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Ultrasound Imaging for Position of the Sciatic Nerve Division in Korean Female
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³²ÀÏÇö(Nam Il-Hyun) - Æ÷Ç×¼º¸ðº´¿ø Á¤Çü¿Ü°ú
¿©Àǵ¿(Yeo Eui-Dong) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ºÎõº´¿ø Á¤Çü¿Ü°úÇб³½Ç
À¯Áö¼ö(Yu Ji-Soo) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ºÎõº´¿ø Á¤Çü¿Ü°úÇб³½Ç
ÀÌÁØÈ£(Lee Jun-Ho) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ºÎõº´¿ø ¸¶ÃëÅëÁõÀÇÇб³½Ç
ÀÌ¿µ±¸(Lee Young-Koo) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ºÎõº´¿ø Á¤Çü¿Ü°úÇб³½Ç
Abstract
¸ñÀû: ½½°üÀý ÀÌÇÏ ºÎÀ§ÀÇ Á¤Çü¿Ü°úÀû ¼ö¼úÀ» À§ÇØ Á°ñ ½Å°æ Â÷´Ü ¼ú±â°¡ ÈçÈ÷ ½ÃÇàµÇ°í ÀÖ´Ù. Á°ñ ½Å°æ ºÐÁö´Â ÇغΠÇÐÀû Â÷ÀÌ°¡ ÀÖ¾î Åë»óÀûÀÎ ½Å°æ Â÷´ÜÀº ºÒ¿ÏÀüÇÑ ½Å°æ Â÷´ÜÀ» À¯¹ßÇÑ´Ù. º» ¿¬±¸´Â ¸¶ÃëÀÇ ¼º°øÀ²À» °³¼±Çϱâ À§ÇÏ¿© Çѱ¹ ¿©¼º¿¡¼ Á°ñ ½Å°æ ºÐÁö À§Ä¡¸¦ ÃÊÀ½Æĸ¦ ÀÌ¿ëÇØ È®ÀÎÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: Çѱ¹ ¿©¼º 33¸íÀ» ´ë»óÀ¸·Î ÇÏ¿´À¸¸ç üÁß, Å°¸¦ ÃøÁ¤ÇÏ¿´´Ù. ÃÊÀ½ÆÄ ÃøÁ¤À» À§ÇØ M-Turbo ultrasound system (SonoSite,Bothell, WA,USA) 13-6 MHz, 38 mm high frequency linear array transducer¸¦ »ç¿ëÇÏ¿´ ´Ù. º¹¿ÍÀ§ ÀÚ¼¼¿¡¼ ½½¿Í ÁÖ¸§ºÎÅÍ ºÐÁöºÎ±îÁöÀÇ °Å¸®, ºÐÁöºÎ¿¡¼ ÇǺκÎÅÍ ½Å°æ±îÁöÀÇ ±íÀ̸¦ cm ´ÜÀ§·Î ÃøÁ¤ÇÏ¿© üÁß°ú Å°¿ÍÀÇ »ó°ü°ü°è¸¦ È®ÀÎÇÏ¿´´Ù. ÃøÁ¤Àº ÇÑ ¸íÀÇ Àü¹®ÀÇ¿¡ ÀÇÇØ ÃøÁ¤µÇ¾ú´Ù. Åë°è´Â SAS version 9.3¸¦ »ç¿ëÇÏ ¿© multiple linear regression ¹æ¹ýÀ¸·Î ºÐ¼®ÇÏ¿´´Ù.
°á°ú: 33¸í ¿©¼ºÀÇ Æò±Õ ³ªÀÌ´Â 53¼¼(34~71¼¼), Æò±Õ üÁß 59.7(50~77.1 kg), Æò±Õ Å° 157.4(145~173.9 cm), Æò±Õ BMI 24.1(18.4-28.9)¿´´Ù. ½½¿Í ÁÖ¸§¿¡¼ Á°ñ ½Å°æ ºÐÁöºÎ±îÁöÀÇ Æò±Õ °Å¸®´Â 5.7(4.5~7.5 cm)ÀÌ¿´À¸¸ç, ºÐÁöºÎ¿¡¼ ÇǺκÎÅÍ ½Å°æ±îÁöÀÇ Æò±Õ ±íÀÌ´Â 2.4(1.8~3.2 cm)¿´À¸¸ç, Åë°èÀû ºÐ¼® °á°ú¿¡¼ °Å¸®¿Í Å° Á¶»ç p-value 0.55, °Å¸® ¿Í ¸ö¹«°Ô Á¶»ç p-value 0.34, ±íÀÌ¿Í Å° Á¶»ç p-value 0.5, ±íÀÌ¿Í ¸ö¹«°Ô Á¶»ç p-value 0.036 ÀÌ¿´´Ù.
°á·Ð: Çѱ¹ ¿©¼ºÀÇ Á°ñ ½Å°æ ºÐÁö À§Ä¡´Â Â÷ÀÌ°¡ ÀÖ¾úÀ¸¸ç, ƯÈ÷ ¸ö¹«°Ô¿¡ µû¸¥ ±íÀÌ º¯È´Â Àǹ̰¡ ÀÖ¾ú´Ù. Çѱ¹ ¿©¼º ¿¡¼ Á°ñ ½Å°æ Â÷´Ü ¼ú±â¸¦ ½ÃÇàÇÒ ¶§ Æò±Õ °Å¸®, ±íÀ̸¦ »ý°¢ÇÏ°í ¸ö¹«°Ô¸¦ °í·ÁÇÑ´Ù¸é ¼º°øÀ²ÀÌ Áõ°¡ÇÒ °ÍÀ¸·Î »ý°¢ µÇ¸ç, ½½¿Í ÁÖ¸§ 7.5 cm »ó¹æ¿¡¼ ½ÃÇàÇÒ °ÍÀ» ÃßõÇÏ´Ù.
Purpose: We aim to determine sciatic nerve bifurcation location and depth at the level of the popliteal fossa in Korean female.
Materials and Methods: Thirty three subjects were enrolled in Korean female. M-turbo ultrasound system (SonoSite, bothell, WA, USA)with 38 mm high frequency linear array transducer, 13-6 MHz probe was used for ultrasound measurements. With subject lying prone, the location of the sciatic nerve in relation to the popliteal crease and skin to nerve distance were assessed via ultrasound. Analyses were performed with SAS version 9.3 using multiple linear regression.
Results: Thirty three subjects were enrolled. Distance from the popliteal crease to the sciatic nerve was 4.5-7.5 (mean 5.7 cm), and the depth of the sciatic nerve from the skin was 1.8-3.2 (mean 2.4 cm). Multiple linear regression for the usefulness of the model has a p value of 0.036, shows between weight and depth.
Conclusion: We show that variability exists for sciatic nerve bifurcation location in Korean female, The success rate is creased if consider the relations between weight and depth when performs sciatic nerve block in Korean female. In our study, a sciatic nerve block is recommend that performed 7.5 cm proximal to the crease in the popliteal fossa.
Å°¿öµå
Popliteal fossa, Sciatic nerve, Nerve block, Ultrasound
KMID :
1195520140070010028
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