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荧光引导下颈椎椎间孔硬膜外类固醇注射的并发症。

Complications of Fluoroscopically Guided Cervical Interlaminar Epidural Steroid Injections.

机构信息

Thomas Jefferson University Hospital, Philadelphia, PA, USA.

出版信息

Curr Pain Headache Rep. 2020 Aug 26;24(10):63. doi: 10.1007/s11916-020-00897-1.

Abstract

PURPOSE OF REVIEW

Cervical interlaminar epidural steroid injection is a common intervention in the management of cervical radiculitis. Given the large number of injections done annually, it is important to assess the potential complications associated with this procedure.

RECENT FINDINGS

Based on current published studies, the overall complication rate varies. The vast majority are minor complications. However, this review also identified potentially catastrophic complications following cervical interlaminar epidural steroid injections. Based upon our review, cervical epidural steroid injection is considered a safe intervention. Nevertheless, catastrophic complications such as spinal cord injuries from needle placement, infections, and epidural hematoma can occur. It is prudent to take appropriate measures to minimize these complications.

摘要

目的综述

颈椎间硬膜外类固醇注射是治疗颈椎神经根炎的常见干预措施。鉴于每年进行的注射数量众多,评估与该操作相关的潜在并发症非常重要。

最新发现

根据目前已发表的研究,总体并发症发生率不同。绝大多数是轻微并发症。但是,本综述还确定了颈椎间硬膜外类固醇注射后可能发生的潜在灾难性并发症。根据我们的综述,颈椎硬膜外类固醇注射被认为是一种安全的干预措施。然而,仍有可能发生灾难性并发症,如因置针引起的脊髓损伤、感染和硬膜外血肿。采取适当措施谨慎操作,将这些并发症的风险降到最低是明智的。

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