Lumbar epidural steroid injections: indications, contraindications, risks, and benefits.

Friedrich JM; Harrast MA

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Lumbar epidural steroid injections: indications, contraindications, risks, and benefits.

机译：腰椎硬膜外类固醇注射：适应症，禁忌症，风险和益处。

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The clinical use of lumbar epidural steroid injections has increased dramatically. Although there are certainly beneficial effects to using epidural steroid injections in a treatment regimen for lumbar radicular pain, there is a lack of well designed, placebo-controlled studies to define conclusively specific indications and techniques for different spinal diagnoses. This article reviews the pathophysiology of lumbar radiculopathy and the use of epidural steroid injections as one treatment option, as well as describes their risks and benefits. Based on current literature, we offer an evidence-based perspective regarding rational use of lumbar epidural steroid injections for certain indications and treatment goals.

机译：腰椎硬膜外类固醇注射剂的临床使用已大大增加。尽管在硬膜外类固醇注射治疗腰椎根部根源性疼痛方面肯定会产生有益的效果，但仍缺乏精心设计，安慰剂对照的研究来确定针对不同脊柱诊断的明确具体适应症和技术。本文回顾了腰神经根病的病理生理学，以及硬膜外注射类固醇激素作为一种治疗选择，并描述了它们的风险和益处。根据当前文献，我们就合理使用腰椎硬膜外类固醇注射剂用于某些适应症和治疗目标提供了循证观点。

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《Current sports medicine reports.》 |2010年第1期|共7页
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Friedrich JM; Harrast MA;
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正文语种 eng
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1. Lumbar epidural steroid injections: indications, contraindications, risks, and benefits. [J] . Friedrich JM, Harrast MA Current sports medicine reports. . 2010,第1期

机译：腰椎硬膜外类固醇注射：适应症，禁忌症，风险和益处。
2. Study Protocol- Lumbar Epidural Steroid Injections for Spinal Stenosis (LESS): a double-blind randomized controlled trial of epidural steroid injections for lumbar spinal stenosis among older adults [J] . Janna L Friedly, Brian W Bresnahan, Bryan Comstock, BMC Musculoskeletal Disorders . 2012,第1期

机译：研究方案-腰椎硬膜外类固醇激素注射治疗椎管狭窄症（LESS）：硬膜外类固醇注射剂治疗老年人腰椎管狭窄症的双盲随机对照试验
3. Cost-effectiveness of combination therapy (Mechanical Diagnosis and Treatment and Transforaminal Epidural Steroid Injections) among patients with an indication for a Lumbar Herniated Disc surgery: Protocol of a randomized controlled trial [J] . Zeitschrift fur Arznei- und Gewurzpflanzen . 2020,第1期

机译：联合治疗的成本效益（机械诊断和治疗和跨越压铸物硬膜外浸渍物）患者患者患者患者：随机对照试验的协议
4. Spinal Interventions: How to Do Them Safely--Epidural Steroid Injection, Facet Joint Injection, Selective Nerve Blockade, and Sacroiliac Joint Injection [C] . John A. Carrino, Eric A. Brandser, RSNA Scientific Assembly and Annual Meeting of the Radiological Society of North America . 2003

机译：脊柱干预：如何安全 - 硬膜外固醇注射，面关节注射，选择性神经阻滞和骶髂关节注射
5. Trends in the Use of Cervical and Lumbar Epidural Steroid Injections Over Ten Years (2000-2010) to Treat Chronic Pain in Adult Patients [D] . Peterson, Eric J. 2011

机译：患有宫颈癌和腰椎硬膜外类固醇注射的趋势超过十年（2000-2010）治疗成人患者的慢性疼痛
6. Study Protocol- Lumbar Epidural Steroid Injections for Spinal Stenosis (LESS): a double-blind randomized controlled trial of epidural steroid injections for lumbar spinal stenosis among older adults [O] . Janna L Friedly, Brian W Bresnahan, Bryan Comstock, 2012

机译：研究方案-腰椎硬膜外类固醇激素注射治疗椎管狭窄症（LESS）：硬膜外类固醇注射剂治疗老年人腰椎管狭窄症的双盲随机对照试验
7. Study Protocol- Lumbar Epidural Steroid Injections for Spinal Stenosis (LESS): a double-blind randomized controlled trial of epidural steroid injections for lumbar spinal stenosis among older adults [O] . Janna L Friedly, Brian W Bresnahan, Bryan Comstock, 2012

机译：研究方案-腰椎硬膜外类固醇激素注射治疗椎管狭窄症（LESS）：硬膜外类固醇注射剂治疗老年人腰椎管狭窄症的双盲随机对照试验
8. Comparison of the Effectiveness of a Continuous Lumbar Epidural Infusion of Preservative Free Morphine with a Continuous Thoracic Epidural Infusion of 0.0625% Bupivacaine Plus Fentanyl in Providing Post-Thoracotomy Analgesia [R] . Williams, J. R. , Hoehn, D. L. 1998

机译：连续腰段硬膜外输注保守性吗啡与持续胸段硬膜外输注0.0625％布比卡因加芬太尼用于开胸术后镇痛的效果比较

Lumbar epidural steroid injections: indications, contraindications, risks, and benefits.

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