• 대한족부족관절학회지
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• 제16권2호
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• pp.94-100
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• 2012

Purpose: The purpose of this study is to analyze the clinical features of distal tibia fractures and to evaluate the treatment outcomes of minimally invasive plate osteosynthesis (MIPO). Materials and Methods: From January 2004 to December 2009, 84 cases of 81 patients treated with plate fixation for distal tibia fracture were enrolled in this retrospective review. We investigated age, sex, injury mechanism, fracture patterns, and complications, and the clinical features were analyzed. To evaluate the treatment outcomes of MIPO, we divided into two groups. MIPO group consisted of 55 patients were treated with MIPO technique and conventional group consisted of 18 patients were treated with open reduction and internal fixation with conventional anterolateral plating. The results were compared between two groups by assessing bony union time, operation time, amount of blood loss, range of ankle motion, clinical score by American Orthopaedic Foot and Ankle Society (AOFAS) score, and post-operative complications. Results: The mean age of 81 patients with distal tibia fracture was 54.8 years. According to AO classification, A1:2:3 were 16, 20, 16 patients, B1:2:3 were 2, 8, 7, C1:2:3 were 1, 3, 11 patients. According to injury mechanism, slip down injury was patients, traffic accident was 26, fall from height injury was 14 patients respectively. The type A fractures were lower energy trauma and more older patients. The type C fractures were higher energy trauma and younger patients. MIPO group was better than conventional group in operative time, blood loss, bony union time, and ankle joint motion. In complications, MIPO group showed no nonunion and infection, one malunion, one skin necrosis, nine skin irritations, and one screw breakage. Conventional group showed two nonunion, four infections, two skin necrosis, and one metal failure. Conclusion: Distal tibial fractures caused by low energy trauma were on the increase. Minimal invasive plate osteosynthesis was shorter bony union time and operation time, less blood loss, and larger ankle motions than conventional open reduction and plate fixation.

• Archives of Plastic Surgery
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• 제39권4호
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• pp.422-425
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• 2012

Osteoma is one of the most common tumors of the cranial vault and the facial skeleton. For osteoma in the facial region, endoscopic resection is widely used to prevent surgical scarring. Tumors in a total of 14 patients were resected using an endoscopic holmium-doped yttrium aluminium garnet (Ho:YAG) laser with a long flexible fiber. Aside from having the advantage of not leaving a scar due to the use of endoscopy, this procedure allowed resection at any position, was minimally invasive, and caused less postoperative pain. This method yielded excellent cosmetic results, so the endoscopic Ho:YAG laser is expected to emerge as a good treatment option for osteoma.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제44권4호
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• pp.151-158
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• 2018

Zygomatic fractures are the second most common fractures of the facial skeleton, after nasal bone fractures. Due to its uniqueness, the malar bone plays a very important role in maintaining appropriate facial contours. Zygomatic fractures can cause ocular and mandibular functional impairment, along with cosmetic defects. With the help of advanced imaging techniques and various treatment options, the management of zygomatic fractures has become more sophisticated and less invasive. This article discusses zygomatic fractures in detail: their clinical and radiographic features, and the various treatment options available.

• Clinical and Experimental Reproductive Medicine
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• 제47권2호
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• pp.130-134
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• 2020

Objective: The aim of this study was to compare the effects of conventional insemination (in vitro fertilization [IVF]) and intracytoplasmic sperm injection (ICSI) on the fertilization, developmental competence, implantation potential, and clinical pregnancy rate of embryos derived from in vitro matured oocytes of patients with polycystic ovary syndrome (PCOS). Methods: A prospective study was carried out among 38 PCOS patients who had undergone In vitro maturation (IVM) treatment. In total, 828 immature oocytes were collected from 42 cycles and randomly assigned for insemination by IVF (416 oocytes) or ICSI (412 oocytes). After fertilization, the embryos were cultured until the blastocyst stage and single embryos were transferred after endometrial preparation and under ultrasound guidance. Results: No significant differences were found in the maturation rate (78.1% vs. 72.6% for IVF and ICSI insemination, respectively; p= 0.076), fertilization rate (59.4% vs. 66.9% for IVF and ICSI insemination, respectively; p= 0.063), or the formation of good-quality blastocysts (40.9% vs. 46.5% for IVF and ICSI insemination, respectively; p= 0.314). Implantation and clinical pregnancy also did not show significant differences. Conclusion: There was a comparable yield of in vitro matured oocytes derived from PCOS patients in terms of fertilization, blastocyst formation, implantation rate, and clinical pregnancy between IVF and ICSI insemination. These findings provide valuable insights for choosing assisted reproductive treatment in women with PCOS, as IVM offers promising outcomes and is less invasive and less costly.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.2813-2818
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• 2015

Objective: To investigate the regulatory effect of curcumin on expression of signal transducer and activator of transcription 3 (STAT3) in skin squamous cell carcinoma tissues as well as possible mechanisms of curcumin in prevention and treatment of skin squamous cell carcinoma. Materials and Methods: Highly invasive A431 cells were treated with curcumin at various doses .The cytotoxic effects of treatment with 5, 10, 15, 20, 25, 30, 35, 40 and 50 umol/L curcumin for 24, 48 and 72 hours on A431 cells were measured by MTT assay. The invasion capacity of cells treated with 5, 10 and 15 umol/L curcumin was measured by Transwell test, while adhesive ability was assessed by cell adhesion assay. The effects of 5,10 and 15 umol/L curcumin on expression levels of STAT3 were determined by Western blotting and on transcription levels of STAT3 mRNA by RT-PCR. Results: Treatment with curcumin at a doses of more than 15 umol/L for more than 24 hour inhibited the growth of A431 cells in a time-and dose-dependent fashion (p<0.001). The doses of 15 umol/L and less for 24 hours showed no significant cytotoxic effects on the cells, survival rates being more than 85%.The invasion and adhesive abilities decreased gradually with the increasing curcumin concentration, 15 umol/L exerting the strongest inhibitory effects (p<0.05). Curcumin showed significant dose-dependent inhibitory effects on the transcription level of STAT3 mRNA (p<0.05). Conclusions: Curcumin may reduce the invasive ability of A431 cells by inhibiting the activation of STAT3 signal pathway and expression of STAT3 as a target gene in the pathway.

• Journal of Chest Surgery
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• 제30권1호
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• pp.61-66
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• 1997

1986년 1월부터 1995년 12월까지 24예의 흉선종에 대한 수술적 치료를 시행하였다. 대상환자들은 남자 17명, 여자 7명이었으며, 연령은 23세 에서 69세 사이였다. 중증근무력증은 14예에서 동반되 있다. 조직학적 분류로 임파구성 12예,흔합형 8예,상피세포형 4예를 보였고, 병기학적 분류로 I기 11예, II기 4 예, III기 8예였고 VI기는 1예 있었다. 11예의 비침윤형은 모두 외과적 절제를 하였고, 침윤형 13예중 10예에서 완전절제가 가능하였고, 나머지 3예는 부분절제 또는 조직생검후 방사선치료 및 항암화학요법을 시행하였다. 25일에서 60개월의 추적 조사기간중 사망이 3예 있었고, 경과의 호전 4예, 재발 2예 및 15예의 완쾌를 관찰하였다. 근무력증을 동반한 흉선종 환자 14예중 1예가 근무력위기로 사망하였고, 2예가 증상악화, 6예가 약 용량을 감소 또는 복용을 중지하였으며 5예는 술전과 비슷한 용량의 약물치료가 필요하였다

• Journal of Chest Surgery
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• 제40권2호
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• pp.97-102
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• 2007

배경 : 최근 하지 정맥류 치료에 정맥 내 레이저 치료가 도입되어 비침습적이면서도 좋은 치료 결과들이 많이 보고되고 있다. 저자들은 대복재정맥 역류로 인한 하지 정맥류 환자에서 980-nm 다이오드레이저를 이용하여 대복재정맥 폐쇄술을 시행하였으며 그 치료 효과를 분석하였다. 대상 및 방법: 2003년 9월부터 2006년 2월까지 대복재정맥 역류로 인한 하지 정맥류 환자 238명(332예)을 대상으로 980-nm 다이오드 레이저를 이용하여 정맥 내 레이저 치료를 시행하였다. 수술은 레이저 치료와 동시에 보행적 정맥류 제거술을 시행하였다. 수술 전 임상 양상과 수술 합병증, 그리고 수술 후 1개월과 3개월의 추적 듀플렉스 초음파 검사 결과를 분석하였다. 결과 : 수술 후 합병증으로는 대부분의 환자에서 반상 출혈이 발생하였고, 감각 이상이 68예(20.5%), 피부화상이 3예(0.9%) 발생하였다. 추적 초음파 검사에서 수술 1개월 후 26예, 3개월 후에는 10예에서 추가로 대복재 정맥 역류 혹은 부분 혈류재개가 확인되어 치료성공률은 각각 91.3%, 87.9%였다. 결론: 레이저를 이용한 대복재정맥 폐쇄술이 기존의 대복재정맥 발거술에 비하여 비침습적이기는 하지만 저자들은 다소 높은 대복재정맥의 재개통을 경험하였다. 이는 적절치 않은 레이저 강도나 적용 시간(속도), 과도하게 확장된 대복재정맥 등이 원인일 것으로 생각되며 시술 후 정맥의 재개통을 줄이기 위한 많은 연구 노력과 함께 초음파 검사를 통한 정확한 추적 관찰이 필요할 것으로 생각한다.

• Journal of Yeungnam Medical Science
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• 제22권1호
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• pp.13-26
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• 2005

Atrial fibrillation (AF) is the most common cardiac rhythm disturbance, which carries significant cardiovascular morbidity and mortality. The medical treatment for AF is cumbersome and unsatisfactory, which has highlighted the need to develop alternative treatments for AF. The recent discovery that AF is often initiated by atrial ectopic beats has resulted in treatments designed to target the ectopic sources, particularly those within the pulmonary veins. Building on the pioneering work of Cox et al., a recent reported series demonstrated the feasibility of treating patients undergoing cardiac surgery for other structural heart diseases with limited, left-atrial ablation lesion sets using alternative energy sources. As less complex modifications of the Maze procedure have been developed, a number of energy sources have been introduced to create of electrically isolating lesions within the atria. These sources have been used both endocardially in arrest heart procedures as well as epicardially in a beating heart setting. This review summarizes the recent advances in surgery for AF that will aid in the development of an effective, minimally invasive surgical procedure to cure patients with AF.

• Clinical and Experimental Reproductive Medicine
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• 제39권4호
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• pp.182-186
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• 2012

Objective: Many studies have demonstrated that hydrosalpinx has a detrimental effect on the outcome of IVF. Treating hydrosalpinges prior to the IVF procedure in women with hydrosalpinges is thought to improve the likelihood of successful IVF outcome. Vaginal ultrasound-guided aspiration of hydrosalpinx fluid (HSF) with injection of the sclerosing agent in situ might be simpler than invasive procedures like salpingectomy. Therefore, we carried out a retrospective study on the effects of ultrasound-guided HSF aspiration and injection of the sclerosing agent of ultrasonically diagnosed hydrosalpinx on IVF outcome. Methods: In our retrospective study, 97 tubal factor infertile female patients that underwent IVF treatment between January 2005 and December 2012 at the Reproductive Medicine Center of CHA Hospital were divided into two study groups. Fifty-six patients underwent interventional ultrasound sclerotherapy (group 1), and the remaining 41 patients received laparoscopic salpingectomy (group 2) before IVF. We compared the IVF outcomes of the two groups. Results: The results showed that ultrasound-guided HSF aspiration and sclerotherapy have IVF outcomes comparable to laparoscopic salpingectomy. Conclusion: Interventional ultrasound guided sclerotherapy before IVF is an effective and less invasive prophylactic intervention alternative to salpingectomy with hydrosalpinx.

• 대한심미치과학회지
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• 제29권1호
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• pp.4-12
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• 2020

Laminate veneer는 전부도재 크라운 보다 전.구치 포함 적용범위는 매우 넓다. 또한 치관 형성시 요구되는 시간이 단축되며 침습 또한 적은 장점이 있다. 그러므로 치은에도 우수한 심미성과 기능개선을 가능하게한다. 환자의 고통과 치질손실의 부담도 훨씬 줄일 수 있으므로 앞으로도 잔존 자연치아의 심미성과 기능개선의 중요한 역할을 담당할 것이라 생각한다.