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脊柱注射：CT 引导的原理。

Spine injections: the rationale for CT guidance.

机构信息

Department of Radiology, Orthopedic University Hospital Balgrist, Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

出版信息

Skeletal Radiol. 2023 Oct;52(10):1853-1862. doi: 10.1007/s00256-022-04188-1. Epub 2022 Sep 23.

DOI:10.1007/s00256-022-04188-1
PMID:36149474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10449983/
Abstract

Back pain is one of the most common medical problems and is associated with high socioeconomic costs. Imaging-guided spinal injections are a minimally invasive method to evaluate where the back pain is originating from, and to treat patients with radicular pain or spinal stenosis with infiltration of corticosteroids. CT-guided spine injections are a safe procedure, characterized by precise needle placement, excellent visualization of the relevant anatomical structures, and low radiation exposure for the patient and the interventional radiologist. In this review article, the variety of applications of CT-guided injections (focused on nerve roots and epidural injections) and the optimal injection procedure as well as risks and side effects are discussed.

摘要

背痛是最常见的医学问题之一，与高昂的社会经济成本有关。影像引导下的脊柱注射是一种微创方法，可评估背痛的起源，并通过皮质类固醇浸润治疗神经根痛或椎管狭窄症患者。CT 引导下的脊柱注射是一种安全的操作，其特点是精确的置针、相关解剖结构的良好可视化以及患者和介入放射医师的低放射暴露。在这篇综述文章中，讨论了 CT 引导下注射的多种应用（侧重于神经根和硬膜外注射）以及最佳注射程序以及风险和副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/c7a661d096cb/256_2022_4188_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/d120a3903f0d/256_2022_4188_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/99682d8c6638/256_2022_4188_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/fbbfc67b08be/256_2022_4188_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/f630f30adf3f/256_2022_4188_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/ebeb569c4493/256_2022_4188_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/3f35207b0d02/256_2022_4188_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/fd249fd9b3da/256_2022_4188_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/c7a661d096cb/256_2022_4188_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/d120a3903f0d/256_2022_4188_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/99682d8c6638/256_2022_4188_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/fbbfc67b08be/256_2022_4188_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/f630f30adf3f/256_2022_4188_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/ebeb569c4493/256_2022_4188_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/3f35207b0d02/256_2022_4188_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/fd249fd9b3da/256_2022_4188_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c4/10449983/c7a661d096cb/256_2022_4188_Fig8_HTML.jpg

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Tomography. 2022 Jul 22;8(4):1869-1880. doi: 10.3390/tomography8040157.
2
Real-Time Ultrasound-Guided Spinal Injection Using a Transverse In-Plane Dependent Technique: A Case Series.使用横向平面依赖技术的实时超声引导下脊柱注射：病例系列
A A Pract. 2022 Jul 11;16(7):e01596. doi: 10.1213/XAA.0000000000001596. eCollection 2022 Jul 1.
3
Predictive value of immediate pain relief after lumbar transforaminal epidural injection with local anesthetics and steroids for single level radiculopathy.
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Neuroradiology. 2024 May;66(5):855-863. doi: 10.1007/s00234-024-03325-y. Epub 2024 Mar 8.
腰椎经皮椎间孔硬膜外注射局麻药和类固醇后即刻疼痛缓解对单节段神经根病的预测价值。
Skeletal Radiol. 2022 Oct;51(10):1975-1985. doi: 10.1007/s00256-022-04051-3. Epub 2022 Apr 8.
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