Measurement of Distance from Skin to Pleural Cavity in Interscapular Intercostal Space

견갑골 내측 늑간 부위의 피부에서 흉강까지의 거리

Kim, Koo;Lee, Kyoung-Min;Kim, Kyeong-Tae
김구;이경민;김경태

  • Published : 20021200

Abstract

Objective: The purpose of this study is to measure the skin-pleura distance (SPD) of interscapular intercostal space and to correlated SPD with the individual constitutional data such as body-weight, height, obesity and body mass index (BMI; kg/$m^2$). Method: We examined 50 patients (36 men and 14 women) who had no pathological abnormality in interscapular intercostal space. We measured the SPD in chest CT (GE sytec 3000i) study and also measured individual constitutional data of patients. Results: The average age of the subjects was 47.0$\pm$15.3 years, average weight was 59.0$\pm$9.7 kg, average height was 167.0$\pm$8.7 cm, average obesity was 98.4$\pm$14.9%, average BMI was 21.1$\pm$3.2 kg/$m^2$ and average SPD was 3.7$\pm$0.7 cm. There was no correlation of statistical significance between SPD, height and age. But there were statistically significant correlations between SPD, weight, obesity and BMI (p<0.01). Linear regression analysis of these data showed significant correlations between SPD and weight (p<0.01, y=0.109x-2.744), obesity (p<0.01, y=0.092x-5.367) and BMI (p<0.01, y=0.380x-4.301). Conclusion: We conclude that the approach considering the correlations between SPD and obesity or BMI will be helpful in reducing pleural puncture during any injection on interscapular intercostal space.

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References

  1. 김상현, 정순열, 정진상: 적외선 체열촬영기를 이용한 통증 유발점의 Lidocaine 주사와 Dry Needling의 치료 비교. 대한재활의학회지 1998; 22: 921-927
  2. 김종문, 정순열: 적외선 체열촬영을 이용한 통증 유발점의 치료평가. 대한재활의학회지 1997; 21: 500-510
  3. 박미연, 최선미, 전평식, 오승현: 동통 유발점에 대한 Lidocaine 주사법과 Dry Needling의 치료효과 비교. 대한재활의학회지 1995; 19: 647-652
  4. 한태륜, 김진호, 권범선: 근막통점의 전기 진단학적 평가. 대한 재활의학회지 1997; 21: 78-86
  5. Brown BR: Diagnosis and therapy of common myofascial syndromes. JAMA 1978; 239: 646-648 https://doi.org/10.1001/jama.239.7.646
  6. Frost FA, Jessen B, Siggaard-Andersen J: A control, doubleblind comparison of mepivacaine injection versus saline injection for myofascial pain. Lancet 1980; 1: 499-501
  7. Goldberg I: Pneumothorax associated with acupuncture. Med J Aust 1973; 1: 941-942
  8. Hameroff SR, Crago BR, Blitt CD, Womble J, Kanel J: Comparison of bupivacaine, etidocaine, and saline for trigger-point therapy. Anesth Analg 1981; 60: 752-755
  9. Jawahar D, Elapavaluru S, Leo PJ: Pneumothorax secondary to acupuncture. Am J Emerg Med 1999; 17: 310
  10. Mazal DA, King T, Harvey J, Cohen J: Bilateral pneumothorax after acupuncture. N Eng J Med 1980; 302: 1365-1366
  11. Shafer N: Pneumothorax following 'trigger point' injection. JAMA 1970; 213: 1193
  12. Simons DG: Myofascial pain syndromes: where are we? Where are we going? Arch Phys Med Rehabil 1988; 69: 207-212
  13. Simons DG, Travell JG, Simons LS: Myofascial pain and Dysfunction: the trigger point manual, Volume 1st, 2nd ed, Baltimore: Wiliams & Wilkins, 1999, pp11-93, pp278-307, pp613-622
  14. Sola AE, Bonica JJ: Myofascial pain syndrome. In: Loeser JD, Butler SH, Chapman CR, Turk DC, editors. Bonica's management of pain, 3rd ed, Philadelphia: Wiliams & Wilkins, 2001, pp530-542
  15. Travell JG, Rinzler S, Hermann N: Pain and disability of the shoulder and arm, treatment by intramuscular infiltration with procaine hydrochloride. JAMA 1942; 120: 417-422 https://doi.org/10.1001/jama.1942.02830410005002