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功能性结果和成功预测的腰椎转外围注射类固醇注射 (LTFESIs) 的腰椎根性病在光学指导下的功能性结果和成功预测:一个前性研究

Karthikeyan Dhandapani¹, Debabrata Som², Prabhu Muthiahpandian³

¹Orthopaedics and Traumatology, Aneurin Bevan University Health Board, Newport, GBR.

|January 10, 2024

概括

腰部跨内外皮质类固醇注射 (LTFESI) 在大多数腰部激素病患者中显著改善疼痛和功能,长达六个月. 这种安全有效的程序提供了持久的好处,作为保守护理和手术之间的关键选择.

科学领域:

干预性疼痛管理干预性疼痛管理
神经外科神经外科
脊柱诊断脊柱诊断脊柱诊断脊柱诊断

背景情况:

腰椎根球病的管理往往需要多模式的方法.
腰部跨膜外周类固醇注射 (LTFESI) 是耐火病例的一个有价值的选择.
最近有兴趣在LTFESI中评估长效的非颗粒类固醇.

研究的目的:

评估LTFESI在改善腰椎根性病的疼痛和功能方面的疗效.
专注于与长效和非颗粒类固醇相关的结果.
分析LTFESI的经济影响.

主要方法:

在52名腰椎根性病患者的前性医院研究 (2017年10月至2019年4月).
使用奥斯韦斯特里残疾指数 (ODI) 和数值评分表 (NRS) 来评估功能结果的LTFESI.
统计分析以确定成功结果的预测因素.

主要成果:

显著的功能改善 (82.69%的患者) 持续至LTFESI后六个月.
在患有2AB型椎间盘形 (IVDP) 患者中观察到较低的应答率.
平均ODI得分在注射后六个月显著下降 (p<0.0001).

结论:

LTFESI是一种安全有效的腰部根部病变的干预措施,可提供实质性的,持久的疼痛缓解.
该程序是保守管理和手术之间重要的中间选择.
识别成功预测因素有助于定制治疗计划,并强调早期干预.

关键词:

经济负担经济负担功能性结果的结果.椎间盘外倒伤椎间盘外倒伤腰部根部病变 - 腰部根部病变成功的预测因素转氨基外围注射类固醇注射

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