Investigation of the correlation between posterior neck pain and lumbar epidural pressure during percuta-neous endoscopic lumbar discectomy
- VernacularTitle:经皮内镜腰椎间盘摘除术中后颈部疼痛与腰段硬膜外腔压力的相关性
- Author:
Qinghong MAO
;
Changxi SHI
;
Qing LI
;
Zhaoyan XIAO
;
Xiangrong LIU
;
Jiaping RUAN
- Keywords:
Percutaneous endoscopic lumbar discectomy;
Posterior neck pain;
Lumbar epi-dural pressure
- From:
The Journal of Clinical Anesthesiology
2016;32(12):1194-1196
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation between posterior neck pain and lumbar epidural pressure (LEP)during percutaneous endoscopic lumbar discectomy (PELD).Methods A prospective study was performed on 86 patients undergoing PELD,46 males,40 females,aged 1 9-71 years,with ASA physical status of Ⅰ or Ⅱ.Each patient received lumbar epidural anesthesia.Lum-bar epidural pressure (LEP)was monitored continuously through a lumbar epidural catheter which was connected to a pressure transducer.LEP before the operation (LEPbase ),LEP at the time of pos-terior neck pain (LEPpain )and maximal LEP (LEPmax )were recorded.Results Thirty patients (34.9%)complained of posterior neck pain during the procedure.The lowest LEPmax was 31.0 mm Hg,and the highest LEPmax was 77.0 mm Hg.The LEPmax in patients with neck pain [(60.6± 8.8)mm Hg]was significantly higher than LEPmax in patients without neck pain [(50.7 ± 9.5 ) mm Hg](P <0.01 ).Patients with higher LEPmax had higher probabilities of having posterior neck pain (P <0.01).Conclusion Patients with higher LEPmax had higher probabilities of having posterior neck pain.
