseudocyst of the small bowel in a 70-year-old man. Esophago-gastro-duodenoscopy showed a 3.5 cm sized excavated lesion on the posterior wall of angle. Endocopic biopsy confirmed a histologic diagnosis of the poorly differentiated adenocarcinoma, which includes the signet ring cell component. Abdominal computed tomography scan showed a focal mucosal enhancement in the posterior wall of angle of the stomach, a 2.4 cm sized enhancing mass on the distal small bowel loop, without distant metastases or ascites in rectal shelf, and multiple gallbladder stones. The patient underwent subtotal gastrectomy with gastroduodenostomy, segmental resection of the small bowel, and cholecystectomy. The final pathological diagnosis was mesenteric pseudocyst. This is the first case report describing incidentally detected mesenteric pseudocyst of the small bowel in gastric cancer patients.

원발성 기관지 반지세포암 1예 (A Case of Primary Signet Ring Cell Carcinoma of the Lung)

  • 최원일;손정호;권오영;허정숙;황재석;한승범;송홍석;전영훈;권건영
    • Tuberculosis and Respiratory Diseases
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    • 제41권5호
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    • pp.562-567
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    • 1994
  • 반지세포암은 과거에 여러 장기에서 보고되어졌으며 위에서 가장 많이 발생하며 드물게 대장, 직장, 담낭, 췌장, 유방, 전립선, 방광 그리고 요관 등에서 발생하는 것으로 알려져 있다. 폐에서 특히 작은 조직검사에서 반지세포가 나올 경우 일반적으로 전이에 의해 발생한 것으로 믿어져 왔다. 저자들의 경우 기관지경직시하 조직생검상 반지세포암으로 진단되었으며 다른 여러장기를 비침습적으로 조사한 결과 정상소견이어서, 원발성 폐의 반지세포암으로 추정되어 cisplatin과 etoposide의 복합 항암화학요법과 국소방사선조사를 시행하였으며 진단 후 176일째 급성호흡부전으로 사망하였다.

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IgG4-Related Lung Disease without Elevation of Serum IgG4 Level: A Case Report

  • Kang, Min Kyu;Cho, Yongseon;Han, Minsoo;Jung, Sun Young;Moon, Kyoung Min;Kim, Jinyoung;Kim, Ju Ri;Lee, Dong-kyu;Park, Jun Hyung;Chung, So Hee
    • Tuberculosis and Respiratory Diseases
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    • 제79권3호
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    • pp.184-187
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    • 2016
  • Since IgG4-related pancreatitis was first reported in 2001, IgG4-related disease has been identified in other organs such as salivary gland, gallbladder, thyroid, retroperitoneum and kidney; but lung invasion is rare. A 63-year-old man presented with hemoptysis at the pulmonary clinic and chest computed tomography revealed about 4.1 cm irregular shaped mass with spiculated margin at the left upper lobe. Despite no elevation of serum IgG4 level, he was finally diagnosed as IgG4-related lung disease by transthoracic needle biopsy. After treatment with oral glucocorticoids, hemoptysis disappeared and the size of lung mass was decreased.

Asymptomatic Bile Duct Dilatation in Children: Is It a Disease?

  • Son, Yeo Ju;Lee, Mi Jung;Koh, Hong;Kim, Seung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제18권3호
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    • pp.180-186
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    • 2015
  • Purpose: Bile duct dilatation is a relatively common sonographic finding; nevertheless, its clinical significance in children is controversial because little research has been done in the area. Therefore, we investigated the natural course and clinical significance of biliary duct dilatation in children. Methods: We performed a retrospective study of 181 children (range, 1-day-old to 17-year-old) in whom dilatation of the intrahepatic duct and/or common hepatic duct and/or common bile duct was detected by abdominal ultrasonography at the Severance Children's Hospital between November 2005 and March 2014. We reviewed and analyzed laboratory test results, clinical manifestations, and clinical course in these patients. Results: Pediatric patients (n=181) were enrolled in the study and divided into two groups. The first group included 59 subjects, without definitive cause of bile duct dilatation, who did not require treatment; the second group included 122 subjects, with definitive cause of bile duct dilatation or underlying biliary disease, who did require treatment. In the first group, 24 patients (40.7%) showed spontaneous resolution of bile duct dilatation, 20 patients (33.9%) showed no change, and 15 patients (25.4%) were lost to follow-up. In the second group, 31 patients were diagnosed with choledochal cysts, and 91 patients presented with biliary tract dilatations due to secondary causes, such as gallbladder or liver disease, post-operative complications, or malignancy. Conclusion: Biliary dilatation in pediatric patients without symptoms, and without laboratory and other sonographic abnormalities, showed a benign clinical course. No pathologic conditions were noted on follow-up ultrasonography.