• 제목/요약/키워드: Extracorporeal Shock Wave

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Special Issue for Biomedical Ultrasound: Towards Further Advances in Fundamentals and Applications by Comprehensive Reviews

  • Kim, Yong-Tae
    • The Journal of the Acoustical Society of Korea
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    • 제29권3E호
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    • pp.107-110
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    • 2010
  • In this paper, the rationale and contents of the special issue of the Journal of the Acoustical Society of Korea regarding comprehensive reviews on past, present and future of biomedical ultrasound are described. Brief descriptions of invited articles are given, and efforts by all contributing authors are gratefully acknowledged.

세포교정영양요법(OCNT)을 이용한 요로결석 및 만성 소화불랑 개선 사례 (A Case Report on Improvement of Urolithiasis and Chronic Dyspepsia Using Ortho-Cellular Nutrition Therapy (OCNT))

  • 손민수
    • 셀메드
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    • 제14권1호
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    • pp.66.1-66.3
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    • 2024
  • Objective: To improve the symptoms of patients with urolithiasis and chronic dyspepsia using OCNT. Methods: A 60-year-old Korean male who had undergone extracorporeal shock wave lithotripsy six times without natural stone removal was treated with OCNT for two weeks. Results: The stones were removed through adequate hydration and light exercise while undergoing OCNT. Conclusion: The application of OCNT in patients with urolithiasis can be beneficial in alleviating symptoms.

체외충격파치료가 회전근개 건염 환자의 통증 및 기능에 미치는 영향 (Effect of Extracorporeal Shock Wave Therapy on Pain and Function in Patients with Rotator Cuff Tendinitis)

  • 서형석;성연범;이중호;박영한
    • 한국산학기술학회논문지
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    • 제13권7호
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    • pp.3132-3139
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    • 2012
  • 본 연구는 회전근개건염 환자에게 체외충격파 치료를 실시하여 통증과 기능에 어떠한 영향을 미치는지 알아보고자 하였다. 2011년 9월부터 2012년 2월까지 초음파를 통해 회전근개건염 진단을 받은 환자 32명(치료군 16명, 대조군 16명)을 대상으로 치료군에게 4주 동안 체외충격파 치료를 실시하였다. 통증은 visual analog scale(VAS)와 pressure pain threshold(PPT)를 사용하여 평가하였고 기능평가는 위해 Constant and Murley Scale(CMS)와 Simple Shoulder Test(SST)를 통해 평가 하였다. 연구 결과 체외충격파 중재 후 치료군에서는 대조군에 비해 통증과 관절가동 범위, 근력, 기능 등 모든 부분에서 유의한 변화를 보였다. 이 결과는 회전근개건염 환자에게 체외충격파 치료가 어깨의 통증과 기능에 영향을 미칠 수 있는 가능성을 시사하고 효과적인 치료방법이라 할 수 있다.

신장게실결석 치료를 위한 체외충격파쇄석술 적용 환자의 선택 (Patients' Selection for Treatment of Caliceal Diverticular Stones with Extracorporeal Shock Wave Lithotripsy)

  • 이원홍;이희정;손순룡;강성호;조정찬;류명선;김승국
    • 대한방사선기술학회지:방사선기술과학
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    • 제24권1호
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    • pp.11-15
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    • 2001
  • Symptoms of caliceal diverticular stones are commonly associated with pain, recurrent urinary tract infection and hematuria. The aim of this study is to select the proper patient for the application of more successful extracorporeal shock wave lithotripsy(ESWL) as a treatment of caliceal diverticular stone. 16 patients with caliceal diverticular stones were treated with ESWL, and all patients had single caliceal diverticulum. The diagnosis of caliceal diverticulum with stones was made by intraveneous pyelography to all patients. On these intravenous pyelogram, we also classified diverticular type, whether the diverticular neck is connected with urinary tract patently, diverticular site and stone number and size. All patients were followed after ESWL by plain film of the kidneys, ureters and bladder and interviewed. Of all patients 44% was shown stone-free completely, also 83% was rendered symptom-free. All patients whose diverticular neck connected with urinary tract patently on the intraveneous pyelogram became stone- free. Of solitary stone 60% and multiple stones(more than 2) 17% became stone free. All patients rendered stone-free became symptom-free, and of patients with residual stones 44% became symptom-free. The patients with infection before ESWL 75% had residual stones, of these patients 33% had slightly flank pain, and 25% of patients with stones recurred become stone-free. We propose that more successful ESWL for patients with caliceal diverticular stones select satisfactory patients including that the diverticular neck is connected with urinary tract patently, solitary stone and no infection simultaneously.

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전완부 총 신근 건 기시부의 석회화 건염 - 2예 보고 - (Calcific Tendinits at the Origin of Common Extensor Tendons of the Forearm - A Report of Two Cases -)

  • 김영규;조승현;문성훈;김남기
    • Clinics in Shoulder and Elbow
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    • 제14권1호
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    • pp.84-88
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    • 2011
  • 목적: 전완부 총 신근 건 기시부 생긴 석회화 건염 2예를 보고하고자 한다. 대상 및 방법: 좌측 주관절 굴곡 구축과 통증을 주소로 내원한 42세 여자 환자로 단순 방사선 및 자기공명영상 촬영 후 전완부 총 신근 건 기시부의 석회화 건염 진단 하에 수술적 제거술을 시행하였다. 우측 주관절의 급성 통증 및 운동 제한을 주소로 내원한 25세 여자 환자로 단순 방사선 사진상 전완부 총 신근 건 기시부에 석회화 건염 보여 체외충격파 치료를 시행하였다. 결과: 2예 모두 치료 후 통증의 소실과 운동 범위의 완전 회복을 보였다. 결론: 주관절 외측부에 통증 및 운동 범위 제한을 유발하는 질환의 감별진단에 총 신근 건 기시부의 석회화 건염이 고려되어야 한다.

체외충격파 담석 쇄석술 전후의 담낭운동성의 변화 (Gallbadder Dynamics Before and After Extracorporeal Shock Wave Lithotripsy)

  • 이명혜;석재동;문대혁;김명환;민영일
    • 대한핵의학회지
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    • 제25권1호
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    • pp.53-60
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    • 1991
  • Extracorporeal shock wave lithotripsy (ESWL) with adjunctive oral litholytic therapy has proven to be a useful treatment in selected patients with gallbladder stones. To study the effect of ESWL on gallbladder dynamics, $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy was done for 25 patients with symptomatic gallstones and 10 normal controls. Of these 25 patients, 15 were treated with ESWL and adjunctive oral litholytic agents (ESWL group) and 10 were treated only with oral litholytic agents (UDCA group). After overnight fast and gallbladder visualization on a routine hepatobiliary scintigraphy with 7mCi of $^{99m}Tc-DISIDA$, subjects were given fatty meal and imaged with a gamma camera interfaced to a computer (1 frame/minute for 70 minutes). A gallbladder time-activity curve was generated and latent period (LP), ejection period (EP), ejection fraction (EF) and ejection rate (ER) were calculated. ESWL group were studied before, 1day after and 2weeks after ESWL, and WDCA group were studied before and 2weeks after starting oral medication. Mean basal EF was significantly reduced in patients but other parameters were not reduced. In ESWL group, mean EF and mean ER at lday after ESWL were reduced. In 3 of them, gallbladder was not visualized at all. Two weeks after ESWL, however, all parameters were recoverd to basal level. In UDCA group, all parameters were not changed significantly during medication. We can conclude that ESWL has such immediate adverse effect on gallbladder dynamics as reducing contractility and nonvisualization of gallbladder but it has no long-term effect.

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체외 충격파 쇄석술 환자의 비침습적인 체내 충격파 압력 추정 (Non-invasive estimation of the shock amplitude inside the body of the patient undergoing extracorporeal shock wave lithotripsy)

  • 최민주
    • 한국음향학회:학술대회논문집
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    • 한국음향학회 2002년도 하계학술발표대회 논문집 제21권 1호
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    • pp.389-392
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    • 2002
  • 체외 충격파 쇄석술 (ESWL)은 인체 외부에서 발생된 충격파를 인체 내부의 결석 부위에 집속하여 결석을 분쇄하고 치료 효과를 얻는 혁신적 치료술이다. 충격파의 압력 및 파형은 결석의 분쇄 효과 즉 치료 효과를 좌우한다. 체외에서 충격파의 압력은 고감도 하이드로폰을 이용하여 측정할 수 있지만, 인체 체내에서, 특히, 비침습적으로 충격파를 측정하기는 매우 어렵다. 본 논문에서는 ESWL 충격파에 의해 활성화된 체내의 기포군으로부터 방출된 음향 신호 (CIAE)를 측정하여 비침습적으로 충격파의 압력을 추정하는 방법을 실험하였다. 충격파 압력의 추정은 측정된 CIAE 신호에서 1차 기포군 파열음과 2차 파열음 간의 시간 지연은 충격파의 압력과 선형적인 관련성 가진다는 실험 결과 (Coleman et al 1996)에 근거하고 있다. 본 논문에서는 충격파 압력 측정 시스템을 구성하여 생체 외 실험을 수행하였고, 개발된 시스템의 임상적인 활용 가능성을 확인하였다.

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체외충격파치료가 주관절 외측상과염 환자의 손목 신전근의 근력과 통증에 미치는 영향 (Effect of Wrist Extensor Strength and Pain on Extracorporeal Shock Wave Therapy of the Lateral Epicondylitis)

  • 조남정;박장성;조운수
    • 대한임상전기생리학회지
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    • 제6권1호
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    • pp.57-68
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    • 2008
  • Purpose : The purpose of this study was to assess the effectiveness of Extracorporea Shock-wave therapy(ESWT) on the pain and improvement of wrist extensor strength which is one of the available medical treatment in patients with lateral epicondylitis. Object and Methods : The subjects of this study were consisted of 15 patients with lateral epicondylitis, These medical treatments was conducted total 6 time for 3 weeks. In the ESWT application group. To investigate the effectiveness of the treatment after ESWT treatment, Pain was measured by visual analogue scale(VAS) which is divided into 10 ranks and wrist extensor strength was measured by Aneroid phygmomanometer Results : 1. It was showed that VAS and wrist extensor strength before treatment and after two treatment(1 week) were no significant differences(p<0.05). 2. It was showed that VAS and wrist extensor strength before treatment and after four treatment(2 week) were significant differences(p<0.05). 3. It was showed that VAS and wrist extensor strength before treatment and after six treatment(3 week) were significant differences(p<0.05). Conclusion : We think that ESWT for the patients with lateral epicondylitis. is effective to wrist extensor strength and decrease of pain.

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수중 충격파에 의한 방사음을 이용한 대상물 파쇄에 관련된 정보분석 (Analysis of Information Related to Object Fragmentation Using Radiated Sounds Due to Underwater Shock Wave)

  • 장윤석
    • 한국정보통신학회논문지
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    • 제11권5호
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    • pp.921-925
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    • 2007
  • 본 논문은 체외 충격파 파쇄 장치를 사용하여 결석을 파쇄할 때 방사되는 소리에 관계된 정보를 분석한 것이다. 먼저, 방사음으로부터 대상물의 진동을 관찰하고, 대상물의 진동과 방사음 간의 관계를 통하여 피크주파수의 변화에 관한 정보를 추출하였다. 다음에는, 초점의 위치에 따른 피크주파수의 변화를 관찰하여 초점의 바로 위나 아래 부분보다 정확한 초점에서 대상물을 진동시키기가 더욱 어렵다는 사실을 입증하였다. 마지막으로, 캐비테이션과 방사음과의 관계를 분석하여 대상물의 파쇄에 더 유리한 위치를 조사하였다.