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首页> 外文期刊>Pain medicine : >Contrast Dispersion on Epidurography May Be Associated with Clinical Outcomes After Percutaneous Epidural Neuroplasty Using an Inflatable Balloon Catheter
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Contrast Dispersion on Epidurography May Be Associated with Clinical Outcomes After Percutaneous Epidural Neuroplasty Using an Inflatable Balloon Catheter

机译：对比分散症的对比可以与使用充气球囊导管经皮外膜神经术后的临床结果相关联

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Background. Contrast dispersion pattern on epidurography may be associated with clinical improvement after epidural neuroplasty. However, insufficient evidence supports this theory. The current study aims to evaluate the relevance of contrast dispersion and clinical improvement after percutaneous epidural neuroplasty using an inflatable balloon catheter. Methods. One hundred patients with lumbar spinal stenosis who underwent combined balloon decompression and epidural adhesiolysis between March 2015 to December 2015 participated in the present study. Participants were divided into two groups by contrast dispersion pattern on postprocedural epidurography: the complete contrast dispersion (CCD) and incomplete contrast dispersion (ICCD) groups. The numeric rating scale (NRS), Oswestry Disability Index (ODI), and global perceived effects (GPE) were each assessed before and one, three, six, nine, and 12 months after the intervention. Results. After combined balloon decompression and adhesiolysis, significant pain reduction and functional improvement were maintained up to 12 months in patients with lumbar spinal stenosis. NRS and GPE in the CCD group were significantly lower than in the ICCD group from six to 12 months after the intervention. The ODI in the CCD group was also significantly lower compared with that in the ICCD group from one to 12 months after the intervention. Conclusions. Combined balloon decompression and adhesiolysis with the inflatable balloon catheter can provide noteworthy pain reduction and improvement of physical function for a long-term period in patients with lumbar spinal stenosis. Because CCD showed better clinical improvement compared with ICCD, a contrast dispersion pattern may be associated with an improved clinical outcome.
机译：背景。对比度分散模式在硬膜外神经成形术后的临床改善可能与临床改善有关。但是，证据不足支持这个理论。目前的研究旨在评估使用充气球囊导管经皮外膜神经术后对比分散和临床改善的相关性。方法。 2015年3月至2015年12月在2015年3月至2015年12月期间接受了腰椎减压和硬膜外谱歧视的腰椎狭窄患者参加了本研究。通过对比分散模式对参与者分为两组，对比后果曲线图：完全对比分散（CCD）和不完全对比色散（ICCD）组。在干预后之前，每次评估数值评级规模（NRS），OSWestry残疾指数（ODI）和全球感知效应（GPE）。结果。组合气球减压和粘合术后，腰椎狭窄患者保持显着的疼痛和功能性，长达12个月。 CCD组中的NRS和GPE在干预后六到12个月内明显低于ICCD集团。与干预后一到12个月的ICCD集团相比，CCD集团的ODI也显着降低。结论。结合球囊减压和粘合性与充气球囊导管可以提供值得注意的疼痛和改善腰椎狭窄患者长期期间的物理功能。因为与ICCD相比，CCD显示出更好的临床改进，所以对比色散模式可以与改善的临床结果相关联。

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