醫病共享決策輔助工具

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慢性下背痛如果不開刀我該怎麼辦?-以影像引導神經阻斷術為例

科別 神經內外科
主題類別 肌肉骨骼系統
決策類型 治療
關鍵字 影像引導神經阻斷術
適用病人條件 以下經保守療法無效:藥物、復健治療3個月後未改善。 第一類為特定性下背痛(specific),如骨折、腫瘤、感染等等,造成下背痛 第二類為非特定性下背痛(non- specific),ㄧ般疼痛來源為肌肉、肌腱、韌帶、神經、椎間盤等等。
可供選擇決策方案 藥物治療,影像引導神經阻斷術:脊椎小面關節阻斷術,影像引導神經阻斷術:尾骨硬脊膜外阻斷術,影像引導神經阻斷術:高頻熱凝療法
使用場所 其他
執行者 醫師
開發團隊、機構 國立成功大學醫學院附設醫院麻醉部
輔助工具研發過程說明

根據Manchikanti et al↑Intervention Techniques-Practice Guidelines 以及Joseph F. Jasper,MD:Algorithms for interventional techniques in chronic pain中對不接受手術的慢性下背痛患者提供影像引導神經阻斷術指引

參考文獻

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