椎间盘的体积测量材料作为一个预测结果在periradicular治疗的预测器
Chiara Madeleine Schmidt1, Patrick Haage2,3, Christoph Alexander Stückle2,4,3
1Faculty of Health, Witten/Herdecke University, Witten, Germany. schmidt.chi.m@gmail.com.
概括
在CT指导的周转基因治疗显著降低了椎间盘的体积,并改善了腰部疼痛患者的疼痛评分. 这项研究观察到,随着时间的推移,减少磁盘体积和缓解疼痛之间存在相关性.
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
- 神经外科 神经外科
背景情况:
- 腰部疼痛是一种常见的疾病,通常是由椎间盘引起的.
- 周根治疗是一种干预性疼痛管理技术.
- 通过体积变化和疼痛评分来评估治疗疗效至关重要.
研究的目的:
- 分析椎间盘体积变化与疼痛改善之间的相关性.
- 为了评估CT指导的周根治疗的有效性.
主要方法:
- 在18名腰部疼痛患者的体积核磁共振扫描检查中,与在周周线透治疗前后的对照组进行了比较.
- 治疗涉及图像引导注射葡萄糖皮质激素,局部麻醉剂和对比剂在受影响的神经根附近.
- 手动3DMRI数据集用于对椎间盘的体积分析和疼痛评分评估.
主要成果:
- 干预组显示,椎间盘体积的平均显著减少为20.4%.
- 对照组的磁盘体积平均增加了33.6%.
- 接受治疗的患者报告疼痛评分平均改善了4.4分,而对照组的疼痛评分恶化了1.2分.
结论:
- 与未接受治疗的患者相比,CT指导的近根性透有效降低了椎间板的体积.
- 椎间盘体积的减少和随着时间的推移改善的疼痛得分之间存在显著的相关性.
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