颈椎硬膜外类固醇治疗(Cervical Epidural Steroid Injection)

颈椎硬膜外注射可用于治疗各种刺激到颈椎神经根的病变。例如,颈椎间盘突出可压迫神经根,退变的椎间盘会引起局部炎症,颈椎骨关节炎或椎管狭窄会减少神经的空间,引起神经的炎症和激惹。颈椎硬膜外注射的目的是充分缓解疼痛,那样病人就可以进行康复治疗方案。

  A cervical epidural steroid injection may be performed torelieve pain associated with inflammation around the nerves in the neck.

  颈椎硬膜外类固醇注射用于缓解颈部神经周围炎症相关的疼痛。

  The epidural space surrounds the dura. The dura is the sac around the nerve roots that contains cerebrospinal fluid and spinal cord and nerves. The nerves in the neck travel through the cervical epidural space before extending down through the shoulders and into the arms and hands.

  硬膜外腔位于硬膜囊周围。硬膜囊是神经根周围的囊袋,包容脑脊液、脊髓及神经。颈部的神经在分布到肩、臂、手之前,从颈椎的硬膜外腔通过。

  An injection into this space delivers medication directly to coat the nerves in the area. A number of cervical spine conditions can affect the nerves as they exit the spine through small holes on each side of the vertebrae.

  在这个腔隙注射可将药物直接送到该部位的神经周围。有些颈椎问题累及那些穿过椎体两侧的小孔离开脊柱的神经。

  A cervical epidural injection may be used to treat the symptoms from a variety of conditions that may irritate the cervical nerve roots. For example, a cervical herniated disc may impinge on a nerve root, a degenerated disc may cause local inflammation, cervical osteoarthritis or spinal stenosis may reduce the space for the nerves, resulting in inflammation and irritation to the nerves.

  颈椎硬膜外注射可用于治疗各种刺激到颈椎神经根的病变。例如,颈椎间盘突出可压迫神经根,退变的椎间盘会引起局部炎症,颈椎骨关节炎或椎管狭窄会减少神经的空间,引起神经的炎症和激惹。

  With a cervical epidural injection, the procedure is performed with the patient laying face down. An area of skin and tissue above the injection site is injected with a local anesthetic to numb the area. Next, a larger needle is inserted.

  要进行颈椎硬膜外注射时,病人取俯卧位。注射部位表面的皮肤用局麻药物进行麻醉。然后,插入一根更粗的针。

  X-ray guidance, called fluoroscopy, is used so the practitioner can visualize the needle going into the cervical epidural space. Contrast dye is injected into the space to make sure the needle is properly positioned in the epidural space near the irritated nerve or nerves. A cortisone steroid solution is injected into the epidural space. The steroid is an anti-inflammatory medication. The goal is to alleviate the local inflammation, which in turn should decrease the associated nerve pain.

  操作者使用X线(称为透视)的引导,可以看到针穿入颈椎硬膜外腔。注入对比造影剂以确认针穿到了受累神经周围的硬膜外腔的合适位置。然后在硬膜外腔注入一种类固醇激素。类固醇是一种消炎药物,目的是减轻局部的炎症,从而减轻相关的神经痛。

  A cervical epidural injection is often done with the goal of providing enough pain relief so that the patient can progress with a rehabilitation program.

  颈椎硬膜外注射的目的是充分缓解疼痛,那样病人就可以进行康复治疗。


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