类固醇脊髓注射

Steroids Spinal Injections.

作者信息

Marcia Stefano, Zini Chiara, Hirsch Joshua A, Chandra Ronil V, Bellini Matteo

机构信息

Chief of Diagnostic and Interventional Radiology, Ospedale "Santissima Trinità", Cagliari, Italy.

Department of Radiology, Ospedale "Santa Maria Annunziata", Azienda Ospedaliera Toscana Centro, Firenze, Italy.

出版信息

Semin Intervent Radiol. 2018 Oct;35(4):290-298. doi: 10.1055/s-0038-1673421. Epub 2018 Nov 5.

DOI:10.1055/s-0038-1673421

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6218261/

Abstract

Spinal pain is a common condition leading to significant disability and high cost. Spinal injections have been demonstrated to be effective short-term treatments with cost-utility superior to numerous other treatments, including surgical procedures. Appropriate patient selection-based on clinical and imaging finding-and the use of image guidance associated with technical precautions improve the safety and effectiveness of spinal injection and overall patient outcomes.

摘要

脊柱疼痛是一种常见病症，会导致严重残疾并产生高昂费用。脊柱注射已被证明是有效的短期治疗方法，其成本效益优于包括外科手术在内的许多其他治疗方法。基于临床和影像学检查结果进行适当的患者选择，以及结合技术预防措施使用图像引导，可提高脊柱注射的安全性和有效性以及患者的总体治疗效果。

相似文献

1

Steroids Spinal Injections.类固醇脊髓注射

Semin Intervent Radiol. 2018 Oct;35(4):290-298. doi: 10.1055/s-0038-1673421. Epub 2018 Nov 5.

2

Cost Utility Analysis of Lumbar Interlaminar Epidural Injections in the Treatment of Lumbar Disc Herniation, Central Spinal Stenosis, and Axial or Discogenic Low Back Pain.腰椎间盘突出症、中央型腰椎管狭窄症以及轴性或椎间盘源性下腰痛治疗中腰椎椎间孔硬膜外注射的成本效用分析

Pain Physician. 2017 May;20(4):219-228.

3

Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic low back pain, central spinal stenosis, and post lumbar surgery syndrome.腰间盘突出症、轴向或椎间盘源性下腰痛、中央型椎管狭窄症和腰椎术后综合征的骶管硬膜外注射治疗的成本效用分析。

Pain Physician. 2013 May-Jun;16(3):E129-43.

4

[Relevance of nerve blocks in treating and diagnosing low back pain--is the quality decisive?].[神经阻滞在治疗和诊断腰背痛中的相关性——质量起决定性作用吗？]

Schmerz. 2001 Dec;15(6):474-83. doi: 10.1007/s004820100035.

5

A randomized, double-blind controlled trial of lumbar interlaminar epidural injections in central spinal stenosis: 2-year follow-up.腰椎管中央狭窄症患者腰椎间孔硬膜外注射的随机双盲对照试验：2年随访

Pain Physician. 2015 Jan-Feb;18(1):79-92.

6

Randomized trial of epidural injections for spinal stenosis published in the New England Journal of Medicine: further confusion without clarification.《新英格兰医学杂志》发表的硬膜外注射治疗椎管狭窄症的随机试验：进一步的困惑，没有澄清。

Pain Physician. 2014 Jul-Aug;17(4):E475-88.

7

Results of 2-year follow-up of a randomized, double-blind, controlled trial of fluoroscopic caudal epidural injections in central spinal stenosis.中央型脊髓狭窄症的透视下经骶尾部硬膜外注射随机、双盲、对照试验的 2 年随访结果。

Pain Physician. 2012 Sep-Oct;15(5):371-84.

8

Image Guidance Technologies for Interventional Pain Procedures: Ultrasound, Fluoroscopy, and CT.介入性疼痛治疗中的影像引导技术：超声、透视和 CT。

Curr Pain Headache Rep. 2018 Jan 26;22(1):6. doi: 10.1007/s11916-018-0660-1.

9

The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain.腰椎经椎间孔硬膜外注射治疗慢性下腰痛和下肢痛的效果。

Pain Physician. 2012 Jul-Aug;15(4):E363-404.

10

Epidural Injections for Lumbar Radiculopathy and Spinal Stenosis: A Comparative Systematic Review and Meta-Analysis.硬膜外注射治疗腰椎神经根病和椎管狭窄症：一项比较系统的综述和荟萃分析。

Pain Physician. 2016 Mar;19(3):E365-410.

引用本文的文献

1

MR-guided spine interventions: time to get off the ground?磁共振引导下的脊柱介入治疗：是时候落地生根了吗？

Ann Transl Med. 2021 Nov;9(21):1609. doi: 10.21037/atm-21-5167.

2

[Lumbar transforaminal epidural block for treatment of low back pain with radicular pain].腰椎经椎间孔硬膜外阻滞治疗伴根性疼痛的下腰痛

Nan Fang Yi Ke Da Xue Xue Bao. 2020 Dec 30;40(12):1804-1809. doi: 10.12122/j.issn.1673-4254.2020.12.16.

3

Confluent abscesses in autochthonous back muscles after spinal injections : A case report and narrative review of the literature on low back pain and spinal injections.自发性腰背肌融合性脓肿：一例病例报告及对腰背痛与脊柱注射相关文献的综述

Wien Med Wochenschr. 2022 Sep;172(11-12):247-255. doi: 10.1007/s10354-020-00773-y. Epub 2020 Aug 3.

本文引用的文献

1

Fluoroscopically Guided Epidural Injections of the Cervical and Lumbar Spine.透视引导下的颈椎和腰椎硬膜外注射

Radiographics. 2017 Mar-Apr;37(2):537-561. doi: 10.1148/rg.2017160043. Epub 2016 Dec 9.

2

Spinal Injections for Pain Management.脊柱注射治疗疼痛管理。

Radiology. 2016 Dec;281(3):669-688. doi: 10.1148/radiol.2016152055.

3

Efficacy of Epidural Injections in Managing Chronic Spinal Pain: A Best Evidence Synthesis.硬膜外注射治疗慢性脊柱疼痛的疗效：最佳证据综合分析

Pain Physician. 2015 Nov;18(6):E939-1004.

4

Serious Neurologic Events after Epidural Glucocorticoid Injection--The FDA's Risk Assessment.硬膜外注射糖皮质激素后的严重神经系统事件——美国食品药品监督管理局的风险评估

N Engl J Med. 2015 Dec 10;373(24):2299-301. doi: 10.1056/NEJMp1511754. Epub 2015 Oct 7.

5

Key safety considerations when administering epidural steroid injections.硬膜外类固醇注射给药时的关键安全注意事项。

Pain Manag. 2015;5(4):261-72. doi: 10.2217/pmt.15.17. Epub 2015 Jun 10.

6

Comparison of the efficacy of saline, local anesthetics, and steroids in epidural and facet joint injections for the management of spinal pain: A systematic review of randomized controlled trials.生理盐水、局部麻醉剂和类固醇在硬膜外及小关节注射治疗脊柱疼痛中的疗效比较：随机对照试验的系统评价

Surg Neurol Int. 2015 May 7;6(Suppl 4):S194-235. doi: 10.4103/2152-7806.156598. eCollection 2015.

7

Epidural steroid injections: an updated review on recent trends in safety and complications.硬膜外类固醇注射：关于安全性和并发症近期趋势的最新综述

Pain Manag. 2015;5(2):129-46. doi: 10.2217/pmt.14.53.

8

Neurological complications associated with epidural steroid injections.与硬膜外类固醇注射相关的神经并发症。

Curr Pain Headache Rep. 2015 May;19(5):482. doi: 10.1007/s11916-015-0482-3.

9

An updated assessment of utilization of interventional pain management techniques in the Medicare population: 2000 - 2013.医疗保险人群介入性疼痛管理技术使用情况的最新评估：2000 - 2013年

Pain Physician. 2015 Mar-Apr;18(2):E115-27.

10

Safeguards to prevent neurologic complications after epidural steroid injections: consensus opinions from a multidisciplinary working group and national organizations.预防硬膜外类固醇注射后神经并发症的保障措施：多学科工作组和国家组织的共识意见。

Anesthesiology. 2015 May;122(5):974-84. doi: 10.1097/ALN.0000000000000614.

文献AI研究员

20分钟写一篇综述，助力文献阅读效率提升50倍。

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

文档翻译

学术文献翻译模型，支持多种主流文档格式。