Cervical epidural injection (CEI), which is widely used for the treatment of cervical radiculopathy, sometimes has been associated with post-operative complications. Recently, EPI-DetectionTM, which detects the negative pressure of the epidural space and notifies the proceduralist by flashing a light and producing a beeping sound, was introduced. We assumed that the newly developed device could be as safe and efficient as the conventional loss of resistance (LOR) method. Therefore, we aimed to evaluate the effectiveness of the EPI-DetectionTM and compare it to that of the conventional LOR method. We randomly assigned 57 patients to the LOR and EPI-Detection groups (29 and 28 patients, respectively). Subjects were treated with interlaminar CEI (ILCEI) using one of two methods. The measured parameters, i.e., operation time and radiation dose were lower in the EPI-DetectionTM group (4.6 ± 1.2 min vs. 6.9 ± 2.1 min; and 223.2 ± 206.7 mGy·cm2 vs. 380.3 ± 340.9 mGy·cm2, respectively; all p < 0.05) than in the LOR group. There were no complications noted in either group. Both the EPI-DetectionTM and LOR methods were safe and effective in detecting the epidural space, but the former was superior to the latter in terms of operation time and radiation exposure. The EPI-DetectionTM may help perform ILCEI safely.

译文

:硬膜外硬膜外注射(CEI),广泛用于治疗颈椎神经根病,有时与术后并发症相关。最近,引入了EPI-DetectionTM,该技术可检测硬膜外腔的负压并通过闪烁灯光并发出蜂鸣声来通知程序师。我们假设新开发的设备可以像传统的电阻损失(LOR)方法一样安全有效。因此,我们旨在评估EPI-DetectionTM的有效性,并将其与常规LOR方法的有效性进行比较。我们将57例患者随机分配至LOR和EPI检测组(分别为29例和28例)。使用两种方法之一对受试者进行层间CEI(ILCEI)治疗。 EPI-DetectionTM组的测量参数(即手术时间和放射剂量)较低(分别为4.6±1.2分钟和6.9±2.1分钟; 223.2±206.7 mGy·cm2和380.3±340.9 mGy·cm2;所有p <0.05)。两组均未发现并发症。 EPI-DetectionTM和LOR方法在检测硬膜外间隙方面都是安全有效的,但前者在手术时间和放射线照射方面要优于后者。 EPI-DetectionTM可以帮助安全地执行ILCEI。

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