这种非典型的形象可能是一个意想不到的组合吗? 一个视觉图片
Ridvan Isik1, Sena Unver2, Savas Sencan3
1Sakarya Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Sakarya, Turkey.
Interventional pain medicine
|July 31, 2025
概括
这一案例突出显示了跨膜外周类固醇注射 (TFESI) 期间不寻常的对比扩散和脉动. 对于疼痛管理医生来说,识别这些非典型的图像对于预防并发症至关重要.
科学领域:
- 干预性疼痛管理 干预性疼痛管理
- 神经辐射学神经辐射学
- 脊柱手术 脊柱手术 脊柱手术
背景情况:
- 一份病例报告,详细介绍了一名接受过型外周类固醇注射 (TFESI) 的患者.
- 在手术过程中同时观察内对比介质的扩散和持续脉冲.
研究的目的:
- 提高对干预性疼痛手术中非典型成像发现的识别意识.
- 强调在TFESI期间理解对比媒介行为的重要性.
主要方法:
- 一名67岁的腰椎脊柱狭窄症女性患者在C臂光镜下接受了L3TFESI.
- 最初的对比分布表明皮肤下传播,随后观察到局部,脉动的对比积累.
- 程序被终止,并进行了进一步的成像 (MRI,CT血管造影).
主要成果:
- 患者在手术后没有经历神经缺陷.
- 随后的成像排除了观察到的对比模式的其他潜在原因.
- 为患者的持续疼痛而启动了医疗管理.
结论:
- 在TFESI期间,不典型的对比介质分布模式可能会发生.
- 医生必须具备对比行为的全面知识,以减轻潜在的程序并发症.
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