Shah Ravi D, Cappiello Dario, Suresh Santhanam
Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A.
Department of Anesthesiology, Pain and Intensive Care Medicine, University School of Medicine Campus Bio-Medico of Rome, Rome, Italy.
Pain Pract. 2016 Mar;16(3):359-69. doi: 10.1111/papr.12285. Epub 2015 Mar 6.
This review discusses the role of interventional procedures in the treatment of chronic pain in children and adolescents. Due to lack of scientific evidence, significant controversy surrounds the utility of invasive techniques for managing pediatric chronic pain states. Interventional procedures are a widely accepted modality for pain management in adults. The use of such techniques in children is supported only by case reports, case series, and very few randomized controlled studies. In addition, the potential for severe complications leaves open a debate on the safety of these invasive procedures, which must be confirmed by more extensive and accurate prospective studies.
本综述讨论了介入治疗在儿童和青少年慢性疼痛治疗中的作用。由于缺乏科学证据，侵入性技术在治疗儿童慢性疼痛状态的效用方面存在重大争议。介入治疗是成人疼痛管理中广泛接受的一种方式。此类技术在儿童中的应用仅得到病例报告、病例系列以及极少数随机对照研究的支持。此外，严重并发症的可能性使得关于这些侵入性手术安全性的争论仍然存在，这必须通过更广泛、准确的前瞻性研究来证实。
