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만성요하지통에 동반된 교감신경자극 증상의 완화를 위한 요부교감신경절 차단

Authors
 김갑수  ;  이윤우  ;  윤덕미  ;  신양식 
Citation
 Journal of the Korean Pain Research Society (통증), Vol.8(1) : 74-78, 1998 
Journal Title
 Journal of the Korean Pain Research Society (통증) 
ISSN
 1226-3079 
Issue Date
1998
Abstract
Background: The indications for lumbar sympathetic ganglion block may be divided into three broad categories: (1) circulatory insufficiency; (2) pain; (3) other conditions. Herniated lumbar disc and other spinal disease have radiating and refered pain, and sympathetic symptoms. We performed lumbar sympathetic ganglion block to the 14 patients which have the symptoms of sympathetic stimulation after conventional therapy. Method: Patients position was a left or right decubitus. We used the paramedian technique at levels of L2 and L3 or L4 ganglion. For neurolytic blockade, an image intensifier(C-arm) was emloyed. And neurolytic agent was 99.5% ethyl alcohol. Results: We have improvement of coldness and hypothemia, deep pain and tenderness. 3 cases have improvement of reflex muscle spasm and so it is better when they are warking but 1 case have complication of genitofemoral neuralgia and recovery after in 1 week. Repeat block is performed 1 case after 2 months because of recurrence of symptom. Conclusion: We. suggest that lumbar sympathetic ganglion block is a good therapy in chronic low back and leg pain, especially sympathetic stimulation symptoms.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Shin, Yang Sik(신양식)
Yoon, Duck Mi(윤덕미)
Lee, Youn Woo(이윤우)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177233
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