The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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The Effect of Transforaminal Epidural Block with Hyaluronidase and Triamcinolone

Hyaluronidase를 사용한 경추간공 경막외 차단의 효과

  • 조대현 (포천중문의과대학교 분당차병원 통증클리닉) ;
  • 홍지희 (포천중문의과대학교 분당차병원 통증클리닉) ;
  • 김명희 (포천중문의과대학교 분당차병원 마취통증의학교실)
  • Received : 2005.09.20
  • Accepted : 2005.12.09
  • Published : 2005.12.10
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Abstract

Background: Epidural steroid injections benefit certain patients with radicular pain, and often have only a limited duration. We compared the efficacy of hyaluronidase and triamcinolone and triamcinolone alone in patients with lumbar herniated disc disease treated with transforaminal epidural block. Methods: Forty patients who had undergone a transforaminal epidural injection were retrospectively reviewed. The T group received triamcinolone and local anesthetics; whereas, the HT group received hyaluronidase, triamcinolone and local anesthetics. We evaluated the improvement as being good, moderate, mild or no improvement, and in those where the improvement was good or moderate, also evaluated the duration of pain relief. Data were collected from the medical records of patients or via phone calls, which were analyzed using Student t- and chi-squared tests. A value of P < 0.05 was considered significant. Results: There were no significant differences in the degree of pain improvement or duration of pain relief between the two groups. Conclusions: A hyaluronidase and triamcinolone injection during transforaminal epidural block has on benefit with respect to the degree of pain improvement or its duration compared to a triamcinolone only injection.

Keywords

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