超声引导下穿刺(与计算机断层扫描引导下)治疗颈椎内侧支阻滞治疗颈源性疼痛的准确性和有效性:随机对照研究

Ibrain Pub Date : 2024-03-17 DOI:10.1002/ibra.12151
Jie Tian, Xin-Yan Li, Yan Yin, Nan Zhao, Hong Xiao, Hui Liu
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引用次数: 0

摘要

颈内侧支阻滞(CMBB)已被认为是治疗颈源性疼痛的有效方法。以往的研究多采用超声引导下平面外穿刺进行 CMBB,而本前瞻性研究旨在探讨超声引导下平面内穿刺的疗效,特别关注 CMBB 治疗颈椎痛的新靶点。本研究包括两部分:准确性研究(15 人,通过超声完成 CMBB,并通过计算机断层扫描[CT]确认,其中观察到镇痛液的良好分布比例)和有效性研究(40 人,通过超声或 CT 完成 CMBB,同时分析术后疼痛缓解(数字评分量表)减少 50%以上的比例)。结果显示,镇痛液的良好分布率为 97.8%。此外,在早期(术后 30 分钟和 2 小时),超声组患者疼痛缓解的比例低于 CT 组,尤其是在术后 2 小时(52% 对 94%)。但在术后 24 小时及以后,疼痛缓解的患者比例逐渐稳定在 60%-70% 左右,并持续约 2 周至 1 个月。因此,在平面内超声引导下的 CMBB 新靶点具有较高的可视性和准确性。在超声引导下进行单次 CMBB 的疼痛缓解效果与 CT 引导下的手术相当(术后 1 天至 1 个月)。这项研究表明,平面内超声引导下的 CMBB 是一种治疗颈源性疼痛的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Accuracy and efficacy of ultrasound-guided puncture (vs. computed tomography-guided) in cervical medial branch blocks for cervicogenic pain: A randomized controlled study

Accuracy and efficacy of ultrasound-guided puncture (vs. computed tomography-guided) in cervical medial branch blocks for cervicogenic pain: A randomized controlled study

Cervical medial branch block (CMBB) has been recognized as an effective treatment for cervicogenic pain. Previous studies mostly used ultrasound-guided out-of-plane puncture for CMBB, while this prospective study was designed to investigate the efficacy of ultrasound-guided in-plane puncture, specifically focusing on the new target of CMBB for cervical pain. This study includes two parts: the accuracy study (N = 15, CMBB was completed by ultrasound and confirmed by computed tomography [CT], in which a good distribution percentage of the analgesic solution was observed) and the efficacy study (N = 40, CMBB was completed by ultrasound or CT, while the proportion of pain relief (numerical rating scale) decrease by more than 50% postoperatively was analyzed). The results showed that the good distribution percentage of the analgesic solution was 97.8%. Furthermore, in the early period (30 min and 2 h postoperatively), the proportion of patients with pain relief was lower in the ultrasound group than that in the CT group, especially at 2 h postoperatively (52% vs. 94%). However, at 24 h postoperatively and later, the proportion of patients with pain relief gradually stabilized to about 60%–70%, and lasted for about 2 weeks to 1 month. Therefore, the new target for CMBB, guided by ultrasound in-plane, offers high visibility and accuracy. A single CMBB performed under ultrasound guidance resulted in pain relief comparable to that of a CT-guided procedure (1 day to 1 month postoperatively). This study indicated that CMBB guided by ultrasound in-plane could be regarded as a promising approach for treatment of cervicogenic pain.

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