Stout Alison
Rehabilitation Care Services, Veterans Administration, Puget Sound, 117-RCS, 1660 South Columbian Way, Seattle, WA 98108, USA.
Phys Med Rehabil Clin N Am. 2011 Feb;22(1):149-59. doi: 10.1016/j.pmr.2010.10.007.
Epidural steroid injection (ESI) has been used to treat cervical radiculopathy for several decades. Generally, available studies demonstrate favorable results, although definitive evidence of efficacy is lacking. ESIs are not considered a first line treatment and are undertaken after non-interventional treatments have been adequately provided. In the cervical spine, where evidence of potential benefit is moderate and there is risk of major complication, non-interventional care is even more germane. This article reviews the available literature regarding risks and efficacy of ESIs for cervical radiculopathy, and aims to guide practitioners in treatment decisions for individual patients.
硬膜外类固醇注射（ESI）已用于治疗颈椎神经根病数十年。一般来说，现有研究显示出良好的效果，尽管缺乏疗效的确切证据。ESI不被视为一线治疗方法，而是在充分提供非介入性治疗后才进行。在颈椎部位，潜在益处的证据适中且存在重大并发症风险，非介入性护理更为重要。本文综述了关于ESI治疗颈椎神经根病的风险和疗效的现有文献，旨在指导从业者针对个体患者做出治疗决策。
