使用皮质类固醇在腰椎激光病变中进行的外周透视膜内外神经透
Francisco de Assis Ulisses Sampaio Júnior1, Francisco Ricardo Borges Ribeiro1, Hetevaldo Tavares de Lira Filho1
1Spine Department, Sirio-Libanês Hospital, São Paulo, Brazil.
International journal of spine surgery
|December 16, 2025
概括
经外注射类固醇可以有效地治疗由腰椎间盘带引起的坐骨神经炎. 这种最少的侵入性方法可以在较低的皮质类固醇剂量下显著缓解疼痛,从而降低风险.
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:
- 腰椎间盘是 sciatica 的常见原因,每年影响人口的 1-5%.
- 外周皮质类固醇注射为耐火性坐骨炎疼痛提供了一个选择.
- 变形外围注射直接针对神经根部的病理.
研究的目的:
- 为了评估因急性腰椎间盘瘤而导致的皮质类固醇转内外外注射治疗急性腰椎间盘带病的疗效.
主要方法:
- 一个描述性的,回顾性的,单中心研究.
- 包括2022-2024年间接受治疗的急性腰椎椎间盘的二次性根茎病患者.
- 纳入标准:症状发作<12周,持续症状>8周,临床症状,核磁共振扫描确认的光盘病变,年龄≥18.
主要成果:
- 超额外的内侧神经外周类固醇注射可以提供有效的止痛.
- 与其他方法相比,通过较小的皮质类固醇剂量实现.
- 对耐火性根性疼痛进行最少的侵入性治疗.
结论:
- 变形膜块是急性腰椎椎间盘的根球病的有效非手术替代品.
- 提供有针对性的止痛与减少的皮质类固醇体积.
- 由于系统暴露和程序风险降低,潜在的安全性更高.
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