Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2010 Oct;59(4):286-9. doi: 10.4097/kjae.2010.59.4.286. Epub 2010 Oct 21.
A 39-year-old female was suffering from cold-induced Raynaud's attacks in both hands and feet, with symptoms being most severe in her left foot. The patient did not respond to medical treatments and was referred to our department of pain medicine. We performed sequential bipolar radiofrequency lumbar sympathectomy to the patient, which offered a long duration of symptom relief. Sequential bipolar radiofrequency lesions could create continuous strip lesion, and thus, could achieve better results, while the potential risk of liquid neurolytic agents could be avoided.
一位 39 岁女性患有双手双脚的冷诱发雷诺氏现象，左侧足部症状最为严重。患者对药物治疗无反应，转至我院疼痛科。我们对患者进行了序贯双极射频腰椎交感神经切除术，获得了长时间的症状缓解。序贯双极射频消融可产生连续的带状消融，因此可以取得更好的效果，同时可以避免液体神经溶解剂的潜在风险。
