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윤건중(Keon Jung Yoon),김종렬(Jong Lul Kim),박규호 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
Rectal tenesmus is a persistent, painful and ineffectual sensation of straining at stool or opening of the bowels. Lumbar sympathectomy was performed in patient whose main complaint was rectal tenesmoid pain resulting from hemorrhoid operation, and in whom analgesic or psychotropic drugs had failed in controlling the symptom. After chemical lumbar sympathectomy, patient was free from the rectal tenesmoid pain. It is concluded that lumbar sympathectomy is a safe and effective treatment for rectal te- nesmus.
복합부위통증 증후군 II형 (CRPS Type II) 환자의 치험
윤건중(Keon Jung Yoon),김종렬(Jong Lul Kim) 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
Complex regional pain syndrome Type II(CRPS) can be diagnosed by new IASP criteria in l994. Sympathetically maintained pain may or may not be present in a patient with com- plex regional pain syndrome. We experienced a CRPS Type II patient who has sympathetically maintained pain as a major painful nature developed after right multiple iliac bone fracture right femoral artery thrombosis and lumbosacral plexus injury. Combination treatment with L2, L3, L4 sympathetic ganglion block and continuous lower thoracic epidural block for 30 days were tried to get long term effect. The patient had signs of successful sympathetic denervation of the right foot. After that pain relief was sustained until three month later.
요부 신경질환에서 우측 L5 신경근 차단시 보여진 우측 S1 신경근 차단
김종렬(Jong Lul Kim),윤건중(Keon Jung Yoon),강준구 대한통증학회 1998 The Korean Journal of Pain Vol.11 No.2
Selective lumbosacral radiculography and nerve root block techniques are very useful in determining the nerve root involved. We have done the lumbar root block to 61-year-old female who had suffered from low back pain radiating to right lower leg which was not relieved by epidural steroid injection two times. L5 root block was performed under the fluoroscopic C-arm guide. When the needle was in correct position, we injected contrast medium (lsovist® - 300, Schering, Germany). After we injected 1.5 cc isovist, the S root was figured but L5 root was not figured. When we reinjected 1.5 cc isovist, S1 root was enhanced and L5 root was slightly visible due to severe disc bulging and lateral spinal stenosis.
다한증 환자에서 흉강경 하 흉부교감신경 절제술 후 발생한 복합부위 통증 증후군 -1례보고-
권종범,심성보,원용순,박건,이재광,곽문섭,김종렬,윤건중,Kweon, Jong-Bum,Sim, Sung-Bo,Won, Yong-Soon,Park, Kuhn,Lee, Jae-Kwang,Kwack, Moon-Sub,Kim, Jong-Lul,Yoon, Keon-Jung 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.6
Thoracoscopic sympathectomy is a common technique used to treat plamar hyperhiodrosis. The complications of thoracoscopic sympathectomy are rare. Recently, we experienced a complex regional pain syndrome(CRPS) after thoracoscopic sympathecotomy in a patient with hyperhidrosis. The treatment of this complication was chemical epidural sympathetic block and conservative pain control. The result of this treatment was good. The patient was recovered after one month.