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요척주관 협착증 환자의 요부 교감신경 차단술의 효과 및 조영양상에 따른 피부 체온의 변화

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Affiliated Author(s)
홍지희김진모김애라이용철김세영
Alternative Author(s)
Hong, Ji HeeKim, Jin MoKim, Ae RaLee, Yong CheolKim, Sae Young
Journal Title
Korean Journal of Pain
ISSN
2005-9159
Issued Date
2009
Keyword
lumbar sympathetic ganglion blockspread patdterns of contrasttemperature differencetransforaminal epidural steroid injection
Abstract
Background: We hypothesized that if a fluoroscopic image of the lumbar sympathetic ganglion block (LSGB) showed the spread patterns of contrast at both the L2/3 and L4/5 disc areas, then this wouId demonstrate a more profound blockade effect because the spread patterns are close to sympathetic ganglia. In addition, we compared the effects of LSGB and transforaminal epidural steroid injection (TFESI) for the patients suffering with spinal stenosis.

Methods: Eighty patients were divided into two groups (Group S: the patients treated with TFESI, Group L: the patients treated with LSGB). The patients of group L were classified into three groups (groups A, B and, C) according to their contrast spread pattern. The preblock and postblock temperature difference between the ipsilateral and contralateral great toe (DT^6, DT9051, °C), and the DTnet were calculated as follows. DTnet = DTpost - DTpre.

Results: Both group showed a significant reduction of the visual analogue score (VAS) and the Oswestry disability index (ODI) score. Only the patients of group L showed a significant increase of their walking distance (WD). Group A showed the most significant changes in the DTpost (6.1 土 1.2°C, P = 0.021), and the DTnet (6.0 土 1.00C, p = 0.023), as compared to group C.

Conclusions: LSGB showed a similar effect on the VAS, and ODI, and a significant effect, on WD. compared with TFESI. Group A showed a significant sympatholytic effect, as compared to group C. (Korean J Pain 2009; 22: 151-157)
Key Words: lumbar sympathetic ganglion block, spread patdterns of contrast, temperature difference, transforaminal epidural steroid injection.
Alternative Title
The Effects of Lumbar Sympathetic Ganglion Block in the Patients with Spinal Stenosis and the Skin Temperature Changes according to the Contrast Spread Patterns
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
School of Medicine
Citation
홍지희 et al. (2009). 요척주관 협착증 환자의 요부 교감신경 차단술의 효과 및 조영양상에 따른 피부 체온의 변화. Korean Journal of Pain, 22(2), 151–157. doi: 10.3344/kjp.2009.22.2.151
Type
Article
ISSN
2005-9159
DOI
10.3344/kjp.2009.22.2.151
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34606
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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