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与宫侧面关节的SPECT-CT活动相关联,对宫中间分支块的积极反应

Paul Scholten¹, Mateen Sheikh², James Atchison¹

¹Department of Physical Medicine & Rehabilitation, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.

Interventional pain medicine

|September 6, 2024

概括

在面部关节炎疼痛缓解方面,SPECT-CT成像不能可靠地预测宫中间分支的阳性阻塞. 虽然不是一个明确的预测因素,但SPECT-CT发现仍然可以在与其他临床因素相结合时提供有价值的见解.

科学领域:

放射学放射学是一门学科.
疼痛医学医学疼痛医学
核医学是一种核医学.

背景情况:

宫面关节炎会导致严重的部疼痛和功能障碍.
中间分支射频神经切除术 (RFN) 是面介导部疼痛的有效治疗方法.
精确的RFN患者选择至关重要,并且传统上依赖于诊断中间分支块 (MBB).

研究的目的:

评估宫面关节中增加的SPECT-CT吸收是否与积极的MBB结果相关.
确定SPECT-CT在部面关节疼痛患者中MBB成功的预测值.

主要方法:

在SPECT-CT后12个月内进行的43次宫MBB手术的回顾性分析.
将程序分类为一致 (所有增加的SPECT-CT吸收关节都被阻止) 和不一致的组.
统计分析以评估SPECT-CT结果与MBB成功 (≥50%和≥80%的疼痛缓解) 之间的关联.

主要成果:

一致和不一致的两组都在数值评分表 (NRS) 疼痛得分上有所改善.
在50% (p=0.481) 或80% (p=1.000) 的疼痛缓解值下,在SPECT-CT吸收一致性和阳性MBB之间没有发现统计学意义上的关联.
25%的程序是一致的,而75%是不一致的.

结论:

单独的SPECT-CT发现不能准确地预测阳性宫MBB.
SPECT-CT可以为临床决策提供关于面关节治疗的补充信息.
进一步的研究可能会探索将SPECT-CT数据与其他诊断方式整合起来.

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