腰部椎間板の研究 : 特に椎間板内薬剤注入時疼痛発現様相に関する考察
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概要
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During the period of two years and two months from October, 1957 to November, 1959, diskographic examinations were performed in 92 patients (with 201 lumbar intervertebral disks examined) in our clinic. In diskography, injections of pyraceton (a contast medium, 70% solution of pyraceton), physiological salt solution and 2% solution of procaine caused a pain to occur or disappear. Experiments were carried out to study the manner of occurrence of pain and the point at which the pain was produced by the drugs, and the results were correlated with diskographic and myelographic findings and the clinical picture. The following observations were made : In diskography, injections of 0.1 to 3.5 cc of pyraceton caused deep-seated pain, low back pain or sciatica. The pain, which was transient, having no side-effects or sequelae, was closely related to the degree of degeneration of the disk. The fact that 2 % solution of procaine markedly inhibited or delayed the occurrence of the pain seems to support the contention that this pain is due to "a lesion in the disk." Patients with anterior prolapse of the nucleus pulposus had the same pain. This observation seems to point to the significance of Suzuki's transperitoneal disk resection and anterior vertebral body fusion in the treatment of intervertebral disk herniation-a .specific procedure which aims at reconstruction of the structure by resecting the diseeased disk as much as possible. The pain produced by injections of contrast medium in diskography and the point at which it occurs may be of diagnostic value in intervertebral disk herniation.
- 千葉大学の論文
- 1960-09-28
著者
関連論文
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- 腰部椎間板の研究 : 特に椎間板内薬剤注入時疼痛発現様相に関する考察
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