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KMID : 0359819950240040395
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 4 p.395 ~ p.400
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Clinical Significance of CT/Discorgaphy in the Determining the Prognosis of Patients for Chemonucleolysis
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문성근
이광수/신문수/정남/허승곤
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Abstract
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We analysed the results of 34 herniated lumbar disc patients who were treated with chemonucleolysis and took CT/discography from Jan. 1991 to Jun. 1992 at the Department of Neurosurgery. Presbyterian Medical Center. Chonju. Korea. The overall
success
rate of chemonucleolysis was 82.4%.
The CT/discographic findings were divided according to whether fluorescing or not, and degeneration or not. The success rates in fluorescing and non-fluorescing group were 95.2% & 61.5%, respectively, and those in degeneration and
non-degeneration
group
were 66.7% & 100%. Respectively.
So, the results showed that the outcome of chemonucleolysis was better when the herniated disc fragment demonstrated a large uptake of contrast material visible, or there was no annular appearance to describe degeneration on CT/discography.
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KEYWORD
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