CAJ | 학술논문

目的：介绍胫神经踝部以下皮肤分支神经痛的诊断与治疗。方法收集我院软组织门诊自2001年10月至2009年9月诊断为内踝后方胫神经主干神经痛者5例，跟内侧神经痛者9例，足底内侧神经痛者8例，足底外侧神经痛者7例，趾足底神经痛者1例，共30例。所有病例皆采取强的松龙25mg加2%利多卡因5m l注射至一定部位的治疗方法。结果所有病例皆在注射后10分钟止痛、麻药作用过后有的再现轻痛，有的未再现疼痛。24例一周后痊愈，3例经第二次及3例经第三次注射后痊愈。结论对于胫神经踝部以下各皮肤分支的神经痛，诊断依据是痛觉改变区域与各支神经分布区相对应，采取强的松龙局部注射的效果较为理想，不失为首选的治疗方法。
목적：개소경신경과부이하피부분지신경통적진단여치료。방법수집아원연조직문진자2001년10월지2009년9월진단위내과후방경신경주간신경통자5례，근내측신경통자9례，족저내측신경통자8례，족저외측신경통자7례，지족저신경통자1례，공30례。소유병례개채취강적송룡25mg가2%리다잡인5m l주사지일정부위적치료방법。결과소유병례개재주사후10분종지통、마약작용과후유적재현경통，유적미재현동통。24례일주후전유，3례경제이차급3례경제삼차주사후전유。결론대우경신경과부이하각피부분지적신경통，진단의거시통각개변구역여각지신경분포구상대응，채취강적송룡국부주사적효과교위이상，불실위수선적치료방법。
Objective:To introduce the diagnosis and treatment of neuralgia of cutaneous branches of the tibial nerve below ankle. Methods: 5 cases of neuralgia of trunk of the tibial nerve behind medial mel eolus, 9 cases of medial calcaneous nerve neuralgia, 8 cases of medial plantar nerve neuralgia, 7 cases of lateral plantaer nerve neuralgia, and one case of digital nerve neuralgia, thirty in total, were col ected from soft diseases of our outpatient department from Oct.2001 to Sep 2009. Al of them were treated with local injection of 25mg prednisolone plus 5mL 2% lidocaine to certain place. Result:The pain was abolished in al cases with in 10 minutes after injection. In some cases the pain was reappeared in much mild degree after the action of the anesthectics was over. But in some cases the pain did not reoccured again. 24 cases of them were cured one week later. 3 cases were cured after second injection and 3 cases reovered after third injection, with one week interval. Conclusion:The diagnosis of neuralgia of the branches of tibial nerve below ankle was depended upon that the area of pain change was coincided to the territory of the nerve distribution. The treatment effect of local injection of prednisolone is somewhat better. It could be regarded as the first line treatment for neuralgia of cutaneous branches of the tibial nerve below ankle.