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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳祈玲(Chi-Ling Chen) | |
| dc.contributor.author | Ying-Chun Lin | en |
| dc.contributor.author | 林盈均 | zh_TW |
| dc.date.accessioned | 2022-11-25T06:34:24Z | - |
| dc.date.copyright | 2021-11-11 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-10-21 | |
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Contrast dispersal patterns as a predictor of clinical outcome with transforaminal epidural steroid injection for lumbar radiculopathy. PM R. 2011 Nov;3(11):1022-7. doi: 10.1016/j.pmrj.2011.07.020. Epub 2011 Oct 5. PMID: 21974903. 26. Choi J, Kim N, Smuck M, Lee SH. Effect of Injectate Viscosity on Epidural Distribution in Lumbar Transforaminal Epidural Steroid Injection. Pain Res Manag. 2019 Mar 3;2019:2651504. doi: 10.1155/2019/2651504. PMID: 30944685; PMCID: PMC6421806. 27. Ghai B, Gupta AK, Makkar JK, Dhatt SS. Contrast Medium Volume Needed to Reach Anterior Epidural Space via the Kambin Triangle or Subpedicular Approach for Transforaminal Epidural Injection. Pain Physician. 2020 Jul;23(4):383-392. PMID: 32709173. 28. Botwin K, Natalicchio J, Brown LA. Epidurography contrast patterns with fluoroscopic guided lumbar transforaminal epidural injections: a prospective evaluation. Pain Physician. 2004 Apr;7(2):211-5. PMID: 16868594. 29. 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Effect of Needle Tip Position on Contrast Media Dispersion Pattern in Transforaminal Epidural Injection Using Kambin's Triangle Approach. J Pain Res. 2020 Nov 10;13:2869-2878. doi: 10.2147/JPR.S270450. PMID: 33204148; PMCID: PMC7667514. 33. Candido KD, Katz JA, Chinthagada M, McCarthy RA, Knezevic NN. Incidence of intradiscal injection during lumbar fluoroscopically guided transforaminal and interlaminar epidural steroid injections. Anesth Analg. 2010 May 1;110(5):1464-7. doi: 10.1213/ANE.0b013e3181d6bd12. PMID: 20418306. 34. Hong JH, Kim SY, Huh B, Shin HH. Analysis of inadvertent intradiscal and intravascular injection during lumbar transforaminal epidural steroid injections: a prospective study. Reg Anesth Pain Med. 2013 Nov-Dec;38(6):520-5. doi: 10.1097/AAP.0000000000000010. PMID: 24141875. 35. Hong JH, Lee SM, Bae JH. Analysis of Inadvertent Intradiscal Injections during Lumbar Transforaminal Epidural Injection. 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Ghahreman A, Bogduk N. Predictors of a favorable response to transforaminal injection of steroids in patients with lumbar radicular pain due to disc herniation. Pain Med. 2011 Jun;12(6):871-9. doi: 10.1111/j.1526-4637.2011.01116.x. Epub 2011 May 3. PMID: 21539702. 48. Choi SJ, Song JS, Kim C, Shin MJ, Ryu DS, Ahn JH, Jung SM, Park MS. The use of magnetic resonance imaging to predict the clinical outcome of non-surgical treatment for lumbar intervertebral disc herniation. Korean J Radiol. 2007 Mar-Apr;8(2):156-63. doi: 10.3348/kjr.2007.8.2.156. PMID: 17420633; PMCID: PMC2626775. 49. Benny BV, Patel MY. Predicting epidural steroid injections with laboratory markers and imaging techniques. Spine J. 2014 Oct 1;14(10):2500-8. doi: 10.1016/j.spinee.2014.04.003. Epub 2014 Apr 15. PMID: 24743064. 50. Golish SR, Hanna LS, Bowser RP, Montesano PX, Carragee EJ, Scuderi GJ. 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PMID: 21223500. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/82252 | - |
| dc.description.abstract | "背景: 椎間盤突出合併神經根病變是常見的退化性脊椎疾患。經椎間孔硬脊膜上類固醇注射是以實證為基礎的臨床指引所推薦的其中一種用以緩解腰椎神經根病變疼痛的治療方式。已知良好的顯影劑分布與有效的疼痛控制相關，但最佳的注射方式或技術尚未被確立。 目的: 欲確定一種新式的經椎間孔硬脊膜上類固醇注射—遠外側入路的經椎間孔硬脊膜上類固醇注射，其顯影劑分布與疼痛控制的成效。 方法: 本研究迴溯性收錄在西元2010年1月到2020年8月之間，因為椎間盤突出合併腰椎神經根病變於本院疼痛科接受同一位疼痛專科醫師施作經椎間孔硬脊膜上類固醇注射的所有病人。其中，接受傳統經椎間孔硬脊膜上類固醇注射的病人被視為對照組，而接受遠外側入路的經椎間孔硬脊膜上類固醇注射的病人被視為實驗組。所有病人的基本資料、X光透視下顯影劑的分布、注射前後的疼痛數字評定量表、注射前後的止痛藥使用和併發症等均會被搜集與分析。 結果: 期間收錄143位對照組與237位實驗組，共380位病人納入分析。除了椎間盤脫出(p = 0.01)和脊椎側彎(p = 0.04)的比例不同以外，兩組其他的基本特徵都相似。實驗組有較佳的顯影劑分布(p < 0.01)，此結果經校正後依然存在(p < 0.001)。兩組均未發生鞘內腔注射，但實驗組椎間盤內注射的發生率較高(10% vs. 3%, p = 0.008)。相較於注射前，兩組的疼痛分數與止痛藥劑量均顯著下降，但兩組之間未達統計顯著差異。在中介分析中，遠外側入路的經椎間孔硬脊膜上類固醇注射與注射後一個月的疼痛控制相關。 結論: 相較於傳統注射方式，遠外側入路的經椎間孔硬脊膜上類固醇注射有較佳的顯影劑分布與注射後一個月的疼痛控制。期待未來有前瞻性研究來確認此分析的結果。" | zh_TW |
| dc.description.provenance | Made available in DSpace on 2022-11-25T06:34:24Z (GMT). No. of bitstreams: 1 U0001-2010202116554100.pdf: 5395481 bytes, checksum: bc37938244766969188468ff9eeda7ec (MD5) Previous issue date: 2021 | en |
| dc.description.tableofcontents | " | |
| dc.language.iso | en | |
| dc.subject | 經椎間孔硬脊膜上類固醇注射 | zh_TW |
| dc.subject | 疼痛數字評定量表 | zh_TW |
| dc.subject | 腰椎 | zh_TW |
| dc.subject | 神經根病變 | zh_TW |
| dc.subject | 椎間盤突出 | zh_TW |
| dc.subject | 顯影劑分布 | zh_TW |
| dc.subject | numeric rating scale (NRS) | en |
| dc.subject | contrast distribution | en |
| dc.subject | herniated intervertebral disc (HIVD) | en |
| dc.subject | radiculopathy | en |
| dc.subject | lumbar | en |
| dc.subject | Transforaminal epidural steroid injection (TFESI) | en |
| dc.title | 遠外側入路的經椎間孔硬脊膜上類固醇注射在椎間盤突出併腰椎神經根壓迫的病人之功效—迴溯性分析 | zh_TW |
| dc.title | The efficacy of far lateral approach for transforaminal epidural steroid injection in patients with HIVD with lumbar radiculopathy–a retrospective analysis | en |
| dc.date.schoolyear | 109-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.author-orcid | 0000-0002-8629-5449 | |
| dc.contributor.oralexamcommittee | 林至芃(Hsin-Tsai Liu),林嘉祥(Chih-Yang Tseng) | |
| dc.subject.keyword | 經椎間孔硬脊膜上類固醇注射,腰椎,神經根病變,椎間盤突出,疼痛數字評定量表,顯影劑分布, | zh_TW |
| dc.subject.keyword | Transforaminal epidural steroid injection (TFESI),lumbar,radiculopathy,herniated intervertebral disc (HIVD),numeric rating scale (NRS),contrast distribution, | en |
| dc.relation.page | 257 | |
| dc.identifier.doi | 10.6342/NTU202103937 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2021-10-22 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 臨床醫學研究所 | zh_TW |
| dc.date.embargo-lift | 2025-10-20 | - |
| 顯示於系所單位： | 臨床醫學研究所 | |
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| U0001-2010202116554100.pdf 未授權公開取用 | 5.27 MB | Adobe PDF |
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