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侧向视图针位置的有效性圣关节注射的圣关节注射

Phillip Mitchell Johansen¹, Alan M Nguyen², Ali Ahmed Mohamed¹

¹Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.

Journal of pain research

|February 12, 2024

概括

添加横向光镜视图显著提高了神经关节 (SIJ) 注射的准确性,减少了针位置错误. 这确保了SIJ病理学的精确诊断和有效管理.

科学领域:

放射学放射学是一门学科.
疼痛管理疼痛管理
整形外科整形外科整形外科

背景情况:

乳关节 (SIJ) 病理诊断通常依赖于光镜引导的注射.
目前的做法经常仅使用前后 (AP) 或斜视图用于SIJ注射.
准确的内关节针位置对于诊断SIJ病理和指导治疗至关重要.

研究的目的:

评估在光学指导SIJ注射过程中添加额外的横向视图的影响.
为了确定侧向视图是否提高了与单独的AP/斜视图相比,关节内针位置的准确性.

主要方法:

对38名接受光学指导SIJ注射的患者的回顾性审查.
收集的数据包括患者人口统计数据,手术前后的疼痛评分 (NRS),以及最初的注射针位置.
根据光镜确认的初始针位置 (内关节与周关节) 将患者分组为组.

主要成果:

31名患者实现了初始的关节内针插入,并通过侧侧关节图得到证实.
七名患者最初进行了关节周放置,需要用侧向视图重新定位针头.
两组之间没有观察到疼痛评分改善的统计学上显著差异 (p=0.108).

结论:

仅仅使用AP或斜视图用于SIJ注射会导致大约20%的错误率.
整合横向视图可以将针头放置错误率降低到近0%.
精确的针位置,可以通过侧向视图实现,对于正确的SIJ诊断和未来的管理至关重要.

关键词:

皮质类固醇注射皮质类固醇注射光镜是指光镜.在关节内,关节内肠道.周关节周围的关节周围

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