利用混合技术对膝神经进行射频治疗

Q3 Medicine
Sandeep Diwan, Anju Gupta, Parag Sancheti
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引用次数: 0

摘要

背景:射频消融膝关节神经被推荐用于改善膝关节骨性关节炎的疼痛。然而,对全膝关节置换术后持续疼痛患者的长期疗效仍未确定。本研究旨在评估使用混合技术射频消融膝关节神经以控制术后严重失能性疼痛和生活质量的效果:这项前瞻性观察研究纳入了全膝关节置换术 6 个月后出现顽固性膝关节疼痛且数字评分量表评分大于 4 分的患者。治疗包括采用混合技术对上内侧、外侧和下内侧膝神经进行射频消融。在治疗前以及治疗后的 1、3 和 6 个月,对数字评分量表和牛津膝关节生活质量评分进行了评估:结果:平均疼痛评分从 8.4 ± 1.3(入院时)降至 3.3 ± 1.4(1 个月时;P= 结论:超声引导射频消融术可有效缓解膝关节疼痛:超声引导下的膝神经射频消融可减轻全膝关节置换术后慢性膝关节疼痛患者的顽固性疼痛和残疾。治疗安全有效,但6个月后疗效下降。如果疼痛评分恶化,则需要再次阻断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiofrequency Treatment of Genicular Nerves Using a Hybrid Technique.

Background: Radiofrequency ablation of genicular nerves is recommended to ameliorate the pain of osteoarthritis of the knee. However, long-term efficacy in patients with persistent pain following total knee arthroplasty remains elusive. The current study aimed to evaluate radiofrequency ablation of genicular nerves using a hybrid technique to manage severe incapacitating pain and quality of life following surgery.

Methods: This prospective, observational study included patients suffering from intractable knee pain with scores > 4 on the Numeric rating scale after 6 months of total knee arthroplasty. Therapy included radiofrequency ablation of the superior medial, lateral, and inferior medial genicular nerves using a hybrid technique. The Numeric rating scale and Oxford Knee Score for quality of life were assessed before therapy and at 1-, 3- and 6 months following treatment.

Results: Average pain scores reduced from 8.4 ± 1.3 (admission) to 3.3 ± 1.4 (1 month; p= <0.001) but subsequently started to increase to 4 ± 1.2 (3 months; p = 0.58), and 5.6 ± 0.9 (6 months; p= <0.001). Average Oxford Knee Score significantly improved from 14.2 ± 5.9 (admission) to 38 ± 8.6(1 month); p= <0.001, but these too subsequently reduced to 36.4 ± 7.9 (3 months); p= 1, and 22.5 ± 12.5(6 months); p= <0.001.

Conclusions: Ultrasound-guided radiofrequency ablation of genicular nerves diminishes intractable pain and disability in patients with chronic knee pain following total knee arthroplasty. Treatment is safe and effective, however, the benefit declined by 6 months. A repeat block would be necessary if the pain score worsens.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
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