천골열공을 통하여 삽입된 Flexible Fiberoptic Epiduroscope을 이용한 신경근병증 환자의 치험 -증례 보고-

Treatment of Radiculopathy with Flexible Fiberoptic Epiduroscope Inserted through the Sacral Canal -A case report-

  • 박종완 (순천향대학병원 마취과학교실 및 통증치료실) ;
  • 이정순 (순천향대학병원 마취과학교실 및 통증치료실) ;
  • 이주철 (순천향대학병원 마취과학교실 및 통증치료실) ;
  • 김용익 (순천향대학병원 마취과학교실 및 통증치료실) ;
  • 황경호 (순천향대학병원 마취과학교실 및 통증치료실) ;
  • 박욱 (순천향대학병원 마취과학교실 및 통증치료실)
  • Park, Jong-Wan (Department of Anesthesiology and Pain Clinic, College of Medicine, Soonchunhyang University) ;
  • Lee, Jung-Soon (Department of Anesthesiology and Pain Clinic, College of Medicine, Soonchunhyang University) ;
  • Lee, Ju-Chul (Department of Anesthesiology and Pain Clinic, College of Medicine, Soonchunhyang University) ;
  • Kim, Yong-Ik (Department of Anesthesiology and Pain Clinic, College of Medicine, Soonchunhyang University) ;
  • Hwang, Kyoung-Ho (Department of Anesthesiology and Pain Clinic, College of Medicine, Soonchunhyang University) ;
  • Park, Wook (Department of Anesthesiology and Pain Clinic, College of Medicine, Soonchunhyang University)
  • 발행 : 1997.11.22

초록

Caudal epiduroscopy has been introduced as an alternative technique for direct injection of epidural steroid and lysis of adhesion. Futher, it gives a better understanding of the role of epidural adhesion in recurrence of sciatica and low back disorder after surgery. We experienced a clinical application of flexible fiberoptic epiduroscope inserted through the sacral canal. A 37-year-old woman was suffering from right lumbar radiculopathy after an operation for a herniated disc. A series of volumetric caudal steroid injections and physical therapy had little effect on her symptoms. Patient was thought to be a good candidate for epiduroscopy. Flexible flberoptic epiduroscopy was as follows: 60 ml of normal saline irrigation and epidurogram, 40 mg of triamcinolone in 10m1 of normal saline was directed around right L5 nerve root. The following morning, patient reported reduced pain in her leg.

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