与光镜应用相比,超声波导向尾部外周类固醇注射的有效性
Emrullah Cem Kesilmez1, Kasim Zafer Yüksel1, Ayşe Azak Bozan2
1Department of Neurosurgery, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.
Turkish journal of medical sciences
|July 21, 2023
概括
超声导向尾部外周类固醇注射 (CESI) 在治疗慢性腰部疼痛方面与光学导向CESI同样有效. 这两种方法都显著减少疼痛,并改善术后的功能.
科学领域:
- 疼痛管理 疼痛管理
- 干预性放射学 干预性放射学
- 脊柱手术 脊柱手术 脊柱手术
背景情况:
- 尾部外周类固醇注射 (CESI) 是广泛用于腰部疼痛.
- 对于CESI的成像指导的有效性和安全性仍在争论中.
- 这项研究比较了光学和超声学引导的CESI.
研究的目的:
- 为了比较光学引导CESI与超声波引导CESI的疗效.
- 评估慢性下背痛患者的疼痛和功能状态.
主要方法:
- 对371名接受CESI的患者进行了回顾性观察性研究 (2018-2020年).
- 组F: 192名患者 (使用光学指导). 组U:179名患者 (超声波指导).
- 在基线评估的疼痛 (VAS) 和功能 (ODI),D0,D15,D30和D90.
主要成果:
- 与F组相比,U组的基线和D0ODI得分较低.
- 这两组在D30时均显示出显著的VAS和ODI减少.
- 在F组观察到较大的ODI从基线减少到D15,在F组观察到较大的ODI从基线减少到D15.
结论:
- 超声波引导的CESI在慢性腰部疼痛方面表现出与光学引导的CESI相似的疗效.
- 这两种成像方式都能有效缓解疼痛,改善功能.
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