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논문 기본 정보

자료유형
학술저널
저자정보
정희석 (서울의대 분당병원 영상의학과) 이근영 (분당서울대학교병원) 이영준 (분당서울대학교병원) 조유진 (분당서울대병원 영상의학과) 이준우 (분당서울대학교병원 영상의학과) 강흥식 (서울대학교)
저널정보
대한초음파의학회 ULTRASONOGRAPHY ULTRASONOGRAPHY Vol.34 No.3
발행연도
2015.1
수록면
206 - 210 (5page)

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Purpose: The purpose of this study was to evaluate the long-term efficacy of ultrasound (US)- guided steroid injections in patients with piriformis syndrome. Methods: Between January 2010 and October 2012, 63 patients (23 men and 40 women; average age, 63.2 years; range, 24 to 90 years) were diagnosed with piriformis syndrome based on clinical history, electromyography, and flexion-adduction-internal rotation test results. They were divided into two groups. The first group (37 subjects) received a US-guided steroid injection around the piriformis muscle. The second group (26 subjects) received both piriformis muscle and spinal epidural injections. The therapeutic effect was categorized as improvement, partial improvement, or failure depending on the degree of symptom alleviation one month after injection, based on a review of each patient’s medical records. Results: In the first group, 15 patients (40.5%) showed improvement, seven (18.9%) showed partial improvement, and 15 (40.5%) failed to respond to the initial treatment. In the second group, eight patients (30.8%) showed improvement, 11 (42.3%) showed partial improvement, and seven (26.9%) failed to respond to the initial treatment. A second piriformis injection was performed in four cases, after which two patients showed improvement within 3 years, but the other two showed no therapeutic effect. Conclusion: US-guided steroid injection may be an effective treatment option for patients with piriformis syndrome.

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