颈椎硬膜外类固醇注射：技术与证据
Cervical Epidural Steroid Injection: Techniques and Evidence.
作者信息
House Lawrence McLean, Barrette Kevin, Mattie Ryan, McCormick Zachary L
机构信息
Department of Anesthesia and Perioperative Care, University of California San Francisco, 513 Parnassus Avenue, 436, San Francisco, CA 94143, USA.
Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, Stanford University, 450 Broadway Street, M/C 6342, Redwood City, CA 94063, USA.
出版信息
Phys Med Rehabil Clin N Am. 2018 Feb;29(1):1-17. doi: 10.1016/j.pmr.2017.08.001. Epub 2017 Oct 16.
Cervical epidural steroid injections are a common treatment of cervical radicular pain. Important safety considerations include attention to the possibility of spinal cord infarction and spinal epidural hematoma. When appropriate, radiographic, technical, and pharmacologic principals are used, these procedures are relatively safe. Cervical epidural steroid injections are effective for the short-term treatment of radicular pain. More rigorously designed clinical outcomes studies of both cervical interlaminar and transforaminal epidural steroid injections are needed.
颈椎硬膜外类固醇注射是治疗颈椎神经根性疼痛的常用方法。重要的安全注意事项包括关注脊髓梗死和脊髓硬膜外血肿的可能性。在适当应用影像学、技术和药理学原则时，这些操作相对安全。颈椎硬膜外类固醇注射对神经根性疼痛的短期治疗有效。需要对颈椎椎板间和经椎间孔硬膜外类固醇注射进行更严格设计的临床疗效研究。
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