경피적 내시경하 요추 추간판 제거술 후 신경근 압박 증상에 대한 경막 외 스테로이드 주사의 진단적 유용성

• 영문명: Diagnostic Value of Epidural Steroid Injection in Mechanical Nerve Root Compression after Percutaneous Endoscopic Lumbar Discectomy
• 발행기관: 조선대학교 의학연구원
• 저자명: 주창일(Chang Il Ju) 김병욱(Byoung Wook Kim) 하상우(Sang Woo Ha) 장근수(Keun Su Jang)
• 간행물 정보: 『The Medical Journal of Chosun University』제38권 제4호, 183~188쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.12.31

영문 초록

After percutaneous endoscopic lumbar discectomy (PELD), postoperative radiating leg pain could persist and become a common problem. This symptom provides important information for use in deciding on performance of reoperation for remnant disc or recurrent disc herniation. Of 225 patients who underwent PELD, 51 patients had persistent radicular pain. Steroid injection to epidural space resulted in pain reduction of at least 50 % in 15 (30.3 %) of these patients. Thirty five cases showed a bad outcome after steroid injection, indicating high sensitivity for detection of a remnant or disc herniation in follow up Magnetic Resonance images (25 cases, 71.4%). Twenty one patients were treated by reoperation. Steroid injection has a diagnostic value with a high sensitivity for mechanical compression of the nerve root as remaining or recurrent disc herniation in MRI for the necessity of a re-operation.

목차

서론

연구대상 및 방법

결과

고찰

키워드

Disc herniation Pain management Postoperative radiating leg pain Radiculopathy Steroids