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Periradikuläre Infiltrationstherapie

Klinische Indikationen, Technik und Ergebnisse

Periradicular infiltration therapy

Clinical indications, technique and results

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Zusammenfassung

Hintergrund

Minimal-invasive schmerztherapeutische Verfahren werden in den letzten Jahren zunehmend angewendet.

Ziel der Arbeit

Evaluation der verschiedenen Verfahren der periradikulären Infiltrationstherapie als wichtiges Instrumentarium im Stufenkonzept der modernen Schmerztherapie. Vergleich der unterschiedlichen therapeutischen Substanzen.

Ergebnisse

Die periradikuläre Infiltrationstherapie ist bei rund 60–80 % der Patienten sowohl analgetisch als auch funktionell mittel- und langfristig wirksam. Die Einhaltung der Richtlinien soll potenziell fatale Komplikationen minimieren.

Schlussfolgerung

Die periganglionäre Infiltration hat einen anerkannt hohen Stellenwert in der Behandlung des radikulären Wurzelreizsymptoms. Die Infiltrationen gelten als risikoarme Verfahren insbesondere bei CT-gezielter Applikation.

Abstract

Background

Minimally invasive procedures have played an emerging role in pain management during recent years.

Objectives

Evaluation of the different types of periradicular infiltration as fundamental procedures in the progressive stepwise concept of pain management. Comparison of the different therapeutic substances.

Results

In the mid-term and long-term periradicular infiltration is effective in 60–80 % of patients regarding analgesic and functional aspects. Compliance with the guidelines should help to minimize potentially fatal complications.

Conclusion

Periradicular infiltration is of significant importance concerning the treatment of spinal nerve root irritation. Periradicular infiltration is regarded as a safe procedure, especially when supported by computed tomography (CT) scans.

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  1. Abteilung für Radiologie und Nuklearmedizin, Krankenhaus der Barmherzigen Brüder Wien, Johannes von Gott Platz 1, 1020, Wien, Österreich

    B. Oder &  S. Thurnher

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  1. B. Oder
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  2. S. Thurnher
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Correspondence to B. Oder.

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B. Oder und S. Thurnher geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Oder, B., Thurnher, S. Periradikuläre Infiltrationstherapie. Radiologe 55, 833–839 (2015). https://doi.org/10.1007/s00117-015-0017-2

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