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腰椎脊柱外周注射类固醇后的并发症:发生率和危险因素
Luca M Valdivia1, Mayuri Jain1,2,3, Olgerta Mucollari1
1Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Global spine journal
|January 20, 2026
概括
腰部外周注射类固醇 (LESI) 的并发症风险很低,在7天内发生2.5%,在30天内发生8.8%. 高龄和某些疾病增加了这种风险.
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:
- 腰部外周注射类固醇 (LESI) 是腰部脊椎退行性疾病的常见治疗方法.
- 了解LESI并发症的发生率和风险因素对于患者安全至关重要.
研究的目的:
- 为了确定腰部外围注射类固醇注射 (LESI) 后并发症的发生率.
- 确定与LESI相关并发症相关的患者特异性风险因素.
主要方法:
- 追溯性研究分析了2014-2021年18岁以上患者的722,366个LESI.
- 并发症被分为整体,程序或医学.
- 在注射后7天和30天,通用估计方程逻辑回归确定了风险因素.
主要成果:
- 整体并发症率为7天内2.5%,30天内8.8%.
- 变形膜治疗方法 (54.0%) 比介面膜治疗方法 (45.0%) 更常见.
- 风险因素包括老年,心力衰竭,功能障碍,神经缺陷和抗凝剂使用.
结论:
- 在手术后30天内,LESI具有罕见但显著的并发症风险.
- 患者的因素,如晚年和并发症,与增加的并发症风险有关.
- 进一步的研究可能会完善患者选择和程序协议.
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