• 제목/요약/키워드: indications

검색결과 1,182건 처리시간 0.029초

Foraminoplastic Superior Vertebral Notch Approach with Reamers in Percutaneous Endoscopic Lumbar Discectomy : Technical Note and Clinical Outcome in Limited Indications of Percutaneous Endoscopic Lumbar Discectomy

  • Lee, Chul-Woo;Yoon, Kang-Jun;Ha, Sang-Soo;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
    • /
    • 제59권2호
    • /
    • pp.172-181
    • /
    • 2016
  • To describe the details of the foraminoplastic superior vertebral notch approach (FSVNA) with reamers in percutaneous endoscopic lumbar discectomy (PELD) and to demonstrate the clinical outcomes in limited indications of PELD. Retrospective data were collected from 64 patients who underwent PELD with FSVNA from August 2012 to April 2014. Inclusion criteria were high grade migrated disc, high canal compromised disc, and disc protrusion combined with foraminal stenosis. The clinical outcomes were assessed using by the visual analogue scale (VAS), Oswestry Disability Index (ODI) and modified MacNab criteria. Complications related to the surgery were reviewed. The procedure used a unique approach, using the superior vertebral notch as the target and performing foraminoplasty with only reamers under C-arm control. The mean age of the 55 female and 32 male patients was 52.73 years. The mean F/U period was $12.2{\pm}4.2$ months. Preoperative VAS ($8.24{\pm}1.25$) and ODI ($67.8{\pm}15.4$) score improved significantly at the last follow-up (VAS, $1.93{\pm}1.78$; ODI, $17.14{\pm}15.7$). Based on the modified MacNab criteria, excellent or good results were obtained in 95.3% of the patients. Postoperative transient dysthesia (n=2) and reoperation (n=1) due to recurred disc were reported. PELD with FSVNA could be a good method for treating lumbar disc herniation. This procedure may offer safe and efficacious results, especially in the relatively limited indications for PELD.

태음인(太陰人) 청폐사간탕(淸肺瀉肝湯)의 응용예를 통한 증후분석(證候分析) - 중풍환자를 중심으로 - (Symptomatic Indications of Chongpesagan-tang according to Objective Analysis of Clinical Usage in Oriental Medicine Hospital - In Case of Stroke Patients -)

  • 권도익;조기호;문상관;고창남;김영석;배형섭;이경섭
    • 대한한의학회지
    • /
    • 제20권2호
    • /
    • pp.37-42
    • /
    • 1999
  • In Oriental medicine, the subjective process of diagnosis often makes it difficult to explain the indications objectively, in spite of its excellent therapeutic value. The authors' objective Was to present more objective indications of Chongpesagan-tang(淸肺瀉肝湯), a prescription predominantly used to treat stroke in Oriental Medicine, We analyzed clinical symptoms of 105 patients who were hospitalized in the Department of Circulatory Internal Medicine, College of Oriental Medicine. Kyung Hee University, Seoul, who were given Chongpesagan-tang and improved without side effects, The symptoms analyzed included general symptoms which are usually checked in the process of Oriental Medicine Diagnosis: the so called Four Diagnosis(四診). We rearranged and selected symptoms which were predominantly found among other symptoms. We found some symptoms of which the patients frequently complained: sweating 84%, red tongue 74%, white tongue coat 65%, constipation 35%, tight pulse 21%, headache 20%, thirst 20%, chest discomport 17%, etc, We believe that these suggest an objective indication of Chongpesagantang.

  • PDF

자연기흉의 개흉술 적응과 수술성적에 관한 연구 (A Study on the Indication for Thoracotomy and Operation Results of Spontaneous Pneumothorax)

  • 이재원;김근호
    • Journal of Chest Surgery
    • /
    • 제20권1호
    • /
    • pp.39-47
    • /
    • 1987
  • The records of 268 patients, who were diagnosed as spontaneous pneumothorax during the period 1975 to 1984, treated at the department of thoracic and cardiovascular surgery, Hanyang University Hospital, were reviewed retrospectively to evaluate the effect of surgical intervention on each indications. Of these,.61 patients [22.8%] were taken operation to treat the pneumothorax after closed thoracostomy. We have classified the 61 patients to evaluate the therapeutic effect on each indications. And the therapeutic effect is based on the chest tube indwelling days. The results were as follows: 1. The chest tube indwelling days of the group who were taken closed thoracostomy only was average 14.13*9.17 days [range 5-66 days], and that of the group who were finally taken the thoracotomy after closed thoracostomy was 21.85*12.30 days [range 5-55 days]. 2. The indications of thoractomy were thoracoscopic findings, recurrence and continuous air leakage. 3. The chest tube indwelling day of the group who was taken thoracotomy by thoracoscopic findings was average 11.67*6.51 day, that was relatively short compared to those of the other groups. 4. The continuous air leakage group after closed thoracostomy was subdivided into three subgroups, continuous air leakage in 1st attack, thoracoscopic findings in 1st attack, and recurrence. 5. Of these, the chest tube indwelling day of the subgroup, who was taken operation by thoracoscopic findings, was 21.33e8.26, that was relatively short compared with those of the other subgroups. We use the thoracoscope as excellent diagnostic tool to detect the operation indication in the spontaneous pneumothorax patients. And we gain the benefits to shorten the chest tube indwelling days and admission days, and also to protect the recurrence.

  • PDF

증기발생기 전열관 균열깊이 평가기술 (Depth-Sizing Technique for Crack Indications in Steam Generator Tubing)

  • 조찬희;이희종;김홍덕
    • 비파괴검사학회지
    • /
    • 제29권2호
    • /
    • pp.98-103
    • /
    • 2009
  • 원자력발전소 증기발생기 전열관에 균열이 발생할 경우 해당 전열관을 관막음하여 안전하게 운영하고 있다. 만약 가동중검사시 균열 검출에 실패할 경우 전열관 파단사고와 같은 대형 사고로 이어질 수 있다. 증기발생기 전열관에는 여러 유형의 균열이 발생하고 있는데, 와전류검사로부터 균열이 확인된 경우 균열의 크기를 평가하여 전열관의 건전성을 평가하여야 한다. 그러나 균열의 깊이평가는 평가방법이 난해하여 평가 결과의 정확도 및 평가자 사이의 일관성이 떨어진다. 본 논문에서는 현재 사용되고 있는 균열깊이 평가방법에 대한 정확도 및 일관성을 확인하고, 보다 신뢰성 있는 평가방법의 개발을 위하여 고리 1호기 구증기발생기를 활용하였다. 국내 유자격 평가자들의 round robin test 결과를 통계적으로 분석하여 균열 유형별 최적의 평가방법을 도출하였다. 본 논문에서 제시된 균열깊이 평가기법은 국내 원전의 증기발생기관리프로그램에 활용되어 원전의 신뢰성 향상에 기여할 것으로 기대된다.

Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data

  • Kang, Chang Hyun;Bok, Jin San;Lee, Na Rae;Kim, Young Tae;Lee, Seon Heui;Lim, Cheong
    • Journal of Chest Surgery
    • /
    • 제48권5호
    • /
    • pp.311-317
    • /
    • 2015
  • Background: Robotic surgery is an alternative to minimally invasive surgery. The aim of this study was to report on current trends in robotic thoracic and cardiovascular surgical techniques in Korea. Methods: Data from the National Evidence-based Healthcare Collaborating Agency (NECA) between January 2006 and June 2012 were used in this study, including a total of 932 cases of robotic surgeries reported to NECA. The annual trends in the case volume, indications for robotic surgery, and distribution by hospitals and surgeons were analyzed in this study. Results: Of the 932 cases, 591 (63%) were thoracic operations and 340 (37%) were cardiac operations. The case number increased explosively in 2007 and 2008. However, the rate of increase regained a steady state after 2011. The main indications for robotic thoracic surgery were pulmonary disease (n=271, 46%), esophageal disease (n=199, 34%), and mediastinal disease (n=117, 20%). The main indications for robotic cardiac surgery were valvular heart disease (n=228, 67%), atrial septal defect (n=79, 23%), and cardiac myxoma (n=27, 8%). Robotic thoracic and cardiovascular surgeries were performed in 19 hospitals. Three large volume hospitals performed 94% of the case volume of robotic cardiac surgery and 74% of robotic thoracic surgery. Centralization of robotic operation was significantly (p<0.0001) more common in cardiac surgery than in thoracic surgery. A total of 39 surgeons performed robotic surgeries. However, only 27% of cardiac surgeons and 23% of thoracic surgeons performed more than 10 cases of robotic surgery. Conclusion: Trend analysis of robotic and cardiovascular operations demonstrated a gradual increase in the surgical volume in Korea. Meanwhile, centralization of surgical cases toward specific surgeons in specific hospitals was observed.

태극침법(太極鍼法)의 확장형인 오장원혈침법(五臟原穴鍼法)의 적응증 연구 - "황제내경(黃帝內經).영추(靈樞)"를 중심으로 - (A study on the indications of Five Viscera Source Point Acupuncture extended from Taegeuk Acupuncture : Focused on Yeoungchu(靈樞))

  • 모한영;임교민;백진웅
    • 대한한의학원전학회지
    • /
    • 제25권4호
    • /
    • pp.123-147
    • /
    • 2012
  • Objective : By establishing the Five Viscera Source Point Acupuncture as the targeted acupuncture treatment for stadardization, as the first step, this study was conducted to sort the indications of each acupuncture remedies, which can be referred as one of the most important factors in acupuncture treatment, based on Yeoungchu. Method : This study selected only the contents related to indications of five viscera, by extracting the relevant sentences from Yeoungchu using the search words Liver(Liver Meridian, First Yin), Heart(Pericardium, Heart Meridian, Second Yin), Spleen(Spleen meridian, Third Yin), Lung(Lung Meridian, Third Yin), and Kidney(Kidney Meridian, Second Yin). Result & Conclusion : 1. We selected and extracted text related to liver disease from Chapter 16, heart (pericardium) disease from Chapter 16, spleen disease from Chapter 19, lung disease from Chapter 17, and finally kidney disease from Chapter 17 of Yeoungchu. 2. The basic theory of applying Five Viscera Source Point Acupuncture to five viscera diseases is first assorting the diseases according to its state (i.e. deficiency or excess), then draining the source point of the appropriate viscus in case of excess, or supplementing the source point of the appropriate viscus in case of deficiency. 3. For the correct application of Five Viscera Source Point Acupuncture, the classification of the disease, not only the judgement on its state, must be presented systematically and synthetically in combination with Four Examinations. Therefore the follow-up studies needs to be conducted.