Department of Pain Management, Cleveland Clinic, 9500 Euclid Ave (C25), Cleveland, OH 44195, USA.
Expert Rev Neurother. 2010 Mar;10(3):469-74. doi: 10.1586/ern.09.153.
Chronic pain management physicians and patients are always looking for long-term solutions rather than short-lived interventions. There are three main nonsurgical modalities to ablate nervous system elements. These involve the use of extreme cold (cryoablation), high temperature radiofrequency and chemical neurolysis, such as alcohol or phenol. Radiofrequency ablation offers the advantage of being precise, reproducible and effective to a great extent. It also has the ability to stimulate before the ablation to avoid ablating the wrong nerve elements, which provides a considerable safety margin. In this article we will review the basis of radiofrequency ablation and some of the most common applications in the management of chronic pain.
慢性疼痛管理医生和患者一直在寻找长期解决方案，而不是短期干预措施。有三种主要的非手术方式来消融神经系统元素。这些方法包括使用极冷（冷冻消融）、高温射频和化学神经溶解，如酒精或苯酚。射频消融具有精确、可重复和在很大程度上有效的优点。它还具有在消融之前刺激的能力，以避免消融错误的神经元素，这提供了相当大的安全裕度。本文将回顾射频消融的基础以及在慢性疼痛管理中一些最常见的应用。
