腰脊神经根阻滞疗法中国专家共识(2023版)
A consensus on lumbar spinal nerve root block therapy in China (2023 edition)
摘要腰脊神经根阻滞疗法是疼痛科基本的治疗方法,主要适用于腰腿部疼痛的治疗,以及某些手术的局部麻醉。本专家共识介绍了腰部和脊神经根的解剖学结构,系统描述了腰脊神经根阻滞疗法的各种操作方法、常用药物、适应证、禁忌证和并发症。本专家共识推荐使用解剖定位法和影像学引导下进行腰脊神经根阻滞。文献和临床应用证实,腰脊神经根阻滞疗法是腰腿部慢性疼痛性疾病的一种安全、有效的诊断和治疗方法。
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abstractsLumbar spinal nerve root block therapy, mainly used in the pain management of lower back and leg pain, is essential in the Department of Painology, and can be also used for local surgical anesthesia in some operation. This expert consensus introduces the anatomy of lumbar and spinal nerve roots, and systematically describes the various approach, common drugs, indications, contraindications, and complications of lumbar spinal nerve root block. The consensus recommends that both conventional approaches of anatomical landmarks and image-guided approaches can be used for lumbar spinal nerve root block. Published literatures and clinical practice demonstrate that lumbar spinal nerve root block is an effective and safe technique for the diagnosis and treatment of chronic painful diseases in the lower back and legs.
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