• Title/Summary/Keyword: thoracic segments

검색결과 121건 처리시간 0.029초

폐분획증이 없는 좌측 하폐엽의 이상 기시 체혈관 (Anomalous Systemic Arterial Supply to Normal Basal Segments of Left Lower Lobe without Sequestration)

  • 홍성범;박정민;안병희;김상형;나국주
    • Journal of Chest Surgery
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    • 제38권7호
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    • pp.510-513
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    • 2005
  • 폐분획증 없는 정상적인 폐분엽에 혈액 공급하는 이상 기시 체혈관은 매우 드문 질환이다. 이것은 Pryce의 용어 정의에 따라 폐분획증의 한 종류로 분류되기도 하지만, 정상적인 기관지 교통 관계 때문에 아직 논란이 있다. 최근 본원에서 수술로 치료한 정상적인 폐분엽에 혈액 공급하는 이상 기시 체혈관을 치험하였기에 보고하고자 한다.

Modic Degenerative Marrow Changes in the Thoracic Spine : A Single Center Experience

  • Lee, Jae Meen;Nam, Kyoung Hyup;Lee, In Sook;Park, Se Kyung;Choi, Byung Kwan;Han, In Ho
    • Journal of Korean Neurosurgical Society
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    • 제54권1호
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    • pp.34-37
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    • 2013
  • Objective : The purposes of this study were to evaluate the prevalence, types, and locations of Modic changes (MCs) in the thoracic spine in a large number of subjects, and to investigate the relation between the distributions of MCs and disc herniations (DHs) in the thoracic spine. Methods : Two experienced musculoskeletal radiologists assessed the presence of MCs and DHs by consensus in the thoracic MRIs of 144 patients with non-specific back pain. Patient ages ranged from 22 to 88 years (mean=$53.3{\pm}14.66$ years), and 72 were female (50%). The prevalence, distribution, relation of MCs and DHs was recorded. Results : MC was observed in 8 of the 144 patients (5.6%) and 10 of 1728 segments (0.58%). The most common MC was type II. Of the 8 patients exhibiting MC, 6 had type II (75.0%), and 2 had mixed MCs (type I/II or type II/III). MCs were distributed mainly at the mid-thoracic level (from T5/6 to T9/10). DH was detected in 18 patients (12.5%), 36 of 1728 segments (2.1%). Of the 10 segments exhibiting MC, 5 had DHs at the same level (50.0%). Accordingly, DH was strongly associated with MC (p=0.000). Conclusion : A low prevalence of MC was observed in the thoracic spine, and type II MC predominated. The low prevalence of MC in the thoracic spine suggests that it was caused by a relative lack of mobility as compared with the cervical and lumbar spines. And DHs were found to be strongly associated with MCs even in the thoracic spine.

폐분획증이 없이 하행 흉부 대동맥에서 분지된 좌측 바닥 구역의 이상 기시 체혈관 - 1예 보고 - (Anomalous Systemic Arterial Supply to the Left Basal Segments without Sequestration from Descending Thoracic Aorta - A case report -)

  • 김혁;정원상;장효준;강정호;김영학;김지훈
    • Journal of Chest Surgery
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    • 제41권4호
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    • pp.512-515
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    • 2008
  • 폐분획증이 없는 좌측 바닥 구역의 이상 기시 체혈관은 폐분획증의 범주 안에 속하는 매우 드문 선천성 질환이다. 하지만 폐분획증과는 달리 정상적인 기관지 연결 관계를 가지고 있다. 술전에 진단된 폐분획증이 없는 좌측 기저 분엽의 이상 기시 체혈관에 대한 수술적 치료를 치험하였기에 이를 보고 하고자 한다.

Changes in Forced Expiratory Volume in 1 Second after Anatomical Lung Resection according to the Number of Segments

  • Lee, Sun-Geun;Lee, Seung Hyong;Cho, Sang-Ho;Song, Jae Won;Oh, Chang-Mo;Kim, Dae Hyun
    • Journal of Chest Surgery
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    • 제54권6호
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    • pp.480-486
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    • 2021
  • Background: Although various methods are already used to calculate predicted postoperative forced expiratory volume in 1 second (FEV1) based on preoperative FEV1 in lung surgery, the predicted postoperative FEV1 is not always the same as the actual postoperative FEV1. Observed postoperative FEV1 values are usually the same or higher than the predicted postoperative FEV1. To overcome this issue, we investigated the relationship between the number of resected lung segments and the discordance of preoperative and postoperative FEV1 values. Methods: From September 2014 to May 2020, the data of all patients who underwent anatomical lung resection by video-assisted thoracoscopic surgery (VATS) were gathered and analyzed retrospectively. We investigated the association between the number of resected segments and the differential FEV1 (a measure of the discrepancy between the predicted and observed postoperative FEV1) using the t-test and linear regression. Results: Information on 238 patients who underwent VATS anatomical lung resection at Kyung Hee University Hospital at Gangdong and by DH. Kim for benign and malignant disease was collected. After applying the exclusion criteria, 114 patients were included in the final analysis. In the multiple linear regression model, the number of resected segments showed a positive correlation with the differential FEV1 (Pearson r=0.384, p<0.001). After adjusting for multiple covariates, the differential FEV1 increased by 0.048 (95% confidence interval, 0.023-0.073) with an increasing number of resected lung segments (R2=0.271, p<0.001). Conclusion: In this study, after pulmonary resection, the number of resected segments showed a positive correlation with the differential FEV1.

The Inhibition Effect of Water Extract of Acanthopanax senticosus Harms Roots on the 5-HT Induced Vasocontraction in Rat

  • Kim, Hyung-Hwan;Ahn, Duk-Kyun;Yook, Chang-Soo;Choi, Ho-Young
    • 대한한의학회지
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    • 제24권4호
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    • pp.82-86
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    • 2003
  • Objective : To examine the inhibition of 5-Hydroxytryptamine(5-HT) induced vasocontraction of the water extract of Acanthopanax senticosus Harms roots (ASR) on rat thoracic Aorta and mesenteric artery with and without endothelium. Methods : Segments of thoracic aorta and mesenteric artery obtained from rats immediately after delivery were mounted in organ baths superfused on a polygraph. Results : We found that the thoracic aorta segments responded to the water extract of ASR with a dose-dependent and concentration-dependent vasorelaxation. 5-HT produced a concentration-dependent contraction of the thoracic aorta and mesenteric artery. At high concentrations of ASR, the inhibition responses were 93.7% (Jang-su), 93.5% (Heok-ryong-kang-sung), 92.8% (Mt. Back-doo), and 83.5% (Yeon-byun) of the maximum 5-HT induced contraction. At high concentrations of ASR, the relaxational response at thoracic aorta and mesenteric artery wi1h endothelium were 95.2% and 94.6%; without endothelium were 93.5% and 92.5% of 1he maximum 5-HT induced contraction. Conclusions : In conclusion, the effect of water extract of ASR had potent inhibition at 5-HT and the effect of ASR in isolated thoracic aorta and mesenteric artery showed dose-dependent inhibition but endothelium-independent response.

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A New Record of the Genus Pista (Polychaeta: Terebellidae) from Korea: The Validity and Redescription of Pista shizugawaensis

  • Choi, Hyun Ki;Jung, Tae Won;Yoon, Seong Myeong
    • Animal Systematics, Evolution and Diversity
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    • 제31권3호
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    • pp.153-159
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    • 2015
  • A terebellid polychaete identified as Pista shizugawaensis Nishi and Tanaka, 2006, whose species validity has been doubted, is newly reported from the southwest coast of Korea. Korean materials of the present study have several characteristics that agree well with the original description of P. shizugawaensis as follows: two pairs of branchiae on the 2nd and 3rd segments have tufts composed of many dichotomously branched filaments; the nephridial papillae are present on the 6th and 7th segments; the uncini on the anterior and middle thoracic segments possess only long-handled shafts while those on the posterior ones have additional short-handled shafts or lacking shafts; the notosetae are broadly or narrowly winged capillary. The authors examined the taxonomic value of the presence of lateral lobes on the 5th and 6th segments, which has been known as a key characteristic feature of P. shizugawaensis in the classification of Pista species. In the present study, several characteristics such as the shape of notosetae, uncinial shafts in the thoracic segments, and the presence of thin narrow lateral lobes on the 4th segment are suggested as the specific characteristics that help to distinguish P. shizugawaensis from its congeners. A key to Pista species from Korean waters is also provided.

주침 장엽대황이 백서의 흉부대동맥 혈관이완에 미치는 영향 (Vasodilation Effect of the Water Extract of Alcohol Processed Rheum palmatum L. in Rat Thoracic Aorta)

  • 김형환;구본식;이은주;안덕균;박성규
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.938-942
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    • 2002
  • We have examined the relaxational response to the water extract of Rheum palmatum L.(ERP) and water extrc alcohol processed Rheum palmatum L.(ARP) in isolated thoracic aorta from sprague dawley (SD) rat. Rat thoracic aort investigated in vessel segments suspended for isometric tension recording by polygraph. Responses to ERP and ARP investigated in vessels precontracted with 5-hydroxytryptamine(5-HT). We found that the thoracic aorta segments respo to ERP and ARP with a dose-dependent vasorelaxation. We found that ; The thoracic aorta segments responded to I and ARP with a dose-dependent vasodilation. The 5-HT induced contraction at 10/sup -4/M were inhibited by 71.7% and a: after addition of the 0.01 g/mL water extract of ERP and ARP. The 5-HT induced contraction at 10/sup -4/M were inhibite 100% after 10/sup -3/M emodin. The concentration of emodin was 0.027% and 0.098% in ERP and ARP. In condusion, ERP ARP induced relaxation in the isolated rat thoracic aorta were composed of dose-dependent relaxation. and it has pi vasodilation.

Analysis of thoracic epidurography and correlating factors affecting the extent of contrast medium spread

  • Hong, Ji Hee;Oh, Jung Hue;Park, Ki Bum
    • The Korean Journal of Pain
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    • 제29권4호
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    • pp.255-261
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    • 2016
  • Background: Thoracic epidural anesthesia is frequently used to maintain intraoperative and postoperative analgesia. Frequently, 3 ml of local anesthetic is used as a test dose, or for intermittent epidural injection. We assessed the extent of the spread of 3 ml of contrast medium in the thoracic epidural space and attempted to identify any correlating factors affecting the epidurography. Methods: A total of 70 patients were enrolled in the study, and thoracic epidural catheterizations were performed under fluoroscopic guidance. Using 3 ml of contrast medium, epidurography was evaluated to confirm the number of spinal segments covered by the contrast medium. Correlation analysis was performed between patient characteristics (sex, age, body mass index, weight, height, and location of catheter tip) and the extent of the contrast spread. Results: The mean number of vertebral segments evaluated by contrast medium was $7.9{\pm}2.2$ using 3 ml of contrast medium. The contrast spread in the cranial direction showed more extensive distribution than that in the caudal direction, with statistical significance (P < 0.01). Patient height demonstrated a negative correlation with the extent of distribution of contrast medium (r = -0.311, P < 0.05). Conclusions: Thoracic epidurography using 3 ml of contrast medium results in coverage of a mean of $7.9{\pm}2.2$ spinal segments, with more extensive cranial spread, and patient height showed a weak negative correlation with the distribution of contrast medium.

종대황의 주습 수치 방법에 따른 백서의 흉부대동맥 혈관이완에 미치는 영향 (Vasodilation Effect of the Water Extract of Alcohol Steamed Rheum undulatum L. in Rat Thoracic Aorta)

  • 김형환;박수연;안덕균;박성규
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.69-74
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    • 2004
  • We have examined the relaxative response to the water extract of Rheum undulatum L. (ERU) and water extract of alcohol steamed Rheum undulatum L. (SRU) with isolated thoracic aorta from sprague dawley (SD) rat. Rat thoracic aorta was investigated in vessel segments suspended for isometric tension recording by polygraph. Responses to ERU and SRU were investigated in vessels precontracted with 5-hydroxytryptamine(5-HT). We found that the thoracic aorta segments responded to ERU and SRU with a dose-dependent vasorelaxation : The thoracic aorta segments responded to ERU and SRU with a dose-dependent vasodilation. The amounts of emodin were 0.063%, 0.076% and 0.145% in ERU and SRU, respectable. The 5-HT induced contraction at 10-4M were inhibited by 85.2±4.76% and 84.0±2.91% after addition of the 0.1mg/mL water extract of ERU and SRU. The 5-HT induced contraction at 10/sup -3/M were inhibited by 100% after 10/sup -3/M emodin. In conclusion, vasodilation effect of the water extract of Rheum undulatum L. in rat thoracic aorta was not decreased according to the processing of alcohol steamed Rheum undulatum L.

The Effect of Rheum palmatum L. and Rheum undulatum L. on Rat Thoracic Aorta and Abdominal Aorta

  • Kim, Tack;Kim, Hyung-Hwan;Ahn, Duk-Kyun;Choi, Ho-Young
    • 대한한의학회지
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    • 제24권4호
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    • pp.87-91
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    • 2003
  • Objectives: To examine the relaxational response to the water extract of Rheum palmatum L. and Rheum undulatum L. on rat thoracic aorta and abdominal aorta. Methods: Segments of thoracic aorta and abdominal aorta obtained from rats immediately after delivery were mounted in organ baths superfused on a polygraph. Results : We found that the thoracic aorta segments responded to the water extract of genus Rheum with a dose-dependent vasorelaxation. At $10^{-4}$ M 5-HT, the maximal contraction force was 93.5% of the maximum KCI-response. The 5-HT induced contractions at $10^{-4}$ M were inhibited by 86.4% and 62.1 % after addition of the high concentrations of R. palmatum root (RPR) and leaf (RPL) and R. undulatum root (RUR) and leaf (RUL). At 10 mg/ml RPR and RUR, the relaxational response at thoracic aorta and abdominal aorta with and without endothelium were 86.4%, 83.2%, 85.8%, and 62.1% of the maximum 5-HT induced contraction. Conclusion: Our result showed that RPL and RUL induced dose-dependent vasorelaxation on rat thoracic aorta and abdominal aorta, and that RPL and RUL roots have more potent effects than the leaves.

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