천장관절 증후군
The Sacroiliac Joint Syndrome
소속 상세정보
강철형/Chul Hyung Kang
KMID : 0352419990180030461
Abstract
요약
천장관절증후군은 둔부통, 요통, 하지 연관통을 주소로 하며 통증이 심할수록 하지통이 심
하고 잘 걷지 못하며, 자세를 바꾸기 힘든 증상등이 있었다. 이러한 증상은 흔히 요추부 질
환으로 오인되기 쉬우나, 자세한 문진과 진찰시 압통의 부위 등으로 거의 감별진단이 가능
하므로 정확한 진단 후에 일단 국소주사나 경구투약으로 보존적 가료를 요한다고 사료되며,
보존적 가료에도 불구하고 심한 증상이 지속되는 경우 수술을 요할 수도 있다. 본원에서는
모든 증례에서 보존적 요법으로 통증이 치료전의 30%이하로 감소하여 좋은 반응을 보였으
며, 수술을 요한 경우는 없었다.
#초록#
The sacroiliac joint syndrome is characterized by buttock pain and leg pain, which
requires to be differentiated from common causes of low back pain or sacroiliitis by
inflammatory arthritis. This syndrome is easily confused with the low back disorders
and unnecessary investigation and improper management have been performed. So the
purpose of this study is to describe the symptoms and signs specific for this syndrome
to differentiate it from other causes of low back pain as well as to propose a proper
management with its consequence. And we also presented treatment method and its
result. From January, 1996 to December, 1998, there were 14 cases of sacroiliac joint
syndrome, and their symptoms were clarified. We used two methods of conservative
treatment, one is injection of steroid and local anesthetics into the involved sacroiliac
joint and the other is use of non-steroid anti-inflammatory drugs. Degree of pain was
scored by patients and result of treatment was analyzed 3 and 6 months after treatment
respectively. Symptoms of all patients were relieved by this conservative method and
the surgical treatment was not required.
키워드
Sacroiliac joint syndrome; Local steroid injection;
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