脉冲射频治疗背根神经节联合经椎间孔硬膜外类固醇注射对疼痛的影响。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Duygu Karaköse Çalışkan, Selcan Akesen, Yunus Gürkan Türker, Alp Gurbet
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引用次数: 3

摘要

目的:我们旨在比较经椎间孔硬膜外类固醇注射(TESI)和脉冲射频(PRF)同时应用于腰椎背根神经节(DRG)与TESI治疗慢性腰根性疼痛患者的疗效。方法:共纳入129例患者。67例患者行TESI, 62例患者行TESI+DRG-PRF。记录了人口统计资料、手术记录、药物、手术部位和手术水平。对患者进行术前、术后第10天、第1、3个月的随访,收集患者随访第3个月的视觉模拟量表(VAS, 0-10分)评分和患者满意度评估。成功的治疗反应被定义为VAS评分降低50%或更多。结果:两组患者术后VAS评分均显著低于术前水平(p结论:根据我们的研究,TESI可缓解慢性腰根性疼痛患者的短期中度疼痛。应考虑在同一疗程中同时应用PRF和TESI,作为改善治疗反应的一种选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of combined pulsed radiofrequency treatment to dorsal root ganglion with transforaminal epidural steroid injection on pain.

Objectives: We aimed to compare the treatment response with simultaneous application of transforaminal epidural steroid injection (TESI) and pulsed radiofrequency (PRF) to the lumbar dorsal root ganglion (DRG) with TESI in patients with chronic lumbar radicular pain.

Methods: A total of 129 patients were enrolled. TESI was performed to 67 patients and TESI+DRG-PRF was performed to 62 patients. Demographic data, surgical records, and medications, side, and level of the procedure were recorded. Patients were evaluated on the pre-operative and post-operative 10th day, 1st and 3rd month follow-up visits, and visual analog scale (VAS, 0-10) scores, and patients' satisfaction assessment on the 3rd month follow-up were collected. A successful therapeutic response was defined as a 50% or more reduction in VAS scores.

Results: In both groups, post-operative VAS scores were significantly lower than the pre-operative levels (p<0.001). VAS scores in the TESI+DRG-PRF group were significantly lower than the TESI group at all follow-up periods (p˂0.001). Reduction ratios in VAS scores were significantly higher in the TESI+DRG-PRF group in all follow-up visits (p˂-0.001). Satisfaction levels were significantly higher in the TESI+DRG-PRF group (p˂0.01).

Conclusion: According to our study, TESI provides short-moderate pain relief in patients with chronic lumbar radicular pain. A simultaneous application of PRF in the same session with TESI should be considered as an option to improve the treatment response.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
22
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