지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 466 - 473 (8page)
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초록· 키워드
오류제보하기
Objective To evaluate the effect of hyaluronidase in patients with failed back surgery syndrome (FBSS) treated with interlaminar lumbar epidural injection (ILEI).Method Sixty patients suffering from severe low back pain and sciatica were randomly allocated into three groups. Group T received ILEI with 2 ml triamcinolone 40 mg/ml and 5 ml bupivacaine 0.25%. Group H received ILEI with 1500 IU hyaluronidase and 5 ml bupivacaine 0.25%. Group TH received interlaminar lumbar epidural injection (ILEI) with 1500 IU hyaluronidase, 2 ml triamcinolone 40 mg/ml and 5 ml bupivacaine 0.25%. The effect was evaluated using Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) at pre-injection, 2 weeks, 6 weeks and 12 weeks after ILEI. Results After 2 weeks and after 6 weeks, patients in both Group T and Group TH had significant effectiveness more than Group H in decrease of VAS and ODI. After 12 weeks, only patients in Group TH had significant effectiveness in decrease of VAS and ODI (p<0.05). In every period, Group TH had the most effectivess in decrease of VAS and ODI after ILEI. Conclusion ILEI for FBSS with triamcinolone and hyaluronidase is considered to have more long term effectiveness to reduce pain and improve function after ILEI than injection with triamcinolone alone or hyaluronidase alone.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Borg PA / 1994 / Hyaluronidase in the management of pain due to postlaminectomy scar tissue / Pain 58 : 273 ~ 276
Devulder J. / 1998 / Transforaminal nerve root sleeve injection with corticosteroids, hyaluronidase, and local anesthetic in the failed back surgery syndrome / J Spinal Diso
Epter RS / 2009 / Systemic review of percutaneous adhesiolysis and management of chronic low back pain in post lumbar surgery syndrome / Pain Physician 12 : 361 ~ 378
Fredman B / 1999 / Epidural steroids for treating “failed back surgery syndrome”: is fluoroscopy really necessary? / Anesth Analg 88 : 367 ~ 372
Hayashi N / 1998 / The effect of epidural injection of betamethasone or bupivacaine in a rat model of lumbar radiculopathy / Spine 23 : 877 ~ 885
Devulder J. / 1998 / Transforaminal nerve root sleeve injection with corticosteroids, hyaluronidase, and local anesthetic in the failed back surgery syndrome / J Spinal Diso
Epter RS / 2009 / Systemic review of percutaneous adhesiolysis and management of chronic low back pain in post lumbar surgery syndrome / Pain Physician 12 : 361 ~ 378
Fredman B / 1999 / Epidural steroids for treating “failed back surgery syndrome”: is fluoroscopy really necessary? / Anesth Analg 88 : 367 ~ 372
Hayashi N / 1998 / The effect of epidural injection of betamethasone or bupivacaine in a rat model of lumbar radiculopathy / Spine 23 : 877 ~ 885
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