节前与节前加节前经椎间孔硬膜外注射类固醇治疗腰骶神经根性疼痛的临床疗效比较。

IF 1.2 4区 医学 Q4 CLINICAL NEUROLOGY
Hamit Göksu, Şeref Celik, Erkan Y Akcaboy, Şaziye Şahin, Müge Baran, Gökhan Yıldız, Samet S Kaya, Mustafa Y Ayhan
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引用次数: 0

摘要

目的:比较节前经椎间孔硬膜外类固醇注射与节前加节后硬膜外类固醇注射的疗效。方法:将单侧神经根疼痛伴椎间盘病变的患者随机分为节前组和节前+节后组。在治疗后第3周和第3个月采用数字评定量表(NRS)和患者满意度量表(PSS)对所有患者进行评估。结果:两组患者TFESI后的NRS评分差异有统计学意义。治疗后3周和3个月,两组间疼痛缓解率均为50%,差异无统计学意义(p < 0.05)。节前+节后组PSS评分在第3个月显著低于第3周(p=0.046)。两组患者第3周、第3个月PSS评分比较,差异无统计学意义(p < 0.05)。年龄与第三个月有意义的疼痛缓解呈弱负相关(Rho=。278年,p = 0.024)。第三周有意义的疼痛缓解与第三个月有意义的疼痛缓解之间存在中度正相关(Rho=。465, pp=0.022)和第三个月(Rho= 0.022)。结论:腱鞘前+腱鞘后联合入路对单侧椎间盘源性神经根性疼痛患者的预后无影响。仅在椎间盘水平行节前TFESI入路就足以缓解疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing the clinical efficacy of preganglionic and preganglionic plus ganglionic transforaminal epidural steroid injections for lumbosacral radicular pain.

Objectives: To compare the effectiveness of preganglionic transforaminal epidural steroid injection (TFESI) with preganglionic plus postganglionic TFESI.

Methods: Patients with unilateral radicular pain and disc pathology were randomly assigned to either the preganglionic group or the preganglionic plus postganglionic group. All patients were evaluated using a numeric rating scale (NRS) and a patient satisfaction scale (PSS) at the third week and the third month after treatment.

Results: There were significant differences between the patients' NRS scores after TFESI for both groups. In terms of >50% pain relief at three weeks and 3 months post-treatment, no significant differences were found between the groups (p>0.05). The PSS scores of the preganglionic plus postganglionic group were significantly lower at third month than at the third week (p=0.046). The PSS scores of the two groups were similar at third week and third month (p>0.05). A weak negative correlation was found between age and meaningful pain relief at the third month (Rho=.278, p=0.024). A moderate positive correlation was found between meaningful pain relief at the third week and meaningful pain relief the third month (Rho=.465, p<0.001). Male gender showed a weak positive correlation with meaningful pain relief at the third week (Rho=.281, p=0.022) and the third month (Rho=.256, p=0.038) CONCLUSION: The combined preganglionic plus postganglionic approach for TFESI did not affect the outcomes in patients with unilateral discogenic radicular pain. The preganglionic TFESI approach alone at the disc level was sufficient to achieve pain relief.

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来源期刊
Neurosciences
Neurosciences 医学-临床神经学
CiteScore
1.40
自引率
0.00%
发文量
54
审稿时长
4.5 months
期刊介绍: Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.
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