超声导向的宫选择性神经根阻塞与光学导向的宫干膜外周注射用于宫根疼痛:一个随机,前性,受控研究
Halil Cihan Kose1, Selin Guven Kose1, Feyza Celikel2
1Department of Pain Medicine, Health Science University Kocaeli City Hospital, 41060 Kocaeli, Turkey.
Journal of personalized medicine
|July 27, 2024
概括
超声波引导的选择性神经根块与传统光镜对宫根痛一样有效. 这种方法避免了辐射,并减少了手术时间,为疼痛管理提供了安全的替代方案.
科学领域:
- 疼痛管理 疼痛管理
- 干预性疼痛医学 干预性疼痛医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 宫根性疼痛通常是用外围注射类固醇注射来治疗的.
- 光学指导的程序是传统的,但涉及辐射暴露.
- 超声指导为宫干预提供了一个无辐射的替代方案.
研究的目的:
- 为了比较超声指导的宫选择性神经根阻塞 (美国指导的CSNRB) 与光学指导的宫内膜外周类固醇注射 (FL指导的IL-CESI) 的有效性.
- 评估椎根性疼痛患者的疼痛减轻,功能改善和生活质量.
主要方法:
- 一项针对60名患有单级椎间盘的患者的随机研究.
- 患者被分配到FL指导的IL-CESI或美国指导的CSNRB.
- 评估的结果包括疼痛评分,残疾,生活质量,手术时间,并发症和患者在基线和治疗后1,3,6个月的满意度.
主要成果:
- 两组患者的疼痛,残疾和生活质量在长达6个月的时间内都显著改善 (p < 0.001).
- 治疗成功率相似:FL引导的IL-CESI为56.6%,美国引导的CSNRB为50% (p = 0.617).
- 美国指导的CSNRB需要更短的程序时间,并且没有辐射暴露.
结论:
- 超声导向的CSNRB是FL导向IL-CESI的安全有效替代品,用于管理椎根性疼痛.
- 美国的指导方针提供了可比的临床结果,但没有与辐射相关的风险.
- 这种技术在程序效率和患者安全方面具有潜在的好处.
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