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임상연구 : 난치성 만성 통증에 대한 척수자극술의 효과 분석: 5년간이 경험
이철중 ( Chul Joong Lee ),김용철 ( Yong Chul Kim ),신재혁 ( Jae Hyuck Shin ),유승연 ( Seung Yeon Yoo ),신화용 ( Hwa Yong Shin ),김양현 ( Yang Hyun Kim ),한선숙 ( Sun Sook Han ),조주연 ( Ju Yeon Joh ),이은형 ( Eun Hyeong Lee ),이 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.2
Background: We investigated the effect of spinal cord stimulation on intractable chronic pain retrospectively and report our 5-year experience. Methods: 49 patients with the medical history of trial spinal cord stimulation have been retrospectively analyzed. They consist of 34 men and 15 women, ranging in age from 22 to 89 years. Causes of intractable chronic pain included postherpetic neuralgia, failed back surgery syndrome, complex regional pain syndrome, chronic back and leg pain, cauda equina syndrome, perineal pain, diabetic polyneuropathy, and spinal cord injury. Results: The pain due to failed back surgery syndrome, complex regional pain syndrome, chronic low back and leg pain, and spinal cord injury was well controlled by using spinal cord stimulation system. After a trial period of stimulation, 20 patients had permanent stimulators implanted. Most of them reported satisfactory pain relief for maximum 60 months and minimum 9 months. Noticeable complications included electrode displacement and hemorrhage. Conclusions: We may suggest that spinal cord stimulation is an effective and safe therapy for chronic intractable pain. (Korean J Anesthesiol 2006; 51: 195~200)
임상연구 : 요부 척추관 협착증 환자에서 영상유도장치하 중재적 미세유착박리 및 신경자극요법의 효과
한선숙 ( Sun Sook Han ),이상진 ( Sang Jin Lee ),이철중 ( Chul Joong Lee ),이상철 ( Sang Chul Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.1
Background: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. Fluoroscopy Guided Interventional Musculoskeletal Adhesiolysis and Nerve Stimulation (FIMS) was used to stimulate the correct anatomic point using fluoroscopy. We present the results of FIMS in spinal stenosis. Methods: 106 patients with ages ranging from 39 to 87 years were enrolled in this study. All the patients were postoperatively evaluated for the clinical outcomes such as numeric rating scale (NRS) for pain at 1 month, reduction in the analgesics dose, and the overall satisfaction rate. The patients considered to have received clinical benefit from FIMS were evaluated for the recurrence of pain by either a follow-up or telephone interview. Results: FIMS reduced the level of pain compared with the pretreatment (P < 0.001). In addition, 61% of patients reported that they were satisfied. There were no procedural related serious complications. Three months after FIMS, there was continuing pain relief in 50% of the patients treated successfully. Conclusions: FIMS is a safe and effective treatment modality for spinal stenosis. (Korean J Anesthesiol 2006; 51: 82~8)