1. 1. 1. 1. 这是一个很棒的节目. 腰椎神经根部的根部疼痛
Laurens Peene1, Steven P Cohen2, Jan Willem Kallewaard3,4
1Department of Anesthesiology, Intensive Care, Emergency Medicine and Multidisciplinary Pain Center, Ziekenhuis Oost-Limburg, Genk/Lanaken, Belgium.
Pain practice : the official journal of World Institute of Pain
|November 21, 2023
概括
脊椎骨干疼痛的诊断包括病史,检查和测试. 治疗时间因持续时间而异,在亚急性疼痛中使用外围注射类固醇,在慢性病例中使用脉冲射频.
科学领域:
- 疼痛医学 医学 疼痛医学
- 神经学 神经学
- 脊柱疾病 脊柱疾病
背景情况:
- 腰椎神经根部疼痛影响多种皮肤瘤,在一般人群中具有显著的流行率.
- 它的特点是辐射到膝盖以下的疼痛,影响日常功能.
研究的目的:
- 综述和总结有关诊断和治疗腰部神经根部疼痛的当前文献.
- 为管理这种疾病提供基于证据的建议.
主要方法:
- 关于 lumbosacral 根性疼痛诊断和治疗的综合文献综述.
- 综合有关诊断方式和治疗干预措施的发现.
主要成果:
- 诊断依赖于患者病史,临床检查以及成像和神经根块等补充测试.
- 转胺类皮质类固醇注射可为亚急性疼痛提供短期缓解.
- 靠近背部根 (DRG) 的脉冲射频 (PRF) 能为慢性疼痛提供更长时间的缓解.
- 外周粘合溶解和脊髓刺激 (SCS) 是耐火病例的选择.
结论:
- 诊断结合了临床评估和先进的研究.
- 外周注射类固醇注射适用于亚急性腰椎关节根部疼痛.
- 建议使用PRF治疗慢性 lumbosacral根部疼痛.
- SCS和外周膜粘结溶解仅适用于在专业中心管理的耐火性疼痛.
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