Lee Jang Bo, Park Jung Yul, Park Juno, Lim Dong Jun, Kim Sang Dae, Chung Heung Seob
Department of Neurosurgery, Korea University Ansan Hospital, 516 Gojan-dong, Danwon-gu, Ansan, Korea.
J Korean Med Sci. 2007 Apr;22(2):326-9. doi: 10.3346/jkms.2007.22.2.326.
The purpose of the present study was to assess the clinical efficacy of radiofrequency (RF) cervical zygapophyseal joint neurotomy in patients with cervicogenic headache. A total of thirty consecutive patients suffering from chronic cervicogenic headaches for longer than 6 months and showing a pain relief by greater than 50% from diagnostic/prognostic blocks were included in the study. These patients were treated with RF neurotomy of the cervical zygapophyseal joints and were subsequently assessed at 1 week, 1 month, 6 months, and at 12 months following the treatment. The results of this study showed that RF neurotomy of the cervical zygapophyseal joints significantly reduced the headache severity in 22 patients (73.3%) at 12 months after the treatment. In conclusion, RF cervical zygapophyseal joint neurotomy has shown to provide substantial pain relief in patients with chronic cervicogenic headache when carefully selected.
本研究的目的是评估射频（RF）颈椎关节突关节神经切断术对颈源性头痛患者的临床疗效。本研究共纳入了30例连续的慢性颈源性头痛患者，这些患者病程超过6个月，且诊断/预后阻滞治疗后疼痛缓解超过50%。对这些患者进行了颈椎关节突关节的射频神经切断术治疗，并在治疗后的1周、1个月、6个月和12个月进行了评估。本研究结果显示，治疗后12个月时，22例患者（73.3%）的颈椎关节突关节射频神经切断术显著降低了头痛严重程度。总之，经仔细筛选，射频颈椎关节突关节神经切断术已证明能为慢性颈源性头痛患者提供显著的疼痛缓解。
