• 대한영상의학회지
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• 제82권1호
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• pp.274-277
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• 2021

신세포암의 회음부 전이는 매우 드물고 영상 소견은 거의 보고되지 않았다. 저자들은 투명세포 신세포암의 회음부 전이에 의한 회음부 통증을 주소로 내원한 76세 여자 환자의 표적 치료 전후의 영상 소견을 보고하고자 한다.

• 대한의료기공학회지
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• 제11권1호
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• pp.144-172
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• 2009

objectives : This research aimed to study the similar effects between Jwahun and Sojucheon_practice, as both Induces to SooSengg-HwaGang(the coordination of water and fire). methods : 141 recipients of the survey was conducted in the Jwahun room of Korean medicine Hospital, which contained to body reaction between the moment of the Jwahun and after the Jwahun. And the result of them compared with the body's response of Sojucheon_practice results : 1. In a survey, 78% of the patients had responses that were sweating. The area sweating a lot in the survey is the face, abdomen, chest and was, in this order, the ratio was high. About feeling of warmth and coolness, survey of those who felt the warmth ratio was 79%, those who did not feel the coolness ratio was 77%, most of the responses were warm bodies. 46% of patients replied that feels warm in the belly. It said the fact that Jwahun directly to the lower body is to warm. 2. Symptoms of congestion of the head on the survey, 78% of investigators did not appeal. Other investigators were responding they were dizzy. Research on pain and itching, but no response was at 84%. Among the responses to the itchiness, itching perineum was 11% of the respondents. The rest was weak. 3. Associated with defecation in the survey, the investigators found that 33% of respondents said fart. Urine is 22% of respondents said. Abdominal reactions, 33% of respondents answered was taking a tone in the abdomen. In response to the whole body reaction, the most relaxing 39% of the respondents said, 22% of respondents replied that the body feel lighter. 4. After Jwahun, belly is warm and cathartic reactions were the most responsive. This said that Jwahun even after, in the lower abdomen lasting warmth as can be seen. Smooth bowel movements disproves the abdominal organs is a good move. It will also be seen in the same context of bowel movements, abdominal response when just doing Jwahun. conclusions : Jwahun activate the meridians and through the perineum stimulation induced imdokmaek(任督脈) SooSengg-HwaGang(水升火降) to enable the training and some Sojucheon can have similar effects.

• Journal of Radiation Protection and Research
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• 제36권2호
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• pp.86-92
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• 2011

본 연구는 최근 생체내선량측정에서 유용성을 재평가 받고 있는 광자극발광선량계(optically stimulated luminescence dosimeters. OSLDs)와 다이오드 검출기를 병행하여 직장암 방사선치료 환자의 피부선량을 측정하고 치료계획시스템 에서 계산 선량과 측정 선량을 비교하여 OSL 선량계의 임상적 유용성을 평가하고자 하였다. 각 OSL 선량계의 고유한 교정상수를 측정하고 10 명의 직장암 환자를 대상으로 3 부위를 설정하여 측정하였다. 기준 흡수선량 100 cGy에 대하여 OSL 선량계의 교정상수는 6 MV X-선의 경우 1.17, 10 MV X-선의 경우 1.28 이었다. 또한 직장암 환자들의 피부선량은 측정 부위별로 치료계획시스템에서 계산 선량과 비교하여 다이오드 검출기는 1.16 ~ 2.83%의 선량증가를 보였고 OSL 선량계는 1.36 ~ 2.17%의 선량증가를 보였다. 특히 피부면의 굴곡이 심한 회음부(perineum)에서 계산된 선량과 전달 선량간 차이가 증가되었으며 다이오드 검출기보다 OSL 선량계가 측정값의 변화가 상대적으로 작았다. 따라서 OSL 선량계는 기존에 사용하던 이온함 및 다이오드 검출기를 대신하여 방사선량학적 오차의 검증 및 생체내선량측정에서 임상적으로 적용이 가능하였으며 직장암 환자의 굴곡이 심한 회음부 주변의 선량 평가에 대한 연구가 계속되어야 할 것으로 판단된다.

• Archives of Plastic Surgery
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• 제36권5호
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• pp.565-570
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• 2009

Purpose: Numerous techniques have been introduced to reconstruct the perineal area in order to preserve function of both the recipient and the donor site while satisfying aesthetic results. There are several advantages of using the pudendal aretery perforator based flap in that it provides thin coverage of defect area and a relatively excellent circulation through perforators. The perineal region can be divided into two areas : the urogenital triangle and the anal triangle. Since each area differs in structure and function so does its reconstructive plan. The authors of this article report clinical results obtained from pudendal artery perforator based reconstructed cases according to each differrent triangles. Methods: A total of 15 patients who underwent perineal reconstruction were enrolled in our study between the year 2002 and 2006. There were 4 cases of vaginal cancer, 4 cases of extramammary Paget's disease, 1 case of rectovaginal fistula in females and 2 cases of Paget's disease and 4 cases of Fournier's gangrene in male cases. The follow up period was on average 6 month. In female, superfical pudendal artery perforator based local flap were used to reconstruct the urogenital triangle defects, while internal pudendal artery perfoator based local flaps were used to reconstruct the anal traingle defects. In males the gracilis myocutaneous flap and internal pudendal artery perforator based local flaps were used in reconstruction of the scrotum and perineal defect. Result: In females, there was 1 case of partial flap necorsis that employed the superficial pudendal artery perforator but secondary repair through the internal pudendal artery perforator based local flap was done. In addition, there were 4 wound dehiscence cases in females and 2 cases in males. Conclusion: We believe that a better aesthetic and functional outcome can be achieved in perineal reconstruction if discrete surgical planning is carried out systematically categorizing the choice of flap employed acccording to distinct anatomical regions : the urogenital and the anal triangle.

• 한국의류학회지
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• 제17권2호
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• pp.177-196
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• 1993

By cluster sampling measurements, passing months of pregnancy according to changes of pregnant women body forms. On the basis of the above mentioned data, sizes of pregnant women clothes were decided. The results are as follows. 1. By cluster sampling measurements, sixty-nine items of apparel were obtained during the three different periods of pregnancy. They included the mean and standard deviation of body form measurement and the minimum and maximum values (Chart 3-4). The results of these surveys made it possible to notice the changes of pregnant womens' physical characteristics, i. e., the increased physical proportions: frontal waist area, umbilicus width, abdominal girth, crotch length, the length of the nipple, and body weight and the decreased proportions: omphalos height, perineum dimension. There was little change in the rear parts of the body. 2. The analized results of principle factors for body form measurements by cluster measurements produced seven major factors for which the proper values were over 1.0. They were: form factor, pregnancy factor, posture factor, breast formation factor, rear body formation factor, and nipple to nipple breadth. 3. In deciding garment sizes of pregnant women, four different sizes were established; small, medium, large, and extra-large according to the third, fifth, eighth, and tenth month of pregnancy. The measurement value of each item was produced by estimate.

• 대한골관절종양학회지
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• 제5권3호
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• pp.183-189
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• 1999

Ewing's sarcoma is an uncommon malignant neoplasm of the long bone and it has a poor prognosis due to its early metastasis and aggressive local spread. It is mostly found before the age of 30 and it is rare in extraskeletal sites. Extraskeletal Ewing's sarcoma has been reported to occur in various sites including the larynx, scalp, nasal fossa, neck, chest wall, lung, pelvis, perineum, arm, finger, leg and toe, but it is extremely rare as a primary epidural tumor of the spine. We experienced a case of extraosseous epidural Ewing's sarcoma arising in the lumbar spinal canal at L3-L5 level in a 9-year-old boy. Following total laminectomy from L3 to L5 with a lumbar vertebrae and mass excision, he received chemotherapy with complete remission.

• Journal of Yeungnam Medical Science
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• 제13권2호
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• pp.367-371
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• 1996

저자들은 무증상의 회음정중봉선 낭종으로 진단된 2례의 소아에서 수술적 요법으로 단순 절제술 후 일차적 봉합을 시행하였고, 그 결과 미용상의 문제, 이차성 감염의 예방, 심리적인 문제를 해결할 수 있었다. 그러므로 무증상, 비감염성인 회음정중봉선 낭종에서 진단 즉시 수술적 치료를 해주는 것이 더 나은 결과를 가져올 수 있다고 사료된다.

• 한국임상수의학회지
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• 제26권1호
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• pp.101-103
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• 2009

40일령의 수컷자견이 10일간의 이급후증과 회음부의 광범위한 궤양성 피부소견을 주증으로 내원하였다. 신체검사상에서 본 환자는 회음누관부를 통하여 배뇨를 실시하였으며, 누관조영법을 통하여 요도회음누관증을 진단할 수있었다. 이후 4주간의 피부손상부위의 관리와 항생요법을 통하여 누관증을 치료하였으며, 현재까지 누관과 관련된 합병증은 관찰되지 않고 있다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권1호
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• pp.74-80
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• 2002

Necrotizing fasciitis is rare acute infection showing rapidly necrosis involve the subcutaneous tissue and fascia. If treatment is delayed, infection can spread to involve the subcutaneous tissue, skin, deep fascia, and even muscle in rapid sequence, resulting in widespread necrosis and moderate to severe systemic toxicity. Most commonly this disease presents in the extremities, trunk, and perineum; it is relatively rare in the head and neck regions. If not diagnosed and treated in its early stages, necrotizing fasciitis can be potentially fatal, with a motality rate approaching 40%. Historically, the clinical entity now referred to as necrotizing fasciitis was described in the literature under various name. : hospital gangrene, necrotizing erysipelas, streptococcal gangrene, suppurative fasciitis. Necrotizing fasciitis was first described by Wilson in 1952. We experienced 3 cases of necrotizing fasciitis and will report review of literature with diagnosis, treatment, complication and consideration.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제18권3호
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• pp.197-201
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• 2015

Complete colonic duplication is a very rare congenital anomaly that may have different presentations according to its location and size. Complete colonic duplication can occur in about 15% of all gastrointestinal duplications. Double termination of tubular colonic duplication in the perineum is even more uncommon. We present a case of a Y-shaped tubular colonic duplication which presented with a rectovestibular fistula and a normal anus. Radiological evaluation and initial exploration for sigmoidostomy revealed duplicated colons with a common vascular supply. Endorectal mucosal resection of theduplicated distal segment till the colostomy site with division of the septum of the proximal segment and colostomy closure proved curative without compromise of the continence mechanism. Tubular colonic duplication should always be ruled out when a diagnosis of perineal canal is considered in cases of vestibular fistula alongwith a normal anus.