Selective Lumbar Spinal Nerve Block, a Review

對某些下背痛之診斷與治療，選擇性腰脊柱神經根阻斷術可以是一項有效的方法。本文扼要提供最新資料來討論其適應症、下背痛之原因、施行方法、結果之解釋、其可能之併發症及其臨床之應用。如要能有效之運用這種方法，必定先要了解其下背部之發痛組織，熟悉神經分佈解剖，以及小心選擇適當之病患。如果應用得當，本方法將會對下背痛病人之診斷與治療有所幫助。

關鍵字

下背痛；神經阻斷術；透視屏

並列摘要

Selective spinal nerve block is a useful tool in today’s multidisciplinary approach to the diagnosis and treatment of low back pain. The indications, sources of spinal pain, block technique, result interpretation, complications and clinical applications relevant to the subject are discussed. The value of a spinal nerve block relies on an understanding of the pain elements in the back, nerve innervations and careful patient selection. If the technique is performed properly and the results are interpreted cautiously, selective spinal nerve block may prove helpful, especially for patients from whom diagnostic information is inadequate. In some cases, therapeutic effect including that from surgicalintervention can be achieved selectively at the symptomatic root. However, controversy remains and therefore well designed clinical studies are needed to provide more information about the validity of this diagnostic and therapeutic modality.

並列關鍵字

Low back pain ； Nerve block ； Fluoroscopy

國際替代計量

Selective Lumbar Spinal Nerve Block, a Review

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