提高对比度分布与远侧向方法在腰部跨额外外外皮层类固醇注射:一个回顾性分析
Ying-Wei Yang1,2, Chia-Shiang Lin1,2,3,4,5,6, Hsuan-Chih Lao1,2,7
1Department of Anesthesiology, MacKay Memorial Hospital, Taipei, Taiwan.
概括
远侧侧腔缩方法 (FLLR-TFESI) 对于跨额外外外皮层类固醇注射,与传统方法相比,对椎间板痛的对比分布更好. 建议进行进一步的研究以确认临床益处.
科学领域:
- 干预性疼痛管理 干预性疼痛管理
- 脊柱成像和干预
- 神经外科和整形外科的神经外科和整形外科
背景情况:
- 椎间盘 (HIVD) 带有根细胞病变是一种普遍的退行性脊柱状况.
- 变形外皮类固醇注射 (TFESI) 是指导方针推的治疗腰部激素病.
- 在TFESI过程中,最佳的对比分布对于有效的疼痛管理至关重要,但最好的技术仍未得到证实.
研究的目的:
- 评估对比介质分布,使用TFESI (FLLR-TFESI) 的新型远侧侧缩方法.
- 为了比较FLLR-TFESI与传统TFESI技术在对比度扩散方面的有效性.
主要方法:
- 对380名接受TFESI治疗的HIVD与根细胞病变的患者进行了回顾性分析 (2010年1月 - 2020年8月).
- 患者被分为一个实验组 (FLLR-TFESI) 和一个对照组 (常规TFESI).
- 基线特征的比较,光镜下对比度增强模式和并发症率.
主要成果:
- 与传统方法相比,FLLR-TFESI显示出明显优异的对比分布 (p < 0.01),即使经过调整 (p < 0.001).
- 虽然没有发生内注射,但FLLR-TFESI组显示了更高的盘内注射率 (10%对3%,p = 0.008).
- 两组在大多数基线特征上是相似的,在椎间盘挤出和脊椎病方面发现了差异.
结论:
- 该FLLR-TFESI技术提供了优越的对比度增强和分布,用于治疗由HIVD引起的腰部激素病变.
- 需要进行前性研究来验证这些发现,并评估FLLR-TFESI的临床益处.
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