- 期刊
探討使用梯形軟墊對於腰椎磁振造影檢查的運用
The Study on the Use of Ladder-shaped Cushions on Lumbar MRI Examination
摘要
造成腰痛的原因有很多，其中最常見的包括閃到腰、椎間盤突出（Herniation of intervertebral disc, HIVD）、姿勢性腰痛（Postural lumbago）、僵直性脊椎炎 （Ankylosing spondylitis, AS）、以及肌筋膜疼痛症候群 （Myofascial pain syndrome）等。醫師常藉由磁振造影（Magnetic resonance imaging, MRI）檢查來判斷是何種病症，但是磁振造影的原理和X光、電腦斷層（Computed tomography, CT）不同，檢查的時間相對比較久。這對於一些無法久躺的病人而言，要長時間的平躺而不動是非常痛苦的，往往導致檢查時容易有假影。本次研究收集無法長時間平躺的病人共62人，有56位病人使用梯型軟墊後比較舒適可以完成檢查，比例為90.3%。有3位病人覺得有無使用梯型軟墊都沒有差別，也順利完成檢查，比例為4.8%。有3位病人覺得不使用梯型軟墊比較可以配合檢查，比例為4.8%，其中有2位病人在檢查過程中都沒有感到不舒服，順利完成檢查，另外1位病人在檢查中開始有不舒服的感覺，以至於無法完成檢查，佔總人數比例為1.6%。由結果顯示，對於無法久躺（或無法長時間平躺）的病患，在使用梯型軟墊後，可以改善病患的不適而提高檢查的成功率。
並列摘要
There are many etiologies of low back pain; common causes include spraining the waist, herniation of intervertebral disc (HIVD), postural lumbago, ankylosing spondylitis (AS), myofascial pain syndrome, etc. Magnetic resonance imaging (MRI) is often used for the diagnosis of low back pain. The principle of MRI is different from X-ray and computed tomography (CT), where the MRI examination time is relatively long. Some patients have difficulty in remaining supine position without moving for a prolonged time. Therefore, lengthy examination causes motion artifact in these patients. This study included 62 patients who could not remain supine for a prolonged time. Fifty-six patients (90.3%) could comfortably undergo the examinations after using ladder-shaped cushions. Three patients (4.8%) completed the examination, and they felt that there was no difference in whether they used ladder-shaped cushions. Three patients (4.8%) preferred not using ladder-shaped cushions. Among them, two patients did not feel uncomfortable during the examination and completed the examination. The other patient (1.6%) felt uncomfortable during the examination, and the examination was terminated. The results show that in patients who cannot remain supine for a prolonged time, using ladder-shaped cushions can decrease patient's discomfort and increase the success rate of the lumbar MRI examination.
延伸閱讀
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