Epidural Steroid Injection Pain Relief Success Rates

患者会发现，硬膜外类固醇注射的好处包括疼痛的减少，主要是在腿痛（也称为坐骨神经痛or radicular pain). Patients seem to have a better response when the epidural steroid injections are coupled with an organized therapeutic exercise program.

硬膜外类固醇注射成功率

虽然硬膜外类固醇注射的效果往往是临时的（从一周持续到最多的一年）硬膜外类固醇注射可以提供许多患者出现腰痛实实在在的好处。

• When proper placement is made using fluoroscopic guidance and radiographic confirmation through the use of contrast, > 50% of patients receive some pain relief as a result of lumbar epidural steroid injections.
• 疼痛缓解更经常感到初级神经根性（腿）的疼痛和，不太突出，腰痛。
• The pain relief and control brought on by injections can improve a patient's mental health and quality of life, minimize the need for painkiller use, and potentially delay or avoid surgery.

成功率可以取决于病人的状况和程度的变化radicular leg painthat accompanies it:

• 最近的研究报告说，硬膜外类固醇注射成功的患者从持续性坐骨神经痛lumbar disc herniation，与椎间盘突出经历浮雕（相对于接受盐水注射安慰剂的组的48％）的注射组的80％以上。¹
• 同样地，在研究主要集中在一组患者lumbar spinal stenosis及相关坐骨神经痛的症状, 75% of patients receiving injections had more than 50% of pain reduction one year following the injections. The majority also increased their walking duration and tolerance for standing².

尽管如此，仍然有关于注射的效果和注射的大多数患者的适当性持怀疑态度。如前所述，许多争论是由研究，分析注入的结果，其中透视和X线对比产生notused to ensure accurate placement of the steroid solution at the level of pathology, or do not confirm that the injection was in fact made directly into the epidural space, which would diminish its effectiveness considerably.

参考

• 1.卢茨，GE等：X线透视椎间孔硬膜外steroidsL的结果研究。拱。物理学医学康复，1998年11月第79卷（11），第1362-6。前瞻性随机对照研究中使用的分析比较椎间孔硬膜外腰椎旁触发点注射治疗的患者从椎间盘突出坐骨神经痛注射。
• 2.Botwin, KP et al. Fluoroscopically guided lumbar transforaminal epidural steroid injections in degenerative lumbar stenosis: an outcome study. Am J Phys Med Rehab Dec 2002, Vol 81(12), pp. 898-905.