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요통에서 경막외 Steroid 주입의 효과

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Author(s)
이장철임만빈김인홍이창영강철형이정구정정길Jang Chull LeeMan Bin YimIn Hong KimChang Young LeeChull Hung KangJung Gu LeeJung Kil Chung
Keimyung Author(s)
Lee, Jang ChullYim, Man BinKim, In HongLee, Chang YoungKang, Chul HyungLee, Jung KooChung, Jung Kil
Department
Dept. of Neurosurgery (신경외과학)
Dept. of Orthopedic Surgery (정형외과학)
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한신경외과학회지
Issued Date
1996
Volume
25
Issue
6
Abstract
In order to evaluate the effect of the lumbar epidural steroid injection in the low back pain and/or radicular pain, we studied 66 patients who were treated and followed for an average of 8.6 months. In the initial evaluation, main pain sites were as follows : low back pain in 41 patients, buttock pain in 7 patients, and leg pain in 18 patients. Immediate response and delayed response in the patients were studied. Immediate response within 1 day after injection revealed the following : dramatic improvement in 3.0% ; some improvement in 56.1% ; no improvement in 27.3% ; and more aggravated in 13.6%. Delayed response after 1 month revealed the following : 15.2% continuously maintained improvement ; 9.1% showed progressive improvement ; 36.4% experienced recurring pain ; 27.3% had no improvement ; and 10.6% had aggravating pain. The effect of the lumbar epidural steroid injection was not affected by the severity of pain in the initial evaluation. Better improvements were noted in patients who suffered radicular pain than those who suffered low back or buttock pain. Good prognostic factors were young age and male. Complications that the patients suffered were transient injection pain(6), edema of the face or extremity(10), transient leg weakness(5) and dural puncture(1). The number of patients who wanted to recommend this procedure to others were 22(33.3%). In conclusion, epidural steroid injection was one of the methods in the management of the patients who suffered low back pain and/or radicular pain and had no effect by any other therapies.
Alternative Title
Effect of Epidural Steroid Injection in the Low Back Pain
Keimyung Author(s)(Kor)
이장철
임만빈
김인홍
이창영
강철형
이정구
정정길
Publisher
School of Medicine
Citation
이장철 et al. (1996). 요통에서 경막외 Steroid 주입의 효과. 대한신경외과학회지, 25(6), 1183–1188.
Type
Article
ISSN
1225-8245
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39028
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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