首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Pain experience using conventional versus angled anterior posts during stereotactic head frame placement for radiosurgery
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Pain experience using conventional versus angled anterior posts during stereotactic head frame placement for radiosurgery

机译:在放射外科的立体定向头架放置过程中使用常规或倾斜前柱的疼痛体验

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摘要

Stereotactic frame placement for radiosurgery is assumed to be an uncomfortable experience. We developed angled anterior posts for the Leksell frame to avoid pin penetration of the temporalis muscle. This study aimed to determine the frequency of angled post requirement and quantify the patient pain experience from frame placement. We prospectively enrolled 63 patients undergoing radiosurgery. Angled posts were used when conventional post trajectory was posterior or within 3 mm of the superior temporal line to avoid temporalis muscle penetration. Pain scores (0 to 10) were collected prior to frame placement, immediately after frame placement, before radiosurgery, after radiosurgery, and a day after radiosurgery. A total of 63 patients were enrolled: 33 (48%) patients required angled posts. Women were significantly more likely to require angled posts than men (60.0% versus 33.3%, respectively; p = 0.034). Mean pain scores were very low, ranging from 0.33 to 2.23. There were no significant differences in pain outcomes between both groups at all time points. Stereotactic frame placement is not perceived to be a painful procedure. This information may be useful when counseling patients about the pain experience with frame application and the option of using angled anterior posts.
机译:放射外科手术的立体定向框架放置被认为是不舒服的经历。我们为Leksell框架开发了倾斜的前柱,以避免颞骨肌肉的针脚穿透。这项研究旨在确定有角度的后期要求的频率,并从框架放置中量化患者的疼痛经历。我们前瞻性地招募了63名接受放射外科手术的患者。当常规的后弹道位于后颞上线或后颞上线3 mm以内时,可使用成角度的柱,以避免颞肌穿透。在框架放置之前,框架放置之后,放射外科手术之前,放射外科手术之后和放射外科手术之后的一天收集疼痛评分(0到10)。总共招募了63名患者:33名(48%)患者需要成角度的职位。女性比男性更可能需要成角度的职位(分别为60.0%和33.3%; p = 0.034)。平均疼痛评分非常低,范围从0.33至2.23。两组在所有时间点的疼痛结局均无显着差异。立体定向框架放置不被认为是痛苦的过程。当咨询患者有关框架应用的疼痛经验以及使用倾斜的前柱的选择时,此信息可能有用。

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