评估双边的症状缓解后的偏间膜外皮注射类固醇注射
Jamal Hasoon1, Christopher L Robinson2, Omar Viswanath3,4
1Department of Anesthesiology, Critical Care and Pain Medicine The University of Texas Health Science Center at Houston.
Orthopedic reviews
|August 18, 2025
概括
寄生虫间膜外周类固醇注射 (ILESI) 能够有效地缓解斜侧腰部根部疼痛. 然而,对侧症状的缓解是不太可预测的,可能需要用于双边疼痛的替代注射技术.
科学领域:
- 疼痛管理 疼痛管理
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 膜外皮类固醇注射 (ILESI) 是常见的腰部根部疼痛.
- 对抗侧面疼痛缓解的寄生体ILESI的有效性尚不清楚.
研究的目的:
- 评估寄生体ILESI在缓解ipsilateral和contralateral症状方面的短期疗效.
- 为了评估双边腰部激素病症和单边对比扩散的患者的症状缓解.
主要方法:
- 对12名患有双边腰部根部症状的患者进行了回顾性评估.
- 在光镜指导下进行的寄生体ILESI.
- 评估患者在两周后报告的症状缓解 (两侧和两侧).
主要成果:
- 显著的双侧症状缓解 (平均84.6%,范围60-100%).
- 可变的抵押担保减免 (平均37.5%,范围为0-90%).
- 没有报告的并发症.
结论:
- 寄生体ILESI在两侧疼痛方面非常有效.
- 反侧边缓解不一致,可能取决于注射技术和药物传播.
- 考虑中线ILESI或双边形注射,以显著的双边症状.
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