Clinical Study on 32 Patients of Lumbar Herniated Intervertebral Disc with Spondylolisthesis

척추전방전위증을 동반한 요추간판 탈출증 환자 32례에 대한 한의학적 임상고찰

  • Lee, Han (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Jung, Ho-Suk (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Kim, Sang-Joo (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Kim, Eun-Seok (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Han, Kyung-Wan (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Woo, Jae-Hyuk (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Lee, Joon-Seok (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Lee, Seul-Ji (Department of Acupuncture & Moxibustion, Jaseng Hospital of Oriental Medicine) ;
  • Lee, Seon-Goo (Department of Oriental Pathology, College of Oriental Medicine, Sangji University) ;
  • Cha, Yun-Yeop (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Sangji University)
  • 이한 (자생한방병원 침구과) ;
  • 정호석 (자생한방병원 침구과) ;
  • 김상주 (자생한방병원 침구과) ;
  • 김은석 (자생한방병원 침구과) ;
  • 한경완 (자생한방병원 침구과) ;
  • 우재혁 (자생한방병원 침구과) ;
  • 이준석 (자생한방병원 침구과) ;
  • 이슬지 (자생한방병원 침구과) ;
  • 이선구 (상지대학교 한의과대학 병리학교실) ;
  • 차윤엽 (상지대학교 부속 한방병원 한방재활의학과)
  • Received : 2010.10.14
  • Accepted : 2010.11.30
  • Published : 2010.12.25

Abstract

The purpose of this study is to survey the effectiveness of oriental medicine treatment on lumbar herniated intervertebral disc and spondylolisthesis. The clinical study was performed on 32 cases of patients with lumbar herniated intervertebral disc and spondylolisthesis as diagnosed by X-ray, Magnetic resonance imaging(MRI) exams amongst the patients who were admitted to Jaseng Hospital of Oriental Medicine from January 2010 to June 2010. 32 cases of patients were analyzed according to the distribution of sex, age, duration of disease, contributory factor, symptoms, admission period, disc herniation type and level of spondylolisthesis. The efficacy of treatment was evaluated respectively. The number of the female patients were larger than that of male with the ratio of 1:0.6. Most of the patients were in their fifties(43.8%), choronic phase(46.9%), those patients suffered from lower back pain and leg pain radiation(90.6%), reasons unknown(56.3%). Most of them also had mixed disc(37.5%), bulging disc(37.5%) and spondylolisthesis of LS on L5(50.0%). Most of them stayed in the hospital for 21-25days. After treatment, the percentage with good improvement was 62.5%, fair 18.8%, poor 12.5%, and excellent 6.3%, respectively. Oriental medicine treatment has on useful effect on the recovery of lumbar herniated intervertebral disc with spondylolisthesis.

Keywords

References

  1. 대한정형외과학회. 정형외과학. 제6판. 서울, 최신의학사, pp 617-653, 2006.
  2. Stephen, I. Esses. Textbook of Spinal Disorder. 1st rev. 서울, 군자출판사, pp 187-188, 205-206, 2002.
  3. 최용태 외. 침구학 (상). 서울, 집문당, pp 459-564, 685-714, 1993.
  4. 이은경, 최은희, 이지은, 전주현, 이성환, 이재민, 김연미, 곽병민, 양기영, 김영일. 요추 추간판 탈출증 환자 137례에 대한 한의학적 임상고찰. 대한침구학회지 25(3):127-138, 2008.
  5. 정영표, 정효근, 강수우, 위 준, 윤여충, 채우석, 위통순. 협척혈에 전침을 이용한 척추전방전위증 환자에 대한 임상적 고찰. 대한침구학회지 25(1):221-232, 2008.
  6. 김수장, 윤제필, 김성용. 한방병원에 내원한 척추전방전위증 환자 40례의 임상분석. 한방재활의학과학회지 12(3):1-10, 2002.
  7. 신병철, 신준식, 이종수, 임형호. 정형 추나의학. 서울, 척추신경추나의학회, pp 205-258, 2006.
  8. van Tulder, M., Becker, A., Bekkering, T., Breen, A., del Real, M.T., Hutchinson, A., Koes, B., Laerum, E., Malmivaara, A. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 15: S169-191, 2006. https://doi.org/10.1007/s00586-006-1071-2
  9. R.N. stauffer, Mark B coventry. Anterior interbody lumbar spine fusion : Analysis of Mayo clinic series. The journal of bone and joint surgery. 54: 756-768, 1972. https://doi.org/10.2106/00004623-197254040-00006
  10. 김근모. 요통에 대한 임상적 고찰. 한방재활의학과학회지 2(1):101-110, 1992.
  11. 한방재활의학과학회. 한방재활의학. 2판. 서울, 군자출판사, pp 59-62, 72-75, 2006.
  12. 대한척추신경외과학회. 척추학. 서울, 군자출판사, pp 800-817, 840-846, 2008.
  13. 전재규, 장영호, 유한목, 김인정. 한국 성인에서의 Tuffier's line의 높이. 대한 마취과학회지 33: 467-471, 1997.