Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

Changes on MRI(Magnetic Resonance Imaging) in Cervical Disc Herniations Treated with Oriental Medical Therapy

한의학적 치료법으로 호전된 경추 추간판 탈출증 환자에서의 영상의학적 변화

  • Kim, Ki-Yuk (Department of Acupuncture & Moxibustion, Bucheon Jaseng Hospital of Oriental Medicine) ;
  • Kim, Wu-Young (Department of Acupuncture & Moxibustion, Bucheon Jaseng Hospital of Oriental Medicine) ;
  • Han, Sang-Yup (Department of Acupuncture & Moxibustion, Bucheon Jaseng Hospital of Oriental Medicine) ;
  • Lee, Hyun-Jong (Department of Acupuncture & Moxibustion, Bucheon Jaseng Hospital of Oriental Medicine) ;
  • Kim, Ki-Ju (Department of Internal Medicine, Bucheon Jaseng Hospital of Oriental Medicine) ;
  • Jeong, Da-Un (Department of Acupuncture & Moxibustion, National Medical Center) ;
  • Moon, Tae-Woong (Department of Oriental Rehabilitation, Bucheon Jaseng Hospital of Oriental Medicine) ;
  • Kim, Chang-Youn (Department of Acupuncture & Moxibustion, Bucheon Jaseng Hospital of Oriental Medicine)
  • 김기역 (부천자생한방병원 침구과) ;
  • 김우영 (부천자생한방병원 침구과) ;
  • 한상엽 (부천자생한방병원 침구과) ;
  • 이현종 (부천자생한방병원 침구과) ;
  • 김기주 (부천자생한방병원 내과) ;
  • 정다운 (국립의료원 침구과) ;
  • 문태웅 (부천자생한방병원 한방재활의학과) ;
  • 김창연 (부천자생한방병원 침구과)
  • Received : 2009.07.10
  • Accepted : 2009.08.06
  • Published : 2009.08.20
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Abstract

Objectives : The aim of this study is to investigate radiological changes in cervical disc herniation after oriental medical treatment. Methods : 9 patient diagnosed as cervical disc herniation by MRI were treated with oriental medical treatment and underwent a follow up MRI study. Results & Conclusions : Comparison of initial MRI with follow-up MRI showed that 2 of the herniations dimensions decreased between 1% and 25%, 1 decreased between 26% and 50%, 5 decreased between 50% and 75%. The mean disc herniation dimensions decrease was 40% in 9 patients. Comparison of initial MRI with follow-up MRI showed that 4 of the herniations diameter decreased between 1% and 25%, 2 decreased between 26% and 50%, 3 decreased between 50% and 75%. The mean disc herniation diameter decrease was 36% in 9 patients.

Keywords

References

  1. 석세일. 척추외과학. 개정신판. 서울: 최신의학사. 2004 : 172-86.
  2. 대한정형외과학회. 정형외과학. 제6판. 서울 : 최신의학사. 2006 : 583-4.
  3. 박창일, 문재호. 재활의학. 서울 : 한미의학. 2007 : 936-42.
  4. 이길승, 이건목, 염승철. 경추 신경근증 환자에 있어서 봉약침 치료의 효과에 대한 임상적 고찰. 대한침구학회지. 2005 : 22(3) : 201-13.
  5. 이건목, 염승철, 김도호, 유성원, 김대중, 조남근, 윤주영. 경추추간판 탈출증 환자의 홍화약침치료에 대한 임상적 고찰. 대한침구학회지. 2006 : 23(3) : 21-35.
  6. 김언국, 김현욱, 이건휘, 이건목. 경추 추간판 탈출증 환자의 침도요법 치료효과에 대한 임상적 연구. 대한침구학회지. 2009 : 26(1) : 67-79.
  7. 이아라, 정원석, 이준환, 송미연. 경추 신연요법을 적용한 연성 경추 추간판탈출증 환자 치혐 1례. 척추신경추나의학회지 2007 : 2(2) : 123-30.
  8. 이효은, 조재희, 문자영, 임명장, 강인, 이한, 정호석, 장형석. 경추 추간판 탈출증 환자 88례에 대한 임상적 고찰. 대한침구학회지. 2008 : 25(6) : 145-52.
  9. 문자영, 송주현, 임명장, 강인, 이효은, 조재희, 김학재, 장형석. 한의학적 치료로 호전된 경추 추간 판탈출증 환자의 영상의학적 변화 5례. 대한침구학회지. 2007 : 24(5) : 229-40.
  10. Y Matsubara et al. Serial changes on MRI in lumbar disc herniations treated conservatively. Neuroradiology. 1995 : 37 : 378-83. https://doi.org/10.1007/BF00588017
  11. Fridenberg ZB and Miller WT. Degenerative disc disease of the cervical spine. J Bone Joint Gurg. 1963 : 1171-9.
  12. Davidson RI, Duun EJ and Metzmaker JN. The shoulder abduction test in the diagnosis of radicular pain in cervical extradural compressive monoradiculopathies. Spine. 1981 : 6 : 441-6. https://doi.org/10.1097/00007632-198109000-00004
  13. 김동준. 퇴행성 경추 질환의 병태생리. 대한척추외과학회지. 1999 : 6(2) : 173-80.
  14. 전국한의과대학 재활의학교실. 동의재활의학과학. 서울 : 서원당. 1995 : 303-6.
  15. Rochardson ML, Genant HK, Helms Ca et al. Magnetic resonance imaging of the musculoskeletal system. Orthop Clin North Am. 1985 : 16 : 569-87.
  16. Key JA. The conservative and operative of lesions of the intervertebral discs in the low back. Sergery. 1945 : 17 : 291-303.
  17. Guinto FC, Hashim H, Stumer M. CT demonstration of disk regression after conservative therapy. Am J Neuroradiol. 1984 : 5 : 632-3.
  18. Marie-Christine. Delauche-Cavallier, Christine Budet, Jean-Deins Laredo, Bruno Debie, Marc Wybier, Henri Dofmann, Ingrid Ballner. Computer Tomography Scan Changes After Conservative Treatment of Nerve Root Compression. Spine. 1992 : 17 : 927-33. https://doi.org/10.1097/00007632-199208000-00010
  19. Bozzo A, Gallucci M, Masciochi G, Aprile I, Barile A, Passariello R. Lumbar disc herniation MR imaging Assessment of Natural history in patients treated without surgery. Radiology. 1992 : 185 : 135-41.
  20. Saal JA, Saal JS. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy. An outcome study. Spine 1989 : 14 : 431-7. https://doi.org/10.1097/00007632-198904000-00018
  21. Song JH, Park HK, Shin KM. Spontaneous regression of a herniated cervical disc in a patient with myelography. J Neurosurg Spine. 1999 : 90 : 138-40. https://doi.org/10.3171/spi.1999.90.1.0138
  22. 김영훈, 문동언, 박종민, 윤재원. 요추 추간판탈출증의 자연적 흡수. 대한통증학회지. 2005 : 18 : 56-9.