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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 103 - 109 (7page)
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초록· 키워드
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Background: The location and the number of lumbar sympathetic ganglia (LSG) vary between individuals. The aim of this study was to determine the appropriate level for a lumbar sympathetic ganglion block (LSGB), corresponding to the level at which the LSG principally aggregate.Methods: Seventy-four consecutive subjects, including 31 women and 31 men, underwent LSGB either on the left (n = 31) or the right side (n = 43). The primary site of needle entry was randomly selected at the L3 or L4 vertebra. A total of less than 1 ml of radio opaque dye with 4% lidocaine was injected, taking caution not to traverse beyond the level of one vertebral body. The procedure was considered responsive when the skin temperature increased by more than 1oC within 5 minutes.Results: The median responsive level was significantly different between the left (lower third of the L4 body) and right (lower margin of the L3 body) sides (P = 0.021). However, there was no significant difference in the values between men and women. The overall median responsive level was the upper third of the L4 body. The mean responsive level did not correlate with height or BMI. There were no complications on short-term follow-up.Conclusions: Selection of the primary target in the left lower third of the L4 vertebral body and the right lower margin of the L3 vertebral body may reduce the number of needle insertions and the volume of agents used in conventional or neurolytic LSGB and radiofrequency thermocoagulation. (Korean J Pain 2016; 29: 103-9)
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등록된 정보가 없습니다.
참고문헌 (33)
참고문헌 신청
Boas RA / 1998 / Sympathetic nerve blocks : in search of a role / Reg Anesth Pain Med 23:292~305
Stanton-Hicks M / 2007 / Complications of sympathetic blocks for extremity pain / Tech Reg Anesth Pain Manag 11:148~151
Datta S / 2004 / Paradiscal extraforaminal technique for lumbar sympathetic block : report of a proposed new technique utilizing a cadaver study / Pain Physician 7:53~57
홍지희 / 2010 / Comparison of Multilevel with Single Level Injection during Lumbar Sympathetic Ganglion Block: Efficacy of Sympatholysis and Incidence of Psoas Muscle Injection / The Korean Journal of Pain 23(2):131~136
Middleton WJ / 1998 / Lumbar sympathetic block : a review of complications / Tech Reg Anesth Pain Manag 2:137~146
Stanton-Hicks M / 2007 / Complications of sympathetic blocks for extremity pain / Tech Reg Anesth Pain Manag 11:148~151
Datta S / 2004 / Paradiscal extraforaminal technique for lumbar sympathetic block : report of a proposed new technique utilizing a cadaver study / Pain Physician 7:53~57
홍지희 / 2010 / Comparison of Multilevel with Single Level Injection during Lumbar Sympathetic Ganglion Block: Efficacy of Sympatholysis and Incidence of Psoas Muscle Injection / The Korean Journal of Pain 23(2):131~136
Middleton WJ / 1998 / Lumbar sympathetic block : a review of complications / Tech Reg Anesth Pain Manag 2:137~146
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