• 제목/요약/키워드: diagnostic x-ray

검색결과 603건 처리시간 0.035초

퇴행성(退行性) 슬관절염(膝關節炎)의 봉독약침(峰毒藥鍼) 치료효과(治療效果)에 대한 임상적(臨床的) 관찰(觀察) (Clincal Investigation Compared with the Effects of the Bee Venom-Acupuncture on Knee Joint with Osteoarthritis)

  • 왕오호;안규범;임진강;장형석
    • Journal of Acupuncture Research
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    • 제18권3호
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    • pp.35-47
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    • 2001
  • Objective : This study is designed to find out the effects of the Bee Venom-Acupuncture on knee joint with osteoarthritis. Methods : We are investigated that outpatients suffer from knee joint pain deciphered at the division of Acupuncture in Jaseng oriental medicine hospital from the 13, July 1999 to until 11, November 2000. We make an estimated of the score from both before or after its treatment about 70 cases of diagnostic patient with the osteoarthritis of knee joints by biochemical method and X-RAY analysis, we observed in the progress of symptoms. Results : These results found that sex distinction with a disease caused much more female than male at the ratio of 1 to 5.36 in the proportion of males to females, jobs is mainly ranked with a housewife and approximately 82.9% of cases before our hospital have ever treated at the other clinics or hospitals. On the hand, the distribution interval of a case history is mainly followed by disease in below 6 month, interval of the period-treatment is mainly gone within 3 month and frequency of treatment is examined into 11 to 15 times, more than 16 times and below 10 times, respectively. We are estimated with the score of functional barrier from both before or after its treatment aganist osteoarthritis' patients and produced in the usefulness from the totally point of fields except the aid-device after its treatment. In summary, these results demonstrated that Bee Venom, Acupuncture enhanced more than 82.9% to the improvement of treatment and P<0.05 considered to be statistically significant. Conclusion : These results suggest that Bee-venom Acupuncture may be play a role in the significant usefulness and have need of actively application for the clinical trials against osteoarthritis'patients.

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급성 치성상악동염으로 인한 안구후농양: 증례보고 (Retrobulbulbar Abscess Due to Acute Odontogenic Sinusitis: a Case Report)

  • 조현주;정용선;채병무;정태영;박상준
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권6호
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    • pp.563-566
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    • 2010
  • Retrobulbar abscess is a rare, but severe complication of paranasal sinusitis. The clinical presentations are eyelid swelling, erythema, proptosis, conjunctival chemosis, restricted ocular movement, and decreased visual acuity. Diagnostic methods available for evaluating retrobulbar abscess include sinus X-ray, ultrasonography, computed tomography (CT), and bacterial culture. For the treatment of retrobulbar abscess, immediate surgical drainage and systemic antibiotic therapy are needed. Proper diagnosis and treatments are necessary for preventing visual loss, cavernous sinus thrombosis, subdural abscess, and other lifethreatening complications. A patient, a 30-year-old man, was admitted to our hospital because of progressive eyelid swelling, erythema, ptosis and decreased visual acuity on the right eye after endodontic treatment. The sinusitis occurred secondary to the infection from an upper molar tooth. The spread of the infection led to the orbit via ethmoidal sinus and posterior orbital wall. Immediate surgical intervention was performed and systemic antibiotics was administrated. The symptoms and signs are improved after treatments, so we present our case with a brief review of the literature.

수지골에 발생한 관절내 골연골종 - 증례 보고 - (Intraarticular Osteochondroma of the Phalanx of the Hand - A Case Report -)

  • 한정수;표나실;이재훈;조남수;박용구;류경남
    • 대한골관절종양학회지
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    • 제6권2호
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    • pp.88-91
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    • 2000
  • 골연골종은 양성 골종양의 약 40%를 차지하는 매우 흔한 종양이나 수지골의 관절내에서 발생한 예는 아주 드물며, 국내 보고는 아직까지 없었다. 12세 남아가 제 3수지의 근위지 관절의 무통성 종물을 주소로 내원하였다. 이학적 검사상 관절 운동 범위는 정상이었고, 운동시 동통이나 압통은 없었다. 종물의 크기는 $8{\times}3$mm 정도였으며, 경계는 약간 불분명하였고 가동성은 없었다. 단순 측면 사진상 근위지골의 원위 골간단부에 원형의 종물이 피질골로부터 발생하였으며 피질골을 파괴하지는 않았다. 육안 소견상 연골 조직으로 둘러싸인 종괴를 형성하였으며, 현미경적 소견상 연골모에 둘러싸인 정상적 해면골의 소견을 보였다. 이에 저자들은 수지골의 관절내에서 발생한 골연골종을 문헌 고찰과 함께 보고하는 바이다.

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개에서 비강 샘암종의 영상 진단 증례 (Diagnostic Imaging of Nasal Adenocarcinoma in Four Dogs)

  • 정주현;장진화;오선경;김경민;이성옥;이정민;김학상;윤정희;최민철
    • 한국임상수의학회지
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    • 제23권3호
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    • pp.355-360
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    • 2006
  • Four dogs with similar respiratory signs were referred to Veterinary Medical Teaching Hospital, Seoul National University. The clinical signs observed in these cases were anorexia, nasal discharge, sneezing, epistaxis, ocular discharge, and exophthalmoses. The routine laboratory tests revealed leukocytosis in two cases. On the skull radiographs, soft tissue density filled nasal cavity with loss of turbinate detail and increased density in frontal sinuses were found in all cases. Lysis of nasal bone was seen in two cases. Lysis of zygomatic arch was seen in one case. On computed tomography scan images, asymmetrical destruction of turbinate and nasal septum, and the superimposition of a soft tissue mass over the turbinate with peripheral contrast enhanced effect were identified in all cases. Destruction of ipsilateral orbital bone and invasion to retrobulbar region were visualized in all cases. In addition, all cases had lysis of cribriform plate. Lysis of nasal bone and destruction of hard palate were seen in two cases. Swelling of submandibular lymph node and salivary gland was seen in a case. Invasion to brain was identified in a case. All cases were diagnosed as nasal adenocarcinoma by cytology with fine needle aspiration and curettage.

기관지경검사의 폐암진단에 관한 임상적 의의 (Clinical Value of Bronchoscopic Examination in the Diagnosis of Cancer of the Lung)

  • 이종국;이성행;이성구
    • Journal of Chest Surgery
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    • 제6권2호
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    • pp.143-150
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    • 1973
  • Two-hundred and eighteen patients were taken bronchoscopy to evaluate the value of bronchoscopic diagnosis in the lung cancer patient at the Department of Thoracic Surgery of the Kyung-pook University Hospital. Ninety-eight eases of these patients were studied for possible lung cancer by bronchoscopic examination, biopsy and bronchial cytologv. The results were obtained as follows: Two-hundred and eighteen patients were taken bronchoscopy to evaluate the value of bronchoscopic diagnosis in the lung cancer patient at the Department of Thoracic Surgery of the Kyung-pook University Hospital. Ninety-eight eases of these patients were studied for possible lung cancer by bronchoscopic examination, biopsy and bronchial cytologv. The results were obtained as follows: 1) Forty-five (55.5%) of 81 cases impressed as definitive, and six (35. 3%) of 17 cases impressed as probable lung cancer were subsequently proved to have lung cancer. This represents a total of 51 cases (52. 0%) of 98 patients. 2) Twenty-six (51.0%) of 51 patients were proved by bronchoscopic biopsy and cytology. 3) The positive rates of bronchoscopic biopsy were higher in the lesions on tile intermediate bronchus, carina and main stem bronchi by bronchoscopy, and also in the hilar than in peripheral lesions by X-ray finding and in histologically undifferentiated cell carcinoma than in adenocarcinoma. 4) The positive diagnosis rates of bronchoscopic aspirate were not correlated to the locations of cancer lesions. 5) Thirty- nine percent of 51 case3 were visualized definitive tumor mass and obstructive lesions under bronchoscopy. 6) Patient of lung cancer varied in age from 27 to 77 years, with highest concentration lying in the 5th decade (43.0%). Forty-seven patients were men and 4 were women giving a proportion of men to women, 12: 1 7) Sixty-five percent of proved lung cancer patients were diagnosed as operable cases. Fifty-three percent of explored patients were resected. These results conclude that bronchoscopy is of a considerable value as a diagnostic procedure in these lung cancer patients.

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장중첩증의 임상양상을 보였던 영아의 중장 염전증(Midgut volvulus) 1례 -복부 초음파검사를 이용한 진단- (Midgut Volvulus of Infant Simulating Intussusception Diagnosis with Color Doppler Ultrasonography)

  • 이해경;김제우;오필수;이영아;최하주;윤혜선;양익;이경원;이재정
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제1권1호
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    • pp.133-137
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    • 1998
  • Although midgut volvulus is clinically characterized by bilous vomiting and abdominal distention, plain abdominal X-ray is usually non-specific and therefore it can be misdiagnosed to other diseases. Upper gastrointestinal contrast study and computed tomography have been used as a routine diagnostic tool but it takes cost and time. Abdominal ultrasonography is a relatively good alternatives in diagnosing midgut volvulus and it relatively saves cost and time. But case presentation of midgut volvulus diagnosed with abdominal ultrasonography are rarely found in literature. We experienced a 6 month old girl who had come to our hospital with bilous vomiting and was diagnosed as midgut volvulus with ultrasonography. Thus we report this case with the presentation of typical ultrasonographic findings of midgut volvulus.

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폐 결절성 림프구양 증식증 (Pulmonary Nodular Lymphoid Hyperplasia)

  • 구현경;김서윤;박성수;이연주;이지연;정진행;이재호;이춘택;윤호일
    • Tuberculosis and Respiratory Diseases
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    • 제69권3호
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    • pp.212-216
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    • 2010
  • Nodular lymphoid hyperplasia is a very rare benign disease and usually shows consolidation on chest X-ray with symptoms of pneumonia due to the proliferation of lymphoid cells in the lung parenchyma. It is common for patients to be diagnosed with pneumonia and treated with antibiotics, but patients often enter a cycle of repeated improvement, followed by aggravation of symptoms. At this point, surgical diagnostic tools are considered in order to differentiate between malignant disease and interstitial lung disease. Here, we report 2 cases of patients with nodular lymphoid hyperplasia and review the associated references.

VSD 를 합병한 DCRV 의 외과적 수술에 대한 임상적 고찰 (A Clinical Study on the Surgical Treatment of Double Chambered Right Ventricle Associated with Ventricular Septal Defect)

  • 손동섭;김근호
    • Journal of Chest Surgery
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    • 제18권2호
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    • pp.241-249
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    • 1985
  • Twenty-one patients with Double Chambered Right Ventricle [DCRV] associated with Ventricular Septal Defect [VSD] were treated by open heart surgery under cardiopulmonary bypass with moderate hypothermia in the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital between June 1982 and October 1984. The following results were obtained 1. The symptoms and physical signs, specific for DCRV, could not be identified. 2. The radiologic findings on simple chest X-ray, specific for DCRV, could not be identified. 3. Electrocardiographic findings, specific for DCRV, could not be identified. 4. Cardiac catheterization was found to be the most important diagnostic method, revealing pressure gradient between proximal chamber and distal chamber in the right ventricle. The average pressure gradient between two chambers showed 48.1523.29 mmHg[varying from 15mmHg to 94mmHg]. 5. Cardiac angiography was found to visualize the anomalous muscle bundles in right ventricle [in 17 cases, 81%] but the evidence of pressure gradient between two chambers within right ventricle is considered necessary for the diagnosis of DCRV. 6. Via surgical observation, anatomical and pathologic findings of the anomalous muscle bundles, associated DCRV were identified. 7. As the direct pressure was measured on the operating table before and after surgery, the average pressure gradient across the muscle bundles showed 40.5219.75mmHg [varying from 16 to 89mmHg] preoperatively and 8.909.72mmHg [varying from 0 to 32mmHg] postoperatively, indicating significant surgical correction of the obstruction present. 8. The presence of anomalous muscle bundles, dividing the right ventricle into two separated chambers, and the presence of the pressure gradient over 15mmHg are considered necessary for the diagnosis of DCRV.

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제 I 형 신경섬유종증에 병발하였던 종격동내 횡문근육종에 의한 척수압박 1례 - 증례보고 - (A Case of Spinal Cord Compression Caused by Rhabdomyosarcoma of the Mediastinum Associated with Type I Neurofibromatosis(NF Type I) - Case Report -)

  • 김세윤;황금;홍순기;변진수;허철;김헌주;한용표;이명섭;이종국;조미연
    • Journal of Korean Neurosurgical Society
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    • 제30권5호
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    • pp.642-646
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    • 2001
  • A 12-years-old female admitted to the hospital with the complaint of pain on the right upper chest area which persisted about 1 month prior to admission. $Caf{\acute{e}}$-au-lait spots of various size laying on a whole body and freckling on the axilla were found on physical examination. A huge mass was found on the plain chest X-ray and on chest MRI. The mass encroached thoracic spine, posterior rib, back muscles, and then into the neural canal and compressed thoracic spinal cord. On the 5th day of hospitalization, the patient complained tingling on the both legs and 2 days later, monoparesis on the right leg. Open thoracotomy and decompressive laminectomy was done to remove mass. Pathologic reports confirmed rhabdomyosarcoma, embryonal type.

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원발성 종격동 종양 및 낭종의 임상적 고찰 (Clinical Evaluation of the Primary Mediastinal Tumors and Cysts)

  • 이재덕;이계선
    • Journal of Chest Surgery
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    • 제29권7호
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    • pp.763-768
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    • 1996
  • 대전 을지병원 흉부외과에서는 1986년 1훨부터 1995년 4월까지 원발성 종격동종양 및 낭종으로진 단된 43명의 환자에 대해서 수술적 치료를 시행하였다. 남자환자가 19례, 여자환자가 24례였다 연령분포는 4세 부터 68세까지이고 평균연령은 31.3세였다. 가장 흔한 증상은 호흡곤란(48.8 %)이고, 그외 흉부불쾌감(39.5 %), 기침 (34.9 %), 흥통(23.3 %) 순이 었다. 가장 빈발한 종양의 위치는 전종격동이고, 후종격동, 중종격동 순이 었다. 병 리 학적으로 기형종이 가장 흔하고, 신경종, 낭종, 흉선종, 임파종 순이 었다. 가장 유용한 진단방법은 단순흉부X-선이고 최종진단은 단지 수술로써 내려졌다. 양성종양은 전례에서 완전절제 되 었고 악성종 양은 수술후 화학요법 및 방사선요법을 병용하였다. 수술후 합병증은 7례 (16.3 %)에서 있었고 술후 사망은 1 례도 없었다.

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