The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Treatment of 43 Patients with Buerger's Disease

Buerger환자 43명의 치료 경험

  • Cheun, Jae-Kyu (Department of Anesthesiology and Pain Clinic, Keimyung University, School of Medicine) ;
  • Jang, Young-Ho (Department of Anesthesiology and Pain Clinic, Keimyung University, School of Medicine) ;
  • Chung, Jung-Kil (Department of Anesthesiology and Pain Clinic, Keimyung University, School of Medicine)
  • 전재규 (계명대학교 의과대학 마취과학교실 통증치료실) ;
  • 장영호 (계명대학교 의과대학 마취과학교실 통증치료실) ;
  • 정정길 (계명대학교 의과대학 마취과학교실 통증치료실)
  • Published : 1996.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Buerger's disease is a nonatherosclerogic occlusive inflammatory disease of medium and small arteries, and veins, of unknown cause. It occurs predominantly in young males who are habitual tabacco users. These patients often complain of painful ulcerations of their digits. The care of this disease is very difficult when the treatment is delayed. Consequently, early treatments are most important to patients with Buerger's disease. This disease can be treated with sympathetic block such as stellate ganglion block for upper extremities and lumbar epidural block, and lumbar sympathetic block for lower extremities. Intravascular regional sympathetic block can be another method of treatment. However, discontinuation of smoking is the most basic and essential treatment for Buerger's disease. We treated 43 Buerger's disease patients with stellate ganglion block and laser therapy. The treatment was not effective for three patients who definitely required amputation.

Keywords