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首页> 外文期刊>Neurospine. >A Randomized Controlled Trial of Fluoroscopically-Guided Sacroiliac Joint Injections: A Comparison of the Posteroanterior and Classical Oblique Techniques
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A Randomized Controlled Trial of Fluoroscopically-Guided Sacroiliac Joint Injections: A Comparison of the Posteroanterior and Classical Oblique Techniques

机译：荧光引导下Sa关节注射的随机对照试验：后前路和经典斜位技术的比较

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Objective The sacroiliac joint can be a primary source of pain or part of multifactorial syndromes. As there is no single historical, physical examination-based, or radiological feature that definitively establishes a diagnosis of sacroiliac joint pain, diagnostic blocks are regarded as the gold standard. The primary aim of this randomized trial was to compare the posteroanterior approach with the classic oblique approach for sacroiliac joint injection based on an assessment of procedure times and patient-reported pain outcomes in subjects scheduled for fluoroscopically-guided sacroiliac joint injections. Methods Thirty patients were randomized into 2 groups of 15 patients each. The endpoints measured included the total length of procedure time, fluoroscopic time, needling time (length of time the needle was maneuvered), and pre- and postprocedure visual analogue scale pain scores. Results The posteroanterior approach was significantly shorter in terms of procedure time (p=0.03) and needling time (p=0.01) than the oblique approach. Adjusting for body mass index, the mean procedure and needling times were significantly shorter in the posteroanterior group than in the oblique group. Conclusion This study of the posteroanterior approach for fluoroscopic-guided sacroiliac joint injection observed shorter times for fluoroscopy, needling, and the overall procedure than were recorded for the widely prevalent oblique approach. This may translate to lower radiation exposure, lower procedural costs, and enhanced ergonomics of fluoroscopicallyguided sacroiliac joint injections.
机译：目的The关节可能是疼痛的主要来源或多因素综合症的一部分。由于没有单一的历史，基于身体检查或放射学的特征可以明确地确定sa关节疼痛的诊断，因此诊断障碍被视为黄金标准。这项随机试验的主要目的是在评估手术时间和患者报告的以荧光镜引导sa关节注射的疼痛结局的基础上，比较sa后关节入路的后前入路与经典斜路入路。方法将30例患者随机分为两组，每组15例。所测量的终点包括手术时间，荧光检查时间，针刺时间（针头操作的时间长度）的总长度，以及手术前后的视觉模拟评分疼痛评分。结果后路入路在手术时间（p = 0.03）和针刺时间（p = 0.01）上均明显比斜路入路短。校正体重指数后，后前组的平均操作和针刺时间明显少于斜前组。结论这项针对荧光引导下sa关节注射的后路入路的研究发现，与广泛使用的斜路入路相比，其透视，针刺和整个操作过程更短。这可以转化为更低的辐射暴露，更低的手术成本以及增强的透视引导下sa关节注射的人体工程学。

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