本研究針對臨床檢查未有明顯神經根病變下背疼痛患者21位,採阻斷術治療方法,且評估脊柱小面關節病變對於下背疼痛症狀群中所扮演角色。在X光螢光攝影引導下行關節內對比劑定位後,再行關節腔內注射2%Xylocaine和Kenacort A 藥劑。此種方法臨床上可助於了解脊柱小面關節本身異常病變於下背疼痛的關係。評估結果顯示61.9%有立即效果,此等顯示臨床上處理下背疼痛患者須重視此一脊柱小面關節症候群。
Therapeutic injection of facet joints is now widely practised, but Chinese experience has been infrequently reported. 21patients with suffering from the ”facet syndrome” have been taken from OPD patients, Our series including total 30 intra-articular injections C 2% Xylocaine & Kenacort A preparation provide a diagnostic-therapeutic block; Certainty of joint penetration can be ensured only by the routine use of joint arthrography ¢ Metrazamide. Results indicate that immediate effective is 61.9% for releiving pain. It means this block is a good diagnostic-therapeutic procedure in low back pain patients.
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