单次腰部周围基线透在患有坐骨神经炎的患者中的临床有效性
Dimitar Veljanovski1, Sandra Dejanova Panev1, Masha Kostova1
11Department of Radiology, General City Hospital "8-mi Septemvri" Skopje, RN Macedonia.
概括
在坐骨神经炎患者中,成功的周根治疗 (PRT) 的预测因素包括疼痛持续时间较短和神经根压缩不那么严重. 治疗结果受到的类型和注射部位的影响,以缓解慢性腰部疼痛.
科学领域:
- 疼痛管理 疼痛管理
- 放射学 放射学是一门学科.
- 神经外科 神经外科
背景情况:
- 慢性腰部疼痛和 sciatica 显著影响生活质量.
- 周围激素疗法 (PRT) 提供一种微创的放射治疗方法来治疗疼痛.
- 确定治疗成功的预测因素对于优化患者的治疗结果至关重要.
研究的目的:
- 为了确定临床和放射性因素预测治疗成功后,一次PRT会议在 sciatica患者.
- 分析疼痛持续时间,神经根压缩,的特征和治疗反应之间的相关性.
- 根据疼痛强度尺度和后续评估来评估PRT的疗效.
主要方法:
- 对166名接受PRT治疗的病人进行前性随访.
- 使用视觉模拟尺度 (VAS) 评估的疼痛强度.
- 治疗成功被分类为干预后2周,3个月和6个月的优秀,良好,中等或微弱改善.
主要成果:
- 较短的疼痛持续时间 (长达3个月) 与良好的改善相关 (74.55%在6个月).
- 没有神经根压缩的患者在6个月后表现出最高的改善 (86.25±19.2%).
- 在L4-L5水平疼痛局部化 (69.69±29.7%) 和外外 Hernia (62.82±34.3%) 观察到最优的结果.
- 中枢狭窄症在6个月后表现出最少的改善 (40.21±30.7%).
结论:
- 较短的疼痛持续时间,低级神经根压缩,特定的注射水平 (L4-L5) 和额外膜的类型是PRT在 sciatica成功的有利预测因素.
- 这些发现有助于患者选择和期望管理,以便进行周周治疗.
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