대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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보존적 한방치료를 시행한 척추 수술 실패 증후군 환자 증례보고 : 출산 후 악화를 포함한 장기 경과 관찰

A Case Report of Lumbar Spine Failed Back Surgery Syndrome (FBSS) Patient Treated with Korean Medicine: Long-Term Progress Including Postpartum Aggravation

  • 노지애 (대전자생한방병원 내과) ;
  • 이지원 (대전자생한방병원 내과) ;
  • 변다영 (대전자생한방병원 재활의학과) ;
  • 홍정수 (대전자생한방병원 내과) ;
  • 김동진 (대전자생한방병원 내과)
  • Roh, Ji-ae (Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Ji-won (Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Byun, Da-young (Dept. of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Hong, Jung-soo (Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Dong-jin (Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 투고 : 2019.02.14
  • 심사 : 2019.04.01
  • 발행 : 2019.03.30
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초록

Background: Because of fear of reoperation and low efficiency, some patients with failed back surgery syndrome (FBSS) opt for Korean medicine treatment. Gold standard treatment is not present for FBSS, therefore both surgical and non-surgical treatment are possible. Studies of Korean conservative medicine for FBSS had a short duration of treatment and mainly pre- and post-treatment comparisons. And case of female patients who have worsened after childbirth is rare. The purpose of this study was to report long-term follow-up and rare cases of FBSS. Case summary: A 33-year-old female patient diagnosed with lumbar disc herniation complained with low back pain and radicular pain in the left leg after surgery in 2011. Acupuncture and decoction (Cheongpa-jeon, GCSB-5) were administered to her twice a day for about 6 years and 6 months. The patient's complaints improved with each hospitalization, and Magnetic Resonance Imaging (MRI) showed a slight decrease in the size of the recurrent disc (L4/5) and a newly developed disc (L5/S1) that had deteriorated after delivery. Conclusion: Korean medicine could be used to manage the pain of lumbar spine FBSS patients for 6-7 years and to alleviate lumbago after delivery.

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참고문헌

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