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执行腰椎形外皮外围注射类固醇注射的医生的实践模式

Jamal Hasoon¹, Moshe Spatz², Rosa A Garcia³

¹Department of Anesthesia and Pain Medicine, UTHealth McGovern Medical School, 6431 Fannin, Houston, TX, 77030, USA. Jamal.J.Hasoon@uth.tmc.edu.

Current pain and headache reports

|November 27, 2025

概括

干预性疼痛医生使用多种技术进行腰部转外周类固醇注射 (TFESI),通常采用多视图光学指导. 实践模式在注射水平和这些程序期间麻醉的频率方面有所不同.

科学领域:

疼痛管理疼痛管理
干预性放射学干预性放射学
神经外科神经外科

背景情况:

腰部跨内外皮质类固醇注射 (TFESI) 是腰部神经根部疼痛的基石治疗.
转胺疗法提供精确的皮质类固醇输送到外周腔和神经根,有助于减少炎症和改善功能.
这种技术对于先前进行了细膜切除术或对内膜间方法有禁忌的患者来说是有价值的.

研究的目的:

审查执行腰部TFESI的干预性疼痛医生的当前实践模式和技术偏好.
记录手术经验,包括光学指导,注射水平和麻醉的发生.

主要方法:

一项调查通过电子邮件,网页链接和社交媒体向干预性疼痛医生 (学术,医院,私人诊所) 分发.
调查问题侧重于光镜视图,单层或双层注射,以及腰部TFESI期间的麻醉频率.
收集和分析匿名数据,使用87名受访者的描述性统计数据.

主要成果:

60.9%的医生更喜欢AP,斜和横视图的组合用于光镜指导.
63.2%的人有时会进行两级注射,27.6%的人总是这样做,9.2%的人只进行一级注射.
麻醉症有时发生在73.6%的病例中,大部分时间发生在18.4%的病例中,从未发生在6.9%的病例中.

结论:

在干预性疼痛医生之间,腰部TFESI的实践模式存在显著的多样性.
大多数医生倾向于多视图光学指导,并根据临床需要量身定制注射水平的数量.
麻醉是TFESI期间常见但可变的现象,强调需要进一步研究最佳实践和患者的结果.

关键词:

慢性疼痛是一种慢性疼痛.外周注射类固醇注射外周注射.光镜指导的指导方法疼痛管理疼痛管理治疗疼痛的药物治疗疼痛的药物练习模式实践模式变形体外皮质内皮质类固醇注射.

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