超声引导下腰椎经椎间孔硬膜外注射；一项单中心透视验证研究。
Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study.
作者信息
Hashemi Masoud, Dadkhah Payman, Taheri Mehrdad, Haji Seyed Abootorabi Seyed Mohammdareza, Naderi-Nabi Bahram
机构信息
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology and Pain, Guilan University of Medical Sciences, Rasht, Guilan, Iran.
出版信息
Bull Emerg Trauma. 2019 Jul;7(3):251-255. doi: 10.29252/beat-070307.
Abstract
OBJECTIVE
To investigate the success rate (technical precision) of ultrasound-guided lumbar transforaminal epidural steroid injection, which was validated by conventional fluoroscopic technique.
METHODS
A total of 20 patients with unilateral single-level lumbar foraminal disc protrusion causing radiculopathy were enrolled. Using transforming route, the needle location was determined by an axial (transvers) view of the ultrasound with fluoroscopic confirmation. We determined the needle placement accuracy of ultrasound- guided lumbar transforaminal injections approach.
RESULTS
The accuracy of ultrasound-guided interventions was 90% as confirmed by fluoroscopy. There were 2 failed cases at the L4-L5 level in the US-guided. The success rate in L5-S1 level was 100%, in L4-L5 level was 80% and in L3-L4 level was 100%. No complications were noted.
CONCLUSION
Ultrasound-guided lumbar transforaminal epidural injections are accurate and feasible in clinical setting with an accuracy of 90% and no complications.
摘要
目的
探讨经超声引导的腰椎椎间孔硬膜外类固醇注射的成功率（技术精度），并通过传统透视技术进行验证。
方法
共纳入20例因单侧单节段腰椎椎间孔椎间盘突出导致神经根病的患者。采用变换路径，通过超声轴向（横向）视图确定针的位置，并经透视确认。我们确定了超声引导下腰椎椎间孔注射入路的针放置准确性。
结果
透视证实超声引导干预的准确率为90%。超声引导下L4-L5节段有2例失败病例。L5-S1节段成功率为100%，L4-L5节段为80%，L3-L4节段为100%。未观察到并发症。
结论
超声引导下腰椎椎间孔硬膜外注射在临床环境中准确可行，准确率为90%，且无并发症。
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