对于腰部中间分支射频神经瘤的管插入角度的特征:一个回顾性观察性研究
Ajay K Patel1, Jason L Chang1, Paul R Haffey2
1Department of Rehabilitation & Regenerative Medicine, NewYork-Presbyterian Hospital- University Hospital of Columbia and Cornell, New York, NY, USA.
Interventional pain medicine
|September 6, 2024
概括
这项研究确定了射频神经切除过程中射频 (RF) 头插入的特定起始角度,提供了精确准腰椎中枢分支的关键数据.
科学领域:
- 放射学 放射学是一门学科.
- 疼痛管理 疼痛管理
- 脊椎解剖学 脊椎解剖学
背景情况:
- 射频神经切除术是一种常见的疼痛管理技术.
- 针对腰部中间分支的最佳射频筒插入角度尚未确立.
- 精确的管放置对于有效的神经切除和患者的结果至关重要.
研究的目的:
- 为了确定无线电频率 (RF) 头插入的精确起始角度.
- 为了指导 RF 管的放置,将其与横向过程 (TP) 平行于中间分支附近.
- 为腰部射频神经切除手术提供基于证据的角度.
主要方法:
- 使用腰椎CT扫描进行回顾性观察性研究.
- 分析了50名没有明显腰部病理的成年患者的CT图像.
- 在每个腰部水平上,与TP平行放置射频软管所需的插入角度的计算.
主要成果:
- 平均插入角度在腰部水平上有显著差异.
- 具体的平均角为:L1 (20.15°),L2 (20.95°),L3 (25.54°),L4 (31.01°) 和L5 (40.74°). 具体的平均角为:L1 (20.15°),L2 (20.95°),L3 (25.54°),L4 (31.01°) 和L5 (40.74°). 具体的平均角为:L1 (20.15°),L2 (20.95°),L3 (25.54°),L4 (31.01°) 和L5 (40.74°).
- 在每个腰部段展示了RF管放置的明显的角度变化.
结论:
- 在每个腰部水平的射频软管放置所需的插入角度存在显著差异.
- 这项研究提供了关于射频管定位入口角度的新数据.
- 为优化射频神经切除向提供了基础的理解.
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