미골통 환자에서 시행한 외톨이(Impar) 교감신경절 차단 -증례 보고-

Blockade of the Ganglion Impar for the Management of Intractable Coccygodynia

  • 김부원 (울산대학교 의과대학 마취과학교실) ;
  • 신진우 (울산대학교 의과대학 마취과학교실) ;
  • 송명희 (울산대학교 의과대학 마취과학교실) ;
  • 박은경 (울산대학교 의과대학 마취과학교실) ;
  • 이청 (울산대학교 의과대학 마취과학교실) ;
  • 서병태 (울산대학교 의과대학 마취과학교실)
  • Kim, Bu-Won (Department of Anesthesiology, University of Ulsan College of Medicine) ;
  • Shin, Jin-Woo (Department of Anesthesiology, University of Ulsan College of Medicine) ;
  • Song, Myung-Hee (Department of Anesthesiology, University of Ulsan College of Medicine) ;
  • Park, Eun-Kyung (Department of Anesthesiology, University of Ulsan College of Medicine) ;
  • Lee, Cheong (Department of Anesthesiology, University of Ulsan College of Medicine) ;
  • Suh, Byung-Te (Department of Anesthesiology, University of Ulsan College of Medicine)
  • 발행 : 1996.06.01

초록

Pain arising from disorders of the viscera and somatic structures within the pelvis and perineum is a frequent cause of discomfort and disability, especially among women. Recently, blockade of the ganglion impar(ganglion of Walther) has been introduced as an alternative means of managing intractable perineal pain of sympathetic origin. The first report of interruption of the ganglion impar for relief of perineal pain appeared in 1990. We successfully treated a patient who had suffered from intermittent severe coccygodynia with ganglion impar block.

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