无意中注射到奥卡达的后体内空间在超额外注射后体内注射类固醇的过程中
Mi Geum Lee1, Seung Hyun Chung2, Ae Ryoung Lee3
1Department of Anesthesiology and Pain Medicine, Gachon University Gil Medical Center, Incheon, Republic of Korea.
Pain physician
|May 28, 2024
概括
在转膜外皮类固醇注射 (TFESI) 期间,无意中注射到Okada空间 (RSO) 是罕见的 (0.20%). 仔细的光镜监测对比图案是识别和正确的针位置的关键.
科学领域:
- 疼痛管理 疼痛管理
- 干预性放射学 干预性放射学
- 人体解剖学 解剖学 解剖学
背景情况:
- 甲状腺外皮类固醇注射 (TFESI) 是治疗根性疼痛的常见程序.
- 解剖学变化可能导致意外的对比传播到奥卡达空间 (RSO).
- RSO是带带背部的一个外空间.
研究的目的:
- 为了确定在腰部TFESI期间无意RSO注射的患病率.
- 描述RSO注射的光镜成像特征.
- 为了回顾RSO注射的历史背景.
主要方法:
- 观察性研究分析了5,429个腰部TFESI.
- 使用光学引导的对比图案来识别RSO注射.
- 从2018年9月到2021年10月收集的数据.
主要成果:
- 无意中注射RSO的患病率为0.20% (11例).
- 典型的对比图案包括西格形,卵形或蝶形状.
- 扩散通常仅限于面部关节水平.
结论:
- 不故意的RSO注射很少见,排除了随机对照试验.
- 对比度扩散的光镜可视化对于识别RSO放置至关重要.
- 纠正措施涉及针头轻微推进进孔.
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