파열 유리된 요추디스크 예측에 대한 컴퓨터 적외선 전신체열촬영검사의 의의
Can DITI Predict a Sequestered Lumbar Disc?
소속 상세정보
유충선
전병찬/서성우/이화동/김한규/황용순/문재곤
KMID : 0359819960250010138
Abstract
the purpose of this study is to assess the usefulness of digital infrared thermographic image (DITI) in patients with surgically treated lumbar disc disease. A series of 480 patients with lumbar herniated disc was studied. The mean age of the
patients
was 37 years. with a range of 18 to 64 years. Of which 126 cases of chemonucleolysis. 18 cases of percutaneous endoscopic laser discectomy. and 336 cases of laminectomy with discectomy were performed Among these pateints. 336 cases of laminectomy
were
assessed by DITI preoperatively. The thermal differences (△T) between the symptomatic and asymptomatic limbs were evaluated We have categorized the types of herniations into 3 classes : 200 protruded. 99 extruded, and 37 sequestered. the
thermal
differences were classified into 3 groups : 177 patients had △T<0.5℃. 74 patients nd 0.5℃≤△T<0.8℃ and 85 patients had △T≥0.8℃. among the group of patients with the sequestered disc. 30 (i. e 80%) had △T≥0.8℃. among the surgically
treated 336
patients . non-visualization of a part of the sciatic limb on preoperative DITI was the condition used to coin the term amputation sign by the authors. In the sequestered group. the "amputation sign" was observed in 28 cases (75%). We conclude
that
DITI
can predict a sequestered disc disease. and it allows more precise indication regarding open surgery.
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