干预性疼痛管理在椎间盘 Hernia 吸收上的有效性:放射学证据
Khalid Abdalla1, Khaled Alawneh1, Liqaa Raffee2
1Department of Diagnostic Radiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
概括
在一些患有腰椎间盘 (LDH) 的患者中,外周注射类固醇可能会促进磁盘再吸收. 这项研究探讨了干预性疼痛管理 (IPM) 与随时间变化LDH大小之间的联系.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 疼痛管理 疼痛管理
背景情况:
- 腰椎间盘 (LDH) 是一个常见的疾病.
- 可以发生自发性磁盘再吸收 (回归).
- 外周注射类固醇在磁盘再吸收中的作用尚未完全理解.
研究的目的:
- 用MRI评估随时间变化的椎间盘尺寸.
- 为了探索接受外周类固醇注射的患者的自发性磁盘再吸收.
- 为了确定外围注射类固醇注射是否与磁盘尺寸缩小有关.
主要方法:
- 对449名经过干预性疼痛管理 (IPM) 的LDH患者进行了回顾性研究.
- 纳入标准:至少两次腰椎MRI扫描 (IPM前后).
- 排除标准:光盘手术后IPM,随访时间超过两年.
主要成果:
- 最终分析包括了128名患者.
- 37.5% (48个病例) 在IPM后显示LDH再吸收.
- 62.5% (80例) 的LDH大小没有显著变化.
结论:
- 干预性疼痛管理 (IPM) 可能通过减少某些患者的盘子尺寸来影响LDH形态.
- IPM疗法在LDH管理中显示出潜在的益处.
- 进一步的临床研究是有必要的,以探索这些发现.
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