The Korean Journal of Pain
- 제14권2호
- /
- Pages.199-206
- /
- 2001
- /
- 2005-9159(pISSN)
- /
- 2093-0569(eISSN)
신경파괴적 요부교감신경절 차단의 적정 부위
Appropriate Block Level in Neurolytic Lumbar Sympathetic Ganglion Block
- 김희정 (연세대학교 의과대학 영동세브란스병원 마취과 통증클리닉) ;
- 이철오 (연세대학교 의과대학 영동세브란스병원 마취과 통증클리닉) ;
- 신양식 (연세대학교 의과대학 영동세브란스병원 마취과 통증클리닉) ;
-
이윤우
(연세대학교 의과대학 영동세브란스병원 마취과 통증클리닉)
- Kim, Hee-Jung (Department of Anesthesiology & Pain Medicine, Yonsei University College of Medicine, Yongdong Severance Hospital) ;
- Lee, Cheol-Oh (Department of Anesthesiology & Pain Medicine, Yonsei University College of Medicine, Yongdong Severance Hospital) ;
- Shin, Yang-Sik (Department of Anesthesiology & Pain Medicine, Yonsei University College of Medicine, Yongdong Severance Hospital) ;
-
Lee, Youn-Woo
(Department of Anesthesiology & Pain Medicine, Yonsei University College of Medicine, Yongdong Severance Hospital)
- 발행 : 2001.12.30
초록
Background: The lumbar sympathetic ganglia are variable in both position and numbers. The aim of this study was to detect the appropriate lumbar vertebral level where the lumbar sympathetic ganglia primarily aggregate. Methods: Forty patients comprising of hyperhidrosis (26 cases), complex regional pain syndrome (10 cases), peripheral artery occlusion disease (3 cases) and postherpetic neuralgia (1 case) underwent lumbar sympathetic block. We randomly selected one of two (L2 or L3) levels and the L4 level. The position of the needle tip and distribution of dye was verified by injection of a mixture of radio-opaque dye (1.5 ml) and 4% lidocaine (1.5 ml) and subsequently confirmed by L-spine anteroposterior and a lateral view X-ray. We considered the response positive when the skin temperature increased more than