지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 339 - 345 (7page)
이용수
초록· 키워드
오류제보하기
Background: Ultrasound-guided caudal epidural injection (CEI) is limited in that it cannot confirm drug distribution at the target site without fluoroscopy. We hypothesized that visualization of solution flow through the inter-laminar space of the lumbosacral spine using color Doppler ultrasound alone would allow for confirmation of drug distribution. Therefore, we aimed to prospectively evaluate the usefulness of this method by comparing the color Doppler image in the paramedian sagittal oblique view of the lumbosacral spine (LS-PSOV) with the distribution of the contrast medium observed during fluoroscopy. Methods: Sixty-five patients received a 10-mL CEI of solution containing contrast medium under ultrasound guidance. During injection, flow was observed in the LSPSOV using color Doppler ultrasonography, following which it was confirmed using fluoroscopy. The presence of contrast image at L5-S1 on fluoroscopy was defined as “successful CEI.” We then calculated prediction accuracy for successful CEI using color Doppler ultrasonography in the LS-PSOV. We also investigated the correlation between the distribution levels measured via color Doppler and fluoroscopy. Results: Prediction accuracy with color Doppler ultrasonography was 96.9%. The sensitivity, specificity, positive predictive value, and negative predictive value were 96.7%, 100%, 100%, and 60.0%, respectively. In 52 of 65 patients (80%), the highest level at which contrast image was observed was the same for both color Doppler ultrasonography and fluoroscopy. Conclusions: Our findings demonstrate that color Doppler ultrasonography in the LS-PSOV is a new method for determining whether a drug solution reaches the lumbosacral region (i.e. , the main target level) without the need for fluoroscopy.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Oliveira CB / 2020 / Epidural corticosteroid injections for lumbosacral radicular pain / Cochrane Database Syst Rev 4:CD013577
Oliveira CB / 2020 / Epidural corticosteroid injections for sciatica : an abridged Cochrane systematic review and meta-analysis / Spine (Phila Pa 1976) 45:E1405~E1415
Yang S / 2020 / Epidural steroid injection versus conservative treatment for patients with lumbosacral radicular pain : a meta-analysis of randomized controlled trials / Medicine (Baltimore) 99:e21283
McLain RF / 2005 / Epidural steroid therapy for back and leg pain : mechanisms of action and efficacy / Spine J 5:191~201
Stitz MY / 1999 / Accuracy of blind versus fluoroscopically guided caudal epidural injection / Spine (Phila Pa 1976) 24:1371~1376
Oliveira CB / 2020 / Epidural corticosteroid injections for sciatica : an abridged Cochrane systematic review and meta-analysis / Spine (Phila Pa 1976) 45:E1405~E1415
Yang S / 2020 / Epidural steroid injection versus conservative treatment for patients with lumbosacral radicular pain : a meta-analysis of randomized controlled trials / Medicine (Baltimore) 99:e21283
McLain RF / 2005 / Epidural steroid therapy for back and leg pain : mechanisms of action and efficacy / Spine J 5:191~201
Stitz MY / 1999 / Accuracy of blind versus fluoroscopically guided caudal epidural injection / Spine (Phila Pa 1976) 24:1371~1376
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