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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 125 - 131 (7page)
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초록· 키워드
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Background: The thoracic transforaminal epidural block (TTFEB) is usually performed to treat herpes zoster or postherpetic neuralgia (PHN). Especially, multiple segmental involvements and approximate contrast medium spread range, according to volume, help to choose the proper drug volume in the transforaminal epidural block. This study investigated the contrast medium spread patterns of 1-ml to 3-ml TTFEBs.Methods: A total of 26 patients with herpes zoster or PHN were enrolled in this study. All participants received 1 ml, 2 ml, or 3 ml of contrast medium. Results were divided into Groups A, B and C based on the volume (1, 2, or 3 ml), with n = 26 for each group. After the injection of contrast medium, the spread levels were estimated in both the lateral and anteroposterior (AP) images using fluoroscopy. Results: The cephalad spread of contrast medium in the lateral image as expressed by the median (interquartile range) was 2.00 levels (1.00–2.00) for Group A, 2.50 (2.00–3.00) for Group B, and 3.00 (2.00–4.00) for Group C. The caudal spread level of contrast medium was 1.00 (1.00–2.00) for Group A, 2.00 (2.00–3.00) for Group B, and 2.00 (2.00–3.00) for Group C. There was ventral and dorsal spread of the 3-ml contrast medium injection in 88% (23/26) of cases in the lateral image. Conclusions: Injection of 3 ml of contrast medium through the foramina spread 6 levels in a cephalocaudal direction. Spread patterns revealed a cephalad preference. TTFEB resulted in dorsal and ventral spread in a high percentage of cases. This procedure may be useful for transferring drugs to the dorsal and ventral roots. (Korean J Pain 2018; 31: 125-31)
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참고문헌 (24)
참고문헌 신청
Furman MB / 2010 / Injectate volumes needed to reach specific landmarks in lumbar transforaminal epidural injections / PM R 2:625~635
Gnann JW Jr / 2002 / Clinical practice. Herpes zoster / N Engl J Med 347:340~346
Lee SE / 2013 / Distribution range of cervical interlaminar epidural injections: a comparative study with 2.5 ml, 5 ml, and 10 ml of contrast / Pain Physician 16:155~164
Wagner AL / 2002 / Selective nerve root blocks / Tech Vasc Interv Radiol 5:194~200
Hong J / 2016 / Fluoroscopically guided thoracic interlaminar epidural injection: a comparative epidurography study using 2.5 ml and 5 ml of contrast dye / Pain Physician 19:E1013~E1018
Gnann JW Jr / 2002 / Clinical practice. Herpes zoster / N Engl J Med 347:340~346
Lee SE / 2013 / Distribution range of cervical interlaminar epidural injections: a comparative study with 2.5 ml, 5 ml, and 10 ml of contrast / Pain Physician 16:155~164
Wagner AL / 2002 / Selective nerve root blocks / Tech Vasc Interv Radiol 5:194~200
Hong J / 2016 / Fluoroscopically guided thoracic interlaminar epidural injection: a comparative epidurography study using 2.5 ml and 5 ml of contrast dye / Pain Physician 19:E1013~E1018
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