对于根基病变而进行的转型性外周类固醇注射和向手术治疗的演变:一个务实的前性观察性多中心研究
Vincent Raymaekers1,2,3, Gert Roosen4,5,6,7, Eric Put4,5,6,7
1Department of Neurosurgery, Antwerp University Hospital, Antwerp, Belgium.
Pain management
|March 5, 2024
概括
甲状腺外皮类固醇注射 (TFESI) 有效治疗根性病变,约80%的患者经历了令人满意的长期结果. 这些现实数据表明,TFESI是管理根性疼痛的有价值选择.
科学领域:
- 疼痛管理 疼痛管理
- 神经外科 神经外科
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 根源病症显著影响患者的生活质量.
- 保守的治疗方法往往无法提供持久的缓解.
- 超额外注射性外周类固醇注射 (TFESI) 是一种常见的干预性疼痛管理技术.
研究的目的:
- 评估TFESI在患有根性病变的患者中的实际有效性和长期结果.
- 评估TFESI治疗后的手术干预率.
- 确定影响TFESI后手术需要的因素.
主要方法:
- 未来的,多中心的,观察性队列研究设计.
- 包括那些失败了保守管理的根茎病患者.
- 治疗涉及一个或两个TFESI,平均随访时间为116周.
主要成果:
- 这项研究包括117名患者.
- 19.6%的患者由于症状改善不足而需要手术.
- 在手术和病因,症状持续时间或之前的脊椎手术之间没有发现任何关联.
结论:
- 现实世界的数据支持TFESI作为激光病的有效治疗方法.
- 大约80%的患者在长达两年的时间内获得了令人满意的结果.
- 对于许多根性病患者来说,TFESI为手术提供了可行的替代方案.
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