• Title/Summary/Keyword: 압박통증

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Sclerotherapy of the varicose veins (정맥류 경화용법)

  • 김부연;김재영;이교준;함석진;김해균
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.231-234
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    • 2001
  • 배경: 하지 정맥률의 치료법중의 하나인 압박경화요법의 치료효과를 알아보고자 하였다. 대상 및 방법: 영동세브란스병원에서 1997년 8월부터 1999년 8월까지 복대-대퇴정맥판막 부전이 없는 하지정맥류 환자 중 압박경화용법을 시행 받은 94명을 대상으로 하였다. 병역 및 이화학적 검사결과, 압박경화용법의 치료효과와 합병증 등을 살펴보았다. 결과: 환자의 연령은 20대에서부터 70대까지 있었으며, 평균 43.4세였고 성별은 남자가 28명 여자가 66명 이었다, 정맥의 돌출 이외에 다른 증상은 없는 환자가 87명이었으며, 다리가 무거운 증사, 피로, 통증도 각각 1예, 2예, 2예가 있었다. 대상 환자 중에서는 소복재정맥에 이환된 사람이 83예이었다. 50명환자에서 1회의 시술만으로 만족할 만한 결과를 보였으며, 시술 후의 합병증으로 부분적인 열감, 정맥염, 괴사가 있었다. 결론: 복재-대퇴정맥판막 부전이 없는 하지정맥류의 치료에 있어 경화요법은 미용적으로 우수한 효과적인 치료법으로 생각된다.

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Cauda Equina Syndrome after Percutaneous Balloon Kyphoplasty for Pathologic Compression Fracture (병적 척추체 압박 골절 환자에서 경피적 풍선 척추 성형술 시행 후 발생한 마미 증후군)

  • Park, Sung Jun;Park, Myung Hoon;Park, Jae Woo;Cho, Kyu Jung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.90-94
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    • 2020
  • Percutaneous balloon kyphoplasty is an option for pain relief in pathological vertebral compression fractures. Complications related to cement leakage through cortical defects have been reported. On the other hand, dural compression due to retropulsion of the tumor mass is rarely reported. The authors report a case of a 65-year female patient who had cauda equina syndrome after a percutaneous balloon kyphoplasty in a pathological vertebral fracture, even though epidural compression were not found prior to surgery. Magnetic resonance imaging revealed retropulsion of the tumor mass into the spinal canal through the disrupted posterior vertebral cortex.

지혜 깊어지는 건강 - 우리 아이를 위한 1분 건강 - 척추측만증 겨울방학, 아이의 척추를 점검하라

  • Kim, Ju-Hyeon
    • 건강소식
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    • v.35 no.12
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    • pp.28-29
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    • 2011
  • 각종 인터넷 포털 사이트를 검색하면 척추측만증에 대한 설명이 나오는데 대체로 척추측만증은 척추가 옆으로 심하게 굽은 증상. 통증은 없고 서서히 진행되는데 심하면 내장 압박을 비롯하여 여러 가지 장애를 일으키는 병으로 소개되고 있다. 하지만 척추측만증은 단순히 척추가 옆으로만 굽은 것을 말하는 것이 아니라 뒤에서 봤을 때 옆으로 만곡된 것 이외에도 척추 뼈 자체의 회전 변형을 동반한 3차원적인 척추기형을 말한다.

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Palliative Radiotherapy (증상완화목적의 방사선치료)

  • Lee, Chang-Geol
    • Journal of Hospice and Palliative Care
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    • v.12 no.1
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    • pp.1-4
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    • 2009
  • The aim of palliative radiotherapy (RT) is to control cancer-related local symptoms with minimal radiation reaction. About one third of all radiation treatments are given with palliative intent. Indications for RT in symptom palliation are as follows: Pain from bone metastasis, pressure symptom from brain and spinal cord, obstruction of bronchus, esophagus, superior vena cava and malignant cancer bleeding from bronchus, urinary tract, uterine cervix and rectum. In hospice palliative care, RT is very effective for symptom palliation and improvement of quality of life without influence on survival.

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Lateral plantar nerve entrapment combined with a chronic plantar fasciitis in a basketball player -A case report- (농구선수에서 발생한 만성 족저근막염이 동반된 외측 족저 신경 압박증 -증례 보고-)

  • Lee, Kyung-Tai;Kim, Jun-Beom;Young, Ki-Won;Kim, Jin-Su;Park, Young-Uk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.121-124
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    • 2010
  • In athletes, repetitive low-energy impacts in plantar lesion lead often to tendinitis, stress fracture, or overuse syndrome. The major cause of heel pain in athletes is plantar fasciitis. And it is most often attributable to repetitive low energy impact, but the vast majority patients with heel pain achieve symptomatic relief with conservative treatment and return to full activities. Not commonly, Nerve entrapment may be occurred from repetitive low energy trauma in athletes, and is not as easily diagnosed. The authors observed a basketball player who complained of chronic heel pain that do not respond to conservative treatment, he had the lesions both plantar fasciitis and lateral plantar nerve entrapment. The authors described an unusual mechanism of entrapment of the lateral plantar nerve combined with a chronic plantar fasciitis in a basketball player and reported with review of literature.

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Review of Diabetic Neuropathy (당뇨병성 신경병증에 대한 고찰)

  • Bae Sung-Soo;Baek Su-Jeong;Kim Jong-Youl
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.151-158
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    • 1999
  • Neuropathy is a common and often debilitating complication of diabetes, Diabetic peripheral neuropathy(DN) includes a variety of different disorders that affect the peripheral nervous system. The most common type of DN is the predominantly sensory distal polyneuropathy. Typically, symptoms begin in the foot and proximally during the course of the discease, reflecting the fact that longer fibres are involved earlier that shorter ones. Reviewed the pathogenesis, the diagnosis of DN, the gait pattern and the excercise, the treatment of pain in DN patient.

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Comparison of Pain, Sense, Bleeding and Hematoma Depending on the Process of Air Elimination of Pressure Band after Percutaneous Coronary Intervention through Radial Artery (요골동맥을 통한 경피적 관상동맥 중재술 후 압박밴드의 공기제거 방법에 따른 통증 강도, 통증 감각, 출혈 및 혈종 비교)

  • Kim, Mi Seok;Oh, Ji Seon;Cho, Hye Young
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.275-283
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    • 2012
  • Purpose: This study was conducted to compare pain, sense, bleeding, and hematoma that patients feel depending on the process of eliminating air of pressure band that was applied to patients after percutaneous coronary intervention (PCI) through radial artery. Methods: It was a nonequivalent control group pretestposttest design to compare pain, sense, bleeding, and hematoma by amount and time of eliminating air of pressure band after PCI through radial artery. Results: On arrival at Coronary Care Unit, meaningful difference didn't exist between pain and sense, however, after two hours of starting eliminating air, the points of pain and sense were meaningfully low (p<.001). Also, there was meaningful difference in reciprocal action between group and time (p<.001). Conclusion: After PCI, the conclusion showed there is positive effect in decreasing wrist pain and sense without any influence of bleeding by eliminating air from patients' pressure bands.

Microscopic Decompression of Digital Nerve Surrounded by Hemangioma: A Case Report (미세수술을 통하여 수지신경을 압박하는 혈관종을 성공적으로 제거한 증례 보고)

  • Ko, Jun Gul;Kim, Jun Hyeok;Rha, Eun Young;Lee, Jun Yong;Yoo, Gyeol;Baek, Sang Oon
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.301-305
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    • 2018
  • Hemangiomas are benign neoplasms of endothelial cells origin, rarely found in hand region. Authors report a 62-year-old female with capillary hemangioma of right index finger causing a neuropathic symptom via nerve compression. A space-occupying vascular lesion surrounding the radial digital nerve was revealed in magnetic resonance imaging (MRI), which was removed under microscopic assist. The digital nerve was decompressed consequently. The mass was firmly attached to both the digital nerve and digital artery, requiring a meticulous microscopic dissection to preserve the nerve and artery. Compression neuropathy caused by space-occupying lesions is rare and its diagnosis is often difficult. A microscopic surgical approach can be used to successfully relieve neuropathic pain after proper diagnosis established by diagnostic tools such as MRI as in this case.

Osteoporotic Vertebral Compression Fracture Associated with Pregnancy and Lactation in Young Women (젊은 여성에서 임신 및 수유와 연관된 골다공증성 척추 압박골절)

  • Shin, Woo-Jin;Suh, Seung-Pyo;Yeom, Ji-Ung;Kim, Yun-Seong
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.266-271
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    • 2021
  • Osteoporosis associated with pregnancy and lactation is a rare disease that can cause osteoporotic vertebral compression fracture (OVCF). Patients usually complain of severe back pain, which is easily mistaken for pain due to pregnancy, childbirth, and lactation, making a rapid diagnosis and treatment difficult. The authors diagnosed OVCF related to pregnancy and lactation through a physical examination, simple radiography, whole-body bone scan, magnetic resonance image, bone marrow density, and blood tests in a 29-year-old female patient and a 31-year-old female patient who presented with low back pain. This paper reports two cases of symptom improvement through a teriparatide injection, wearing thoracic lumbar sacral orthosis and taking calcium and vitamin D with a review of the literature.

Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report (신경근 압박을 동반한 요추부 척수 경막외 동정맥루의 혈관 내 치료: 증례 보고)

  • Hyun Hwang;Jae Ho Shin;Jae Taek Hong;Yon Kwon Ihn
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1628-1633
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    • 2021
  • Spinal epidural arteriovenous fistulas (SEDAVFs) are rare spinal vascular malformations that are difficult to diagnose and treat. SEDAVFs can be asymptomatic; however, symptoms can arise from the compression of adjacent nerve roots by dilated vein and perimedullary venous reflux, caused by shunting into the epidural venous plexus. A 31-year-old male presented to our institution with a 2-year history of progressively worsening low-back pain, radiating thigh pain, and sensory changes in his lower extremities. MRI and CT angiography demonstrated dilated epidural vascular lesion compressing the nerve root. The SEDAVF was embolized with multiple coils, which alleviated the nerve root compression from the engorged venous varix and improved the patient's radiculopathy. Our experience from this case shows that endovascular coil embolization using the transarterial approach can be an effective treatment for SEDAVF and an alternative to surgical ligations.