Berger O, Dousset V, Delmer O, Pointillart V, Vital J M, Caillé J M
Service de Radiologie, Hôpital d'Instruction des Armées Robert Picqué, Bordeaux-Armées, France.
J Radiol. 1999 Sep;80(9):917-25.
To evaluate the efficacy of foraminal steroid injections performed under CT guidance for the management of radicular pain.
Periganglionic infiltrations were performed in 160 patients with radicular pain refractory to medical treatment. Imaging showed either degenerative foraminal stenosis, herniated disk or postsurgical fibrosis.
102 patients (63.8%) had significant pain reduction. Pain relief was lasting in 68 (66.6%). CT showed the position of the needle tip, as well as the diffusion of the therapeutic compounds.
We consider that CT-guided periganglionic steroid injections should be an integral part of the management strategy for radicular pain resistant to medical treatment.
评估在CT引导下进行椎间孔类固醇注射治疗神经根性疼痛的疗效。
对160例经药物治疗无效的神经根性疼痛患者进行神经节周围浸润治疗。影像学检查显示为退行性椎间孔狭窄、椎间盘突出或术后纤维化。
102例患者（63.8%）疼痛明显减轻。68例（66.6%）疼痛缓解持续存在。CT显示了针尖的位置以及治疗药物的扩散情况。
我们认为CT引导下的神经节周围类固醇注射应成为药物治疗无效的神经根性疼痛管理策略的一个组成部分。
