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首页> 外文期刊>Radiology >Fluoroscopically guided injections into the foot and ankle: localization of the source of pain as a guide to treatment--prospective study.
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Fluoroscopically guided injections into the foot and ankle: localization of the source of pain as a guide to treatment--prospective study.

机译：用荧光镜引导脚和脚踝的注射：疼痛源的定位，作为治疗的指南-前瞻性研究。

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PURPOSE: To determine the value of injections of local anesthetic and steroids in the foot and ankle in localizing the source of pain and their effect on clinical confidence and decision making. MATERIALS AND METHODS: In 47 patients, fluoroscopically guided injections of local anesthetic and steroid into the foot and ankle were performed in 106 intra- and extraarticular sites. Questionnaires were completed by the referring surgeon before and after injections to evaluate the level of confidence with regard to the source of pain for each site injected and the proposed treatment plan. RESULTS: Forty-three (91%) patients reported pain relief after injections. The level of confidence that the site injected was the source of pain increased in 68 (64%) sites, decreased in 19 (18%) sites, and remained unaltered in 19 (18%) sites (P < .01). The treatment plan was changed from nonsurgical initially to surgical in three (8%) of 36 patients and was changed from surgical to nonsurgical in three (27%) of 11 patientsafter injections. Of the remaining eight patients, treatment was altered in three (37%) as a result of pain relief after the injections. CONCLUSION: Fluoroscopically guided injections of local anesthetic and steroid in the foot and ankle can improve clinical confidence with regard to the site of pain and may be valuable in clinical decision making and patient treatment.
机译：目的：确定在足部和踝部注射局部麻醉剂和类固醇的价值，以定位疼痛的来源及其对临床信心和决策的影响。材料与方法：在47例患者中，在106个关节内和关节外部位进行了透视引导下的足部和踝部局部麻醉剂和类固醇的注射。注射之前和之后，由转诊的外科医生完成问卷调查，以评估每个注射部位疼痛源的信心水平和拟议的治疗计划。结果：四十三（91％）例患者注射后疼痛得到缓解。注射部位是疼痛源的置信度在68个部位（64％）有所增加，在19个部位（18％）有所减轻，而在19个部位（18％）不变（P <.01）。注射后36例患者中有三（8％）的治疗计划从最初的非手术改变为外科手术，注射后11例患者中有三（27％）的治疗方案从外科改为非手术。在其余八名患者中，由于注射后疼痛缓解，有三名患者（37％）改变了治疗方法。结论：在足部和踝部进行荧光镜引导下局部麻醉剂和类固醇的注射可以提高对疼痛部位的临床信心，在临床决策和患者治疗中可能有价值。

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