• 제목/요약/키워드: cautery

검색결과 38건 처리시간 0.023초

온침 표준화를 위한 열자극 요소 연구: 침 두께 및 피부-뜸 거리를 중심으로 (Principal Components of Thermal Stimulation while the Warm Needling: Diameter of the Acupuncture Needle and Distance from the Skin)

  • 양승범;권오상
    • Korean Journal of Acupuncture
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    • 제36권4호
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    • pp.210-220
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    • 2019
  • Objectives : Warm needling is a combined treatment technique of acupuncture and moxibustion. In this study, we aimed to find out the components related with the thermal stimulation of the warm needling and to provide basic data for the guideline of the warm needling technique in the clinic. Methods : In this study, we measured thermal change of 3% agarose phantom embedding K-type thermocouples in depths of 0, 1, 2, 4, 8 and 16 mm. The warm needling was performed with acupuncture needles of various specifications (0.50×30, 0.50×40, 0.30×30, 0.30×40, 0.20×30 and 0.20×40 mm). A linear regression analysis was performed to find out the major component and quantify the effectiveness of the thermal stimulation during warm needling. Results : As a result of the measurement of temperature change, we could observe the thermal change pattern from the surface of the phantom to the 16mm deep part of the phantom. The thermal pattern was similar among the needles of different specifications. The regression analysis pointed the distance between the moxa cautery and the skin surface as the main component for the thermal stimulation of the warm needling. Conclusions : The authors suggest considering the distance between moxa cautery and the skin rather than the diameter of the acupuncture needle in accordance to the result of the study.

혈관조영색전술을 이용한 비조절성 후비강부 출현의 처치;증례 보고 (THE HEMOSTASIS IN INTRACTABLE POSTERIOR NASAL BLEEDING WITH ANGIOGRAPHIC EMBOLIZATION;A CASE REPORT)

  • 남기영;권대근;김종배
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제22권4호
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    • pp.454-457
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    • 2000
  • The posterior nasal bleeding sometimes develope a life threatening situation because of its limited access and the profuse vascular network of the bleeding area. There are various methods of hemostasis including packing, cautery, and arterial ligation those vary in effectiveness. But sometimes patients cannot tolerate these methods or show rebleeding sign. So, if all of these methods are not successful, we should consider the further treatment. The selective angiographic embolization has various advantages such as rapidness, repetition, good visualization, and being performed under local anesthesia, therefore it can provide useful way in patients with massive, intractable posterior nasal bleeding. We report a case of angiographic embolization for intractable posterior nasal bleeding patient and review the effectiveness of the this treatment.

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"동의보감(東醫寶鑑)"의 목차(目次)에 대한 연구(硏究)

  • 이인수;윤창열
    • 대한한의학원전학회지
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    • 제18권3호통권30호
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    • pp.136-171
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    • 2005
  • Donguibogam rearranged existing vast work was established as the medical science laying stress on human body. The contents of this book are divided into internal side of the body as Naekyung pyon. into outer side of the body as Woehyung pyon, into various kinds of diseases except for diseasesin Naekyung pyon and Woehyung pyon as jopbyung pyon, into medical herbs in natural world as Tangaek pyon, and into acupuncture and moxa cautery as Chimgu pyon. The contents in Naekyung pyon are classified into essence, vigor, spirit and blood. dream, vocal fermitus, speech, sap and unsound mucus, five vicera and six entrails, womb, vermin, urine and feces. And the contents in Woehyung pyon are divided into head, face, eyes, ears, nose, mouth and tongue, teeth thoat from upper to lower part of the body.

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흉강경을 이용한 기흉의 치료 (Thoracoscopic Treatment of Spontaneous Pneumothorax)

  • 김광호
    • Journal of Chest Surgery
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    • 제24권3호
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    • pp.261-264
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    • 1991
  • The result of thoracotomy for recurrent and persistent pneumothorax is usually excellent. However the patients undergone thoracotomy suffer from postoperative chest pain and require long postoperative recovery period. Also the operative incision scar gives the patients cosmetic problems. Subpleural blebs are usually causes of pneumothorax. They can be reached through the thoracoscope without thoracotomy and can be ablated by electrical cautery through it. Six patients with recurrent and persistent pneumothorax were managed thoracoscopic-ally. Five patients were successful and one case was failed. The failed case was explored 21 days after thoracoscopy. Follow-up period was from one to eight months. Although the follow-up period was short, thoracoscopic management of recurrent and persistent pneumothorax is thought to be good for preventing thoracotomy.

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어린 고양이에서 발생한 안구내출혈을 동반한 공막 파열의 수술적 치료 (Successful Surgical Treatments of Scleral Rupture with Hyphema in a Young Cat)

  • 박영우;정예찬;임재현
    • 한국임상수의학회지
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    • 제32권1호
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    • pp.127-129
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    • 2015
  • A 3-month-old, female Persian cat was presented with sclera mass. The mass was detected after cat's squeals during the playing with a dog before 2 days. On ophthalmic examination, a $2{\times}5mm$ dark purple colored raised mass was observed 1 mm behind the limbus in the right eye. Anterior chamber was filled with blood and epithelial defect was detected at 2 o'clock in the right central cornea. After general anesthesia, resection of the protruded iris was performed with iris scissors and bipolar cautery. Ruptured sclera and conjunctiva were closed with simple interrupted and simple continuous suture, respectively. Also, irrigation and aspiration (I/A) of the anterior chamber was performed to remove blood clot with bimanual I/A handpiece in the right eye. Four months after the surgery, the right eye was recovered completely and menace response was positive in spite of the retinal lesions.

우(疣)치료에 사용된 직접구(直接灸) 요법의 중의(中醫) 논문 고찰 (Review of the TCM Papers about Direct Moxibustion Therapy Used in the Treatment of Warts)

  • 박지현;손현의;서형식
    • 한방안이비인후피부과학회지
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    • 제29권1호
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    • pp.123-130
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    • 2016
  • Objective : The aim of this article is to report the chinese published papers on the results using the direct moxibustion to treat warts.Methods : Searching chinese published papers, we classified the results involved in the direct moxibustion treatment about warts. And analysed remedy methods, periods, cure rate, etc.Results : According to chinese published papers, the direct moxibustion itself may be effective in patients with warts. In all paper, the direct moxibustion showed more than 90% cure rate. The recurrence rate was low.Conclusion : We introduce a variety of wart treatments with the direct moxibustion which is made in China and report meaningful results. We hope to this paper contributes to various studies on cauterization of direct moxibustion.

제 4 새낭 기형 2 례: 화학소작에 의한 이상동누공 치험 (Two Cases of Fourth Branchial Anomaly: Pyriform Sinus Fistula Treated by Chemical Cauterization)

  • 김광현;신진성;성명훈
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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    • pp.109-109
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    • 1993
  • 제 4 새낭 기형은 매우 드문 선천성 기형으로 과거 20 년간 전세계적으로 보고된 것이 약 30 례에 불과하다. 거의 모든 례에서 좌측에 발병하며 임상적으로는 대개 원인이 불분명한 반복적인 경부의 염증성 종창으로 나타나고, 간혹 반복적인 감염성 갑상선염, 인두후부 농양 및 종격동염으로 발전하여 생명을 위태롭게 하기도 한다. 최근에 저자들은 제 4 새낭기형에 의한 것으로 판단되는 이상동 누공 환자 2 례를 경험하고 화학소작에 의해 성공적으로 치료하였기에 문헌고찰과 함께 새로운 치료방법의 효용성에 대해 보고하고자 한다.

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랫드에서 대퇴골머리 골괴사 유발 외과적 방법의 비교 (A Comparison of Surgical Methods of Inducing Femoral Head Osteonecrosis in Rats)

  • 김준수;박진욱;최석화;김근형
    • 한국임상수의학회지
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    • 제27권3호
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    • pp.240-245
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    • 2010
  • 대퇴골 머리의 골괴사는 특발성이며 진행성 질환이다. 골괴사증 연구를 위한 다양한 동물모델이 보고되었지만, 현재까지 표준화된 동물모델은 완성되지 않았다. 본 연구에서 랫드에서 세가지 외과적인 방법으로 유발한 골괴사모델을 비교하였다. 20마리의 SD 랫드 (24주령, 숫컷)를 각 5마리씩 대조군과 세개의 실험군으로 구분하였다. 세가지 외과적인 방법으로 골괴사를 유발하였다. 원인대를 자르고, 대퇴골목의 골막을 절개 (S군), 철사를 대퇴골목에 결찰 (W군), W군과 동일한 방법으로 대퇴골목에 철사를 감은 후, 전기소락기의 끝을 철사에 접촉시켜 소락, 그리고 철사를 제거 (B군). 2주후, 랫드는 안락사하고 대퇴골 머리와 목을 채취하였다. H/E 염색, 사프라닌 O염색, TUNEL 염색을 실시하여 대퇴골 머리의 골과 연골에 골괴사 병변을 평가하였다. 모든 외과적인 방법 (S, W, B군)에서 골괴사가 2주간의 단기간에 유발되었다. 연골부분에 대한 유의적인 괴사변화는 B군에서만 관찰되었다. 철사를 통한 소락 후, 철사를 제거하는 변형된 외과적 방법은 다른 방법에 비해 더욱 효과적으로 골괴사 실험모델을 완성하였다.

고양이의 절제된 폐단면에 histoacryl 의 폐쇄효과에 대한 실험적 연구 (Sealing of leakage on the raw surface of pulmonary resection with histoacryl in cats)

  • 이두연;오중환;방정현
    • Journal of Chest Surgery
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    • 제23권2호
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    • pp.231-235
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    • 1990
  • Segmental resection or wedge resection of the lung and direct cutting across of bronchi frequently results in postoperative airleaks or bronchopleural fistula in some cases. Many methods have been devised to handle air leak problems by oversuturing the raw edges, the application of pleural onlay flaps, the use of cautery or tissue adhesives, but these still has not solved the problem of air leaking from raw surfaces of the lung with only partial successful we have tried the use of histoacryl to closure the raw surface of the resected lung and compared it’s results with of the closure with chromic catgut sutures in cats from May 1989 to Jan. 1990 at the department of the thoracic and cardiovascular surgery, Yonsei University, College of Medicine. Ninety lobe of the lungs were used in this study and forty nine of which have been divided segmentally and closed with histoacryl on the raw surfaces. Forty one of which have been divided segmentally and closed with sutures using chromic catgut for control. There were air leakages in twelve cases among 49 cases with applying histoacryl and airleak were in two cases among 12 cases with reapply histoacryl, But there were air leak in two cases among 41 cases with sutures using chromic catgut and airleak were in one case among with resutures using chromic catgut.

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하니매화레이저를 이용한 여드름 흉터 치료 1례 (Case Study on Treating Acne Scar Using Hani-maehwa Laser)

  • 이득주;김철윤;권강;서형식
    • 한방안이비인후피부과학회지
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    • 제29권2호
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    • pp.106-111
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    • 2016
  • Objective : The aim of this study is to report the effect of Hani-maehwa laser(fractional mode) treatment on acne scar. Methods : The patient with atrophic facial acne scars was treated with 5 sessions of laser therapy at 4-week intervals. The therapeutic response to treatment was assessed at 3 months after last laser session. The treatment effect was evaluated by standardized photography, anti aging, skin brightness and flatness. That was measured by micro fluorescence measurement camera(ECO SKIN, Cuvitz Inc.) in 16(left zygoma) and 26(right zygoma) spot. And side effects were also checked. Results : Atrophic facial acne scars have improved markedly. Anti aging, skin brightness and flatness were improved. Especially anti aging and flatness were noticeably improved. Adverse effects were not reported.Conclusions : Korean medicine cautery method applies to high level laser(CO2 Hani-maehwa laser). These are different designs but same principle. It can be considered that laser therapy is effective method for treating acne scars.