对于远侧腰椎间盘椎间盘的超外形外围注射:手术的替代方案还是只是一个延迟?
Luay Serifoglu1, Mustafa U Etli1
1Department of Neurosurgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, TUR.
Cureus
|February 19, 2024
概括
变形外围注射类固醇 (TFSI) 在患有远侧腰椎间盘 (FLLDH) 的患者中显著减少疼痛和残疾. 虽然TFSI为许多人提供了非手术的选择,但一些患者仍然需要手术.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 放射学 放射学是一门学科.
背景情况:
- 远侧腰椎间盘 (FLLDH) 由于神经根的压缩,导致严重的根部疼痛.
- 目前的治疗方法通常涉及手术,但仍在寻求非手术替代方案.
研究的目的:
- 为了评估FLLDH的转外皮类固醇注射 (TFSI) 的有效性.
- 评估TFSI作为FLLDH潜在的非手术治疗选择.
主要方法:
- 对42名患有FLLDH和根性疼痛的患者进行了回顾性分析.
- 在保守治疗失败后,患者接受了TFSI.
- 视觉模拟尺度 (VAS) 和奥斯韦斯特里残疾指数 (ODI) 的得分在手术前和后进行了比较.
主要成果:
- 平均VAS得分从8.58下降到2.89 (p=0.001). 在此期间,VAS得分从8.58下降到2.89 (p=0.001).
- 一日投资投资的平均得分从61.29下降到16.88 (p=0.001).
- 19.04%的患者 (8/42) 在三个月内需要手术.
结论:
- TFSI在管理FLLDH疼痛和残疾方面表现出显著的潜力.
- 对于大多数FLLDH患者来说,TFSI是一种有效的非手术干预.
- TFSI可以作为一种有效的临时治疗,尽管对一些人来说,手术仍然是必要的.
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