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While prediction of treatment outcome is possible on day 4, the technical epidural approach and steroid selection may make a difference.虽然在第4天就有可能预测治疗结果，但技术上的硬膜外途径和类固醇的选择可能会有所不同。
Interv Pain Med. 2025 Jan 27;4(1):100544. doi: 10.1016/j.inpm.2025.100544. eCollection 2025 Mar.
2
The technical aspects of epidural steroid injections: a national survey.硬膜外类固醇注射的技术层面：一项全国性调查。
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Microdiscectomy compared with transforaminal epidural steroid injection for persistent radicular pain caused by prolapsed intervertebral disc: the NERVES RCT.微创手术与经椎间孔硬膜外类固醇注射治疗椎间盘突出症所致持续性神经根痛的比较：NERVES RCT。
Health Technol Assess. 2021 Apr;25(24):1-86. doi: 10.3310/hta25240.
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Therapeutic effect and outcome predictors of sciatica treated using transforaminal epidural steroid injection.经椎间孔硬膜外类固醇注射治疗坐骨神经痛的疗效及预后预测因素
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Prediction of transforaminal epidural injection success in sciatica (POTEISS): a protocol for the development of a multivariable prediction model for outcome after transforaminal epidural steroid injection in patients with lumbar radicular pain due to disc herniation or stenosis.经椎间孔硬膜外注射治疗坐骨神经痛（POTEISS）的预测：腰椎间盘突出症或狭窄引起的腰椎神经根痛患者行经椎间孔硬膜外类固醇注射后结局的多变量预测模型开发方案。
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Predicting epidural steroid injections with laboratory markers and imaging techniques.利用实验室指标和影像技术预测硬膜外类固醇注射
Spine J. 2014 Oct 1;14(10):2500-8. doi: 10.1016/j.spinee.2014.04.003. Epub 2014 Apr 15.
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Efficacy of lumbar epidural steroid injections for lumbosacral radiculopathy in individuals with obesity: A retrospective comparative study.腰椎硬膜外类固醇注射对肥胖个体腰骶神经根病的疗效：一项回顾性比较研究。
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The Influence of Local Anesthesia Depth on Procedural Pain During Fluoroscopically Guided Lumbar Transforaminal Epidural Injections: A Randomized Clinical Trial.局部麻醉深度对透视引导下腰椎经椎间孔硬膜外注射过程疼痛的影响：一项随机临床试验。
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The efficacy of interlaminar epidural steroid administration in multilevel intervertebral disc disease with chronic low back pain: a randomized, blinded, prospective study.层间硬膜外注射类固醇治疗多节段椎间盘疾病伴慢性下腰痛的疗效：一项随机、双盲、前瞻性研究。
Spine J. 2017 Feb;17(2):168-174. doi: 10.1016/j.spinee.2016.08.024. Epub 2016 Aug 20.
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Effects of two different doses of epidural steroid on blood glucose levels and pain control in patients with diabetes mellitus.硬膜外类固醇两种不同剂量对糖尿病患者血糖水平和疼痛控制的影响。
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本文引用的文献

1
How soon after an epidural steroid injection can you predict the patient's response?硬膜外类固醇注射后多久能预测患者的反应？
Interv Pain Med. 2024 Sep 7;3(3):100435. doi: 10.1016/j.inpm.2024.100435. eCollection 2024 Sep.
2
The Anatomy, Technique, Safety, and Efficacy of Image-Guided Epidural Access.影像引导下硬膜外腔入路的解剖、技术、安全性和有效性。
Radiol Clin North Am. 2024 Mar;62(2):199-215. doi: 10.1016/j.rcl.2023.09.006. Epub 2023 Nov 1.
3
Comparison of treatment outcomes in lumbar central stenosis patients treated with epidural steroid injections: interlaminar bilateral transforaminal approach.硬膜外类固醇注射治疗腰椎中央管狭窄症患者的疗效比较：椎板间与双侧经椎间孔入路
Korean J Pain. 2020 Jul 1;33(3):226-233. doi: 10.3344/kjp.2020.33.3.226.
4
Epidural contrast flow patterns of transforaminal epidural steroid injections stratified by commonly used final needle-tip position.经椎间孔硬膜外类固醇注射常用终针尖位置分层的硬膜外对比流动模式。
Pain Med. 2011 Jun;12(6):864-70. doi: 10.1111/j.1526-4637.2011.01119.x. Epub 2011 May 3.

While prediction of treatment outcome is possible on day 4, the technical epidural approach and steroid selection may make a difference.

作者信息

Tavelli Bensu, Sekizkardes Tutuncu Merve, Sencan Savas, Kokar Serdar, Gunduz Osman Hakan

机构信息

Marmara University Pendik Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Turkey.

出版信息

Interv Pain Med. 2025 Jan 27;4(1):100544. doi: 10.1016/j.inpm.2025.100544. eCollection 2025 Mar.

DOI:10.1016/j.inpm.2025.100544
PMID:39935907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11810704/
Abstract
摘要