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    ใ€Œๆ€็พŽไบบๆ›ฒใ€์˜ ํ–ฅ์œ  ๋งฅ๋ฝ๊ณผ ์ค‘์ธต๊ตฌ์กฐ

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    ๆพๆฑŸ ้„ญๆพˆ(1536~1593)์— ๊ด€ํ•œ ์—ฐ๊ตฌ๋Š” ์ด์ œ ๊ทธ ์—ฐ๊ตฌ์‚ฌ๋ฅผ ์ •๋ฆฌํ•˜๋Š” ๊ฒƒ๋งŒ์œผ๋กœ๋„ ํ•œ ํŽธ์˜ ๋…ผ๋ฌธ์„ ์ž‘์„ฑํ•  ์ˆ˜ ์žˆ์„ ๋งŒํผ ํ’์„ฑํ•ด์กŒ๋‹ค. ์ผ์ฐ์ด ๏งก็ง‰ๅฒ, ่ถ™ๆฝคๆฟŸ ์„ ์ƒ์ด ์„ ํŽธ์„ ์žก์€ ์ดํ›„, ๋งŽ์€ ์—ฐ๊ตฌ์ž๋“ค์˜ ๋…ธ๋ ฅ์œผ๋กœ ์†ก๊ฐ• ๊ฐ€์‚ฌ์˜ ์—ฌ๋Ÿฌ ๆฟๆœฌ์ด ๋ฐœ๊ตด๋˜๊ฑฐ๋‚˜ ๊ผผ๊ผผํ•œ ่จป่งฃ๊ฐ€ ์ด๋ฃจ์–ด์ง€๋Š” ๋“ฑ ๊ธฐ์ดˆ ์ž‘์—…์ด ์ถฉ์‹คํžˆ ์ด๋ฃจ์–ด์กŒ์œผ๋ฉฐ, ์ž‘๊ฐ€์˜ ์ƒ์• ์— ๋Œ€ํ•œ ์ข…ํ•ฉ์  ๊ณ ์ฐฐ์€ ๋ฌผ๋ก  ๊ทธ์™€ ๊ด€๋ จ๋œ ๋ฌธํ•™์ž‘ํ’ˆ์˜ ์—ฌ๋Ÿฌ ํŠน์ง•์  ๊ตญ๋ฉด ๋“ฑ์ด ๋ฐํ˜€์กŒ๊ณ , ์ •์ฒ ์˜ ๋ฌธ์˜ˆ ์ˆ˜๋ จ์— ์ง๊ฐ„์ ‘์ ์ธ ์˜ํ–ฅ์„ ์ฃผ์—ˆ๋‹ค๊ณ  ํŒ๋‹จ๋˜๋Š” ํ˜ธ๋‚จ๊ฐ€๋‹จ๊ณผ์˜ ์—ฐ๊ด€์„ฑ ๋“ฑ์ด ๋…ผ์˜๋˜๊ธฐ๋„ ํ•˜์˜€๋‹ค. ๋˜ํ•œ ์ผ์ •ํ•œ ์œ ์‚ฌ์„ฑ์ด ๋ฐœ๊ฒฌ๋˜๋Š” ๅฑ†ๅŽŸ์˜ ใ€Œ้›ข้จทใ€ยท ใ€Œๆ€็พŽไบบใ€, ๅธ้ฆฌ็›ธๅฆ‚์˜ ใ€Œ้•ท้–€่ณฆใ€ ๋“ฑ๊ณผ์˜ ๋น„๊ต ๋ถ„์„์ด ์ด๋ฃจ์–ด ์กŒ๊ณ , ์ •์ฒ ์˜ ํ•œ์‹œ์™€ ๊ตญ๋ฌธ์‹œ๊ฐ€์™€์˜ ๊ด€๋ จ์„ฑ๋„ ์ง€์ ๋˜์—ˆ๋‹ค. ํ•œํŽธ ์ตœ๊ทผ์—๋Š” ์†ก๊ฐ• ์‹œ๊ฐ€์˜ ์ œ๋ฐ˜ ์–ธ์–ดยทํ˜•์‹์  ์ธก๋ฉด์— ๋Œ€ํ•œ ๊ด€์‹ฌ์ด ์ œ๊ณ ๋˜๋ฉด์„œ ์ƒˆ๋กœ์šด ์–ด๋ฒ•๊ณผ ๋งํ•˜๊ธฐ ๋ฐฉ์‹์˜ ์ฐฝ์•ˆ, ๋‘ ๋ฏธ์ธ๊ณก์— ๋‚˜ํƒ€๋‚˜๋Š” ์—ฌ์„ฑ ํ™”์ž์˜ ๋ฌธ์ œ, ๅ‹•่ฉž ์ค‘์‹ฌ์˜ ์‹œํ•™ ๋“ฑ๊ณผ ๊ฐ™์€ ์†ก๊ฐ• ๊ฐ€์‚ฌ์˜ ๋…์ž์ ์ธ ๋ฌธํ•™์  ์„ฑ์ทจ์— ๊ด€ํ•œ ํ•œ์ธต ์ง„์ „๋œ ๋…ผ์˜๋ฅผ ๋ณด์—ฌ์ฃผ๊ธฐ๋„ ํ•˜์˜€๋‹ค. ์ด์— ๋”ํ•˜์—ฌ ์†ก๊ฐ• ์‹œ๊ฐ€์˜ ํ›„๋Œ€์  ์ˆ˜์šฉ ์–‘์ƒ์„ ์—ฌ๋Ÿฌ ๋ฌธํ—Œ์ž๋ฃŒ๋ฅผ ๋“ค์–ด๊ฐ€๋ฉฐ ๊ผผ๊ผผํžˆ ์ •๋ฆฌํ•ด ๋†“์€ ์—ฐ๊ตฌ์™€ ์†ก๊ฐ• ๊ฐ€์‚ฌ ์ค‘ ๊ฐ€์žฅ ํŒŒ๊ธ‰๋ ฅ์ด ๋†’์•˜๋˜ ๋‘ ๋ฏธ์ธ๊ณก์˜ ํ›„๋Œ€์  ๋ณ€์šฉ ์–‘์ƒ์„ ์‚ดํ•€ ์ผ๋ จ์˜ ์‚ฌ๋ฏธ์ธ๊ณก๊ณ„ ๊ฐ€์‚ฌ ์—ฐ๊ตฌ๊นŒ์ง€๋ฅผ ํ•ฉ์น˜๋ฉด ์ •์ฒ  ๋ฌธํ•™์— ๊ด€ํ•œ ์—ฐ๊ตฌ๋Š” ์ž‘ํ’ˆ์˜ ์ƒ์„ฑ๊ณผ ํ–ฅ์œ , ๋…์ž์ ์ธ ๋ฏธํ•™์  ์ธก๋ฉด์˜ ํƒ๊ตฌ ๋“ฑ ์ž‘ํ’ˆ๋ก ์— ์ ‘๊ทผํ•˜๋Š” ๋ชจ๋“  ๋ฐฉ๋ฉด์˜ ์—ฐ๊ตฌ๊ฐ€ ๋‹ค ์ง„ํ–‰๋˜์—ˆ๋‹ค๊ณ  ๋ณผ ์ˆ˜ ์žˆ๋‹ค. ๋”ฐ๋ผ์„œ ์ด์ œ ํ•„์š”ํ•œ ๊ฒƒ์€ ํ•˜๋‚˜์˜ ํ†ตํ•ฉ์  ์—ฐ๊ตฌ์ด๋ฉฐ, ๊ทธ๊ฒƒ์€ ์ž‘ํ’ˆ์ด ๋ฌด์—‡์„ ์–ด๋–ป๊ฒŒ ๋…ธ๋ž˜ํ•˜๊ณ  ์žˆ๋Š”๊ฐ€๋ผ๋Š” ์ฃผ์ œยทํ˜•์‹์— ๊ด€ํ•œ ์งˆ๋ฌธ๊ณผ ์–ด๋–ค ์ƒํ™ฉ์—์„œ ์–ธ์ œ๋ผ๋Š” ์ž‘ํ’ˆ ์ƒ์„ฑ์— ๊ด€๋ จ๋œ ์งˆ๋ฌธ, ๋˜ ๋ˆ„๊ตฌ์— ์˜ํ•ด์„œ ๋ถˆ๋ ค์ง€๊ณ  ๋ฐ›์•„๋“ค์—ฌ์กŒ๋Š”๊ฐ€๋ผ๋Š” ์ž‘ํ’ˆ ํ–ฅ์œ ์— ๊ด€ํ•œ ์งˆ๋ฌธ์„ ์œ ๊ธฐ์ ์œผ๋กœ ์—ฐ๊ฒฐ์‹œํ‚ค๋Š” ์—ฐ๊ตฌ๊ฐ€ ๋˜์–ด์•ผ ํ•  ๊ฒƒ์ด๋‹ค. ํ•„์ž๋Š” ์ž‘ํ’ˆ์— ์ ‘๊ทผํ•˜๋Š” ์ด ์„ธ ์ธก๋ฉด์ด ๊ธด๋ฐ€ํžˆ ๊ด€๋ จ๋œ ๊ฒƒ์ž„์„ ์žฌ์ฐจ ํ™•์ธํ•˜๋ฉด์„œ ใ€Œ์‚ฌ๋ฏธ์ธ๊ณกใ€์˜ ํ–‰์„ฑ๊ณผ ์ž‘ํ’ˆ๋‚ด์ ์ธ ์–ธ์–ดยทํ˜•์‹ ๋ฐ ์ž‘ํ’ˆ ํ–ฅ์œ ์˜ ์ธก๋ฉด๊ณผ ๊ด€๋ จ๋œ ์—ฌ๋Ÿฌ ๋ฌธ์ œ์— ๋‚˜๋ฆ„๋Œ€๋กœ ๋Œ€๋‹ตํ•˜๊ณ ์ž ํ•œ๋‹ค. ๊ทธ๋ฆฌ๊ณ  ์ด๋Ÿฌํ•œ ์งˆ๋ฌธ๊ณผ ๋Œ€๋‹ต์ด ใ€Œ์‚ฌ๋ฏธ์ธ๊ณกใ€์˜ ๊ฐ€์น˜์— ๊ด€ํ•œ ๋ฐ˜์„ฑ์ ์ธ ๋˜๋ฌผ์Œ์ด ๋  ์ˆ˜ ์žˆ๊ธฐ๋ฅผ ํฌ๋งํ•œ๋‹ค

    ๅ…ชๆผข้›‹์˜ ้“ๆ–‡ๅˆ†้›ข่ซ–๊ณผ ๆ•ฃๆ–‡ ์„ธ๊ณ„

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    ํ•™์œ„๋…ผ๋ฌธ(๋ฐ•์‚ฌ) --์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :๊ตญ์–ด๊ตญ๋ฌธํ•™๊ณผ,2009.8.Docto

    ์€ ์ฝœ๋กœ์ด๋“œ ํ”Œ๋ ˆ์ดํŠธ ํ‘œ๋ฉด์— ํก์ฐฉ๋œ ๋ถ„์ž์˜ ๊ด‘๋ฐ˜์‘ ์—ฐ๊ตฌ

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ)--์„œ์šธๅคงๅญธๆ ก ๅคงๅญธ้™ข :็ง‘ๅญธๆ•Ž่‚ฒ็ง‘ ๅŒ–ๅญธๅฐˆๆ”ป,1997.Maste

    (The) efficacy of the anal endosonography in children

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    ์˜ํ•™๊ณผ/์„์‚ฌ[ํ•œ๊ธ€] ํ•ญ๋ฌธ ๊ธฐ๋Šฅ์˜ ํ‰๊ฐ€๋ฒ•์œผ๋กœ ๋ฐฐ๋ณ€์กฐ์˜์ˆ , ํ•ญ๋ฌธ์•• ๊ณ„์ธก์ˆ , ํ•ญ๋ฌธ ๊ด„์•ฝ๊ทผ ๊ทผ์ „๋„, ์Œ๋ถ€์‹ ๊ฒฝ ์ „ ๋„๊ฒ€์‚ฌ, ํ•ญ๋ฌธ ๋‚ด์ดˆ์ŒํŒŒ ๋“ฑ์˜ ์—ฌ๋Ÿฌ ๊ฐ€์ง€ ๋ฐฉ๋ฒ•์ด ์‹œํ–‰๋˜๊ณ  ์žˆ๋‹ค. ์ด์ค‘ ํ•ญ๋ฌธ ๋‚ด์ดˆ์ŒํŒŒ๋Š” ์ตœ ๊ทผ์— ์ž„์ƒ์— ์‘์šฉ๋œ ๋ฐฉ๋ฒ•์œผ๋กœ ๋น„์นจ์Šต์ ์ด๋ฉฐ, ์†์‰ฝ๊ฒŒ ์‹œํ–‰ํ•˜์—ฌ ํ˜•ํƒœํ•™์ ์ธ ๊ฒ€์‚ฌ๋ฅผ ํ•  ์ˆ˜ ์žˆ์–ด ์„ฑ์ธ์—์„œ ์ ์ฐจ ์‚ฌ์šฉ์ด ์ฆ๊ฐ€๋˜๊ณ  ์žˆ์œผ๋‚˜ ์†Œ์•„์˜ ๊ฒฝ์šฐ ์•„์ง๊นŒ์ง€ ๋ณดํŽธ์  ์ง„๋‹จ ๋ฐฉ๋ฒ•์œผ๋กœ ์‹œํ–‰๋˜์ง€ ๋ชปํ•˜๊ณ  ์žˆ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋Š” 1997๋…„ 3์›”๋ถ€ํ„ฐ 1997๋…„ 8์›”๊นŒ์ง€ ์—ฐ์„ธ๋Œ€ํ•™๊ต ์›์ฃผ์˜๊ณผ๋Œ€ํ•™ ์™ธ๊ณผํ•™๊ต์‹ค์—์„œ 6 ๊ฐœ์›”๋ถ€ํ„ฐ 15์„ธ ์‚ฌ์ด์˜ ์†Œ์•„๋ฅผ ๋Œ€์ƒ์œผ๋กœ ๋Œ€์กฐ๊ตฐ๊ณผ ํ™˜์ž๊ตฐ์œผ๋กœ ๋‚˜๋ˆ„์–ด ์ดˆ์ŒํŒŒ๋ฅผ ์‹œํ–‰ํ•˜์˜€๋‹ค . ๋Œ€์กฐ๊ตฐ์€ ํ•ญ๋ฌธ์งˆํ™˜์˜ ๊ธฐ์™•๋ ฅ์ด๋‚˜ ์ž„์ƒ ์ฆ์ƒ์ด ์—†๋Š” ๊ธฐํƒ€์งˆํ™˜์œผ๋กœ ์ˆ˜์ˆ ์„ ์‹œํ–‰ ๋ฐ›์€ ํ™˜ ์ž๋กœ ๋งˆ์ทจ ํ›„ ์ˆ˜์ˆ  ์‹œ์ž‘ ์ง์ „ ํ•ญ๋ฌธ ๋‚ด์ดˆ์ŒํŒŒ๋ฅผ ์‹œํ–‰ํ•˜์˜€๊ณ , ํ™˜์ž๊ตฐ์ธ ๊ฒฝ์šฐ ๋ณ„๋„์˜ ์ „์ฒ˜์น˜ ๋‚˜ ๋งˆ์ทจ ์—†์ด ์™ธ๋ž˜์—์„œ ์‹œํ–‰ํ•˜์˜€๋‹ค. ๋Œ€์กฐ๊ตฐ 30์˜ˆ, ํ™˜์ž๊ตฐ 23์˜ˆ๋กœ ํ™˜์ž๊ตฐ์˜ ๊ฒฝ์šฐ ํ•ญ๋ฌธ์ง์žฅ ๊ธฐํ˜• 12์˜ˆ, ์„ ์ฒœ์„ฑ ๊ฑฐ๋Œ€๊ฒฐ์žฅ์ฆ 5์˜ˆ, ์น˜๋ฃจ 2์˜ˆ, ์น˜์—ด, ๋งŒ์„ฑ๋ณ€๋น„ ๋ฐ ํ•ญ๋ฌธ์ฃผ์œ„๋†์–‘์ด ๊ฐ๊ฐ 1 ์˜ˆ, ํ•ญ๋ฌธ ์—ด์ƒ1์˜ˆ์˜€๋‹ค. ๋Œ€์กฐ๊ตฐ์˜ ๊ฒฝ์šฐ ํ˜•ํƒœํ•™์ ์œผ๋กœ ํ•ญ๋ฌธ ๋‚ด๊ด„์•ฝ๊ทผ์€ ํ•ญ๋ฌธ๊ด€์„ ์ค‘์‹ฌ์œผ๋กœ ์ดˆ์ŒํŒŒ ์—์ฝ”๊ฐ€ ๋‚ฎ์€ ๋™์‹ฌ์›ํ˜•์œผ๋กœ ํ•ญ๋ฌธ๊ด€ ์ƒ๋ถ€, ์ค‘๋ถ€, ํ•˜๋ถ€์—์„œ ๋ชจ๋‘ ๋น„์Šทํ•œ ํ˜•ํƒœ๋กœ ๊ด€์ฐฐ ๋˜์—ˆ๋‹ค. ํ•ญ๋ฌธ ์™ธ๊ด„์•ฝ๊ทผ์€ ํ•ญ๋ฌธ ๋‚ด๊ด„์•ฝ๊ทผ ์™ธ์ธก์— ์œ„์น˜ํ•˜๋ฉฐ ํ˜ผํ•ฉ๋œ ์—์ฝ”๋ฅผ ๋‚˜ํƒ€๋ƒˆ๊ณ , ์™ธ์ธก ๊ฒฝ๊ณ„๋Š” ๋‹ค์†Œ ๋ถˆ๋ช…ํ™•ํ•˜์˜€์œผ๋ฉฐ, ์ƒ๋ถ€์—์„œ๋Š” ํšŒ์Œ์ฒด๋ฅผ ์ค‘์‹ฌ์œผ๋กœ U์ž ํ˜•์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๊ณ , ํ•˜๋ถ€ ๋กœ ๊ฐˆ์ˆ˜๋ฅต ๋™์‹ฌ์›ํ˜•์œผ๋กœ ๋ณ€ํ™”ํ•˜์˜€๋‹ค. ๋‚จ์•„์˜ ๊ฒฝ์šฐ ํ•ญ๋ฌธ๊ด€ ์ „๋ฐฉ๋ถ€ ํšŒ์Œ์ฑ„์™€ ์—ฐ๊ฒฐ๋˜๋Š” ์™ธ๊ด„ ์•ฝ๊ทผ์˜ ์œตํ•ฉ๊ณผ ํ›„๋ฐฉ ์ค‘์•™๋ถ€๋กœ ํ•ญ๋ฌธ๋ฏธ๊ณจ์ธ๋Œ€๊ฐ€ ๊ด€์ฐฐ๋˜์—ˆ๊ณ , ์—ฌ์•„์˜ ๊ฒฝ์šฐ์—๋Š” ์ „๋ฐฉ๋ถ€ ํšŒ์Œ ์ฒด ์•ž์ชฝ์— ์งˆ์ด ๊ด€์ฐฐ๋˜๋ฉฐ ํšŒ์Œ์ฒด๊ฐ€ ๋น„๊ต์  ํ•ญ๋ฌธ๊ด€ ํ•˜๋ถ€์—๊นŒ์ง€ ๊ด€์ฐฐ๋˜๋Š” ๊ฒƒ์ด ํŠน์ง•์ด๋‹ค. ํ™˜์ž๊ตฐ์—์„œ ํ˜•ํƒœํ•™์ ์ธ ๋ณ€ํ™”๋Š” ํ•ญ๋ฌธ ๋‚ด, ์™ธํ™œ์•ฝ๊ทผ์˜ ๊ฒฐ์†์ด 12์˜ˆ(52.1%), ํ•ญ๋ฌธ ๋‚ด๊ด„์•ฝ๊ทผ ์˜ ๋‘๊ป˜๋‚˜ ํ˜•ํƒœ๊ฐ€ ๋ถˆ๊ทœ์น™์ ์ธ ๋ชจ์–‘์ด 11์˜ˆ(47.8%)์˜€๋‹ค. ๋Œ€์กฐ๊ตฐ์˜ ๊ฒฝ์šฐ ์—ฐ๋ น์— ๋”ฐ๋ผ 4๊ตฐ์œผ ๋กœ ๋‚˜๋ˆ„์—ˆ์„ ๋•Œ ๋‚ด๊ด„์•ฝ๊ทผ์˜ ๋‘๊ป˜๋Š” ์ œ1๊ตฐ(6-18๊ฐœ์›”) 0.88-2.40mm, ์ œ2๊ตฐ(19-36๊ฐœ์›”) 0.88 -3.20mm, ์ œ3๊ตฐ(37-54๊ฐœ์›”) 1.10-2.20mm, ์ œ4๊ตฐ(55๊ฐœ์›”-15์„ธ) 1.21-2.42mm์˜€์œผ๋ฉฐ, ๊ฐ ๊ตฐ ๋ณ„๋กœ ํ†ต๊ณ„ํ•™์ ์ธ ์œ ์˜ํ•œ ์ฐจ์ด๋Š” ์—†์—ˆ์œผ๋‚˜, ์—ฐ๋ น์ฆ๊ฐ€์— ๋”ฐ๋ผ ์šฐ์ธก ์ƒ๋ถ€(p=0.008)์™€ ์ขŒ์ธก ์ค‘๋ถ€p=-0.015)์—์„œ ๋‘๊ป˜๊ฐ€ ์˜์˜ ์žˆ๊ฒŒ ์ฆ๊ฐ€ํ•˜์˜€๋‹ค. ๋ณธ ์—ฐ๊ตฌ์˜ ๊ฒฐ๊ณผ ํ•ญ๋ฌธ ๋‚ด์ดˆ์ŒํŒŒ๋Š” ์™ธ๋ž˜์—์„œ ๋ณ„๋„์˜ ํˆฌ์•ฝ์ด๋‚˜ ์ „์ฒ˜์น˜ ์—†์ด ์†์‰ฝ๊ฒŒ ๊ฒ€์‚ฌ๋ฅผ ์ง„ํ–‰ํ•  ์ˆ˜ ์žˆ์—ˆ์œผ๋ฉฐ, ์ •์ƒ ์†Œ์•„์—์„œ ํ•ญ๋ฌธ๊ด€์˜ ํ˜•ํƒœํ•™์  ํŠน์ง• ๋ฐ ๋‚ด๊ด„์•ฝ๊ทผ์˜ ๋‘๊ป˜๋ฅผ ์ธก์ • ํ•˜์—ฌ ํ•ญ๋ฌธ ์ง์žฅ ์งˆํ™˜์ด๋‚˜ ๋ฐฐ๋ณ€ ์žฅ์• ๊ฐ€ ์žˆ๋Š” ํ™˜์•„์˜ ์ด์ƒ์œ ๋ฌด๋ฅผ ํŒ๋ณ„ํ•˜๋Š”๋ฐ ๊ธฐ์ค€ ์ง€ํ‘œ๋ฅผ ๋งˆ๋ จํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ํ™˜์ž๊ตฐ์—์„œ๋Š” ๋Œ€์กฐ๊ตฐ๊ณผ ๋น„๊ตํ•˜์—ฌ ํ•ญ๋ฌธ ๋‚ด, ์™ธ๊ด„์•ฝ๊ทผ์˜ ์†์ƒ์ด๋‚˜ ์ด์ƒ ์—ฌ๋ถ€๋ฅผ ํŒ๋ณ„ํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ๋”ฐ๋ผ์„œ ํ•ญ๋ฌธ ๋‚ด์ดˆ์ŒํŒŒ๋Š” ์†Œ์•„์—์„œ ํ•ญ๋ฌธ ์งˆํ™˜์˜ ํ˜•ํƒœํ•™์  ์ด์ƒ ์œ ๋ฌด๋ฅผ ๊ด€์ฐฐํ•˜๋Š”๋ฐ ํšจ๊ณผ์ ์ธ ๊ฒ€์‚ฌ ๋ฐฉ๋ฒ•์ด๋ผ๊ณ  ์ƒ๊ฐ๋œ๋‹ค. [์˜๋ฌธ]restrictio

    ไธน้™ต ๏งก่ƒคๆฐธ์˜ ใ€Žๅฑฑๅฒใ€ ็ก็ฉถ

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :๊ตญ์–ด๊ตญ๋ฌธํ•™๊ณผ ๊ตญ๋ฌธํ•™์ „๊ณต,2001.Maste

    Sin Heum' Philosophy and the Influence of Ancient Learning

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    The utilization of video laryngoscopy in nasotracheal intubation for oral and maxillofacial surgical procedures: a narrative review

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    The video laryngoscope is a novel instrument for intubation that enables indirect visualization of the upper airway. It is recognized for its ability to enhance Cormack-Lehane grades in the management of difficult airways. Notably, video laryngoscopy is associated with equal or higher rates of intubation success within a shorter time frame than direct laryngoscopy. Video laryngoscopy facilitates faster and easier visualization of the glottis and reduces the need for Magill forceps, thereby shortening the intubation time. Despite the advanced glottic visualization afforded by video laryngoscopy, nasotracheal tube insertion and advancement occasionally fail. This is particularly evident during nasotracheal intubation, where oropharyngeal blood or secretions may obstruct the visual field on the monitor, thereby complicating video laryngoscopy. Moreover, the use of Magill forceps is markedly challenging or nearly unfeasible in this context, especially in pediatric cases. Furthermore, the substantial blade size of video laryngoscopes may restrict their applicability in individuals with limited oral apertures. This study aimed to review the literature on video laryngoscopy, discuss its clinical role in nasotracheal intubation, and address the challenges that anesthesiologists may encounter during the intubation process.N
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