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宫跨面与内膜内膜外皮类固醇注射的回顾性分析

Josh Levin^1,2, John Chan¹, Nolan Gall¹

¹Department of Orthopaedic Surgery, Stanford University, United States.

Interventional pain medicine

|September 6, 2024

概括

膜间宫外皮类固醇注射 (ESI) 显示出更好的缓解疼痛的结果,而不是转宫ESI. 这项研究发现,内膜注射导致患者的疼痛减轻程度更大,成功率更高.

科学领域:

疼痛管理疼痛管理
脊柱干预手术脊柱干预手术
物理医学与康复物理医学与康复

背景情况:

对于宫外皮类固醇注射 (ESI) 技术存在有限的比较数据.
之前的研究集中在腰部ESI,产生相互矛盾的结果.
宫ESI技术的结果需要进一步调查.

研究的目的:

为了比较光学指导的宫变形膜ESI (TFESI) 与间层ESI (ILESI) 的成功率.
为了评估TFESI和ILESI在椎脊柱之间的疼痛减轻效果.

主要方法:

对连续接受宫TFESI或ILESI的患者进行了回顾性观察性研究.
使用当前程序术语 (CPT) 代码进行患者识别.
在注射前和后60天内分析的数值评分表 (NRS) 疼痛评分.

主要成果:

总共有178个TFESI和185个ILESI被分析.
在所有患者中,52%的人取得了成功 (≥50%的NRS疼痛改善).
跨层ESI表明了更好的结果的趋势,59%的ESI实现了≥50%的疼痛缓解,而TFESI则达到46%.
接受ILESI治疗的患者中,更高比例的患者经历了≥80%的疼痛缓解 (37%对17%).
术后的NRS疼痛评分和改善在ILESI组显著更好 (p<0.001).

结论:

宫内膜外围注射类固醇注射与转注射相比,产生了更好的缓解疼痛的结果.
ILESI显示出更高的成功率和更高的止痛效果.
调查结果表明,对于宫外围注射类固醇注射,可能更喜欢采用间层方法.

关键词:

在宫上,宫部.脊柱外注脊柱外注脊柱外注注射方式注射方式这是一个中间的,中间的.变形维生素是一种变形维生素.

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