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经皮冷冻镇痛在疼痛管理中的应用:病例系列研究

Percutaneous cryoanalgesia in pain management: a case-series.

作者信息

Bellini Martina, Barbieri Massimo

机构信息

Pain Management Unit, San Carlo Clinic, Paderno Dugnano (MI), Italy.

出版信息

Anaesthesiol Intensive Ther. 2015;47(4):333-5. doi: 10.5603/AIT.2015.0045.

Abstract

BACKGROUND

Cryoanalgesia, also known as cryoneuroablation or cryoneurolysis, is a specialized technique for providing long-term pain relief.

METHOD

We present here retrospective data on pain relief and changes in function after cryoanalgesia techniques: we describe the effect of this procedure on articular facet syndromes, sacroiliac pain and knee pain.

RESULTS

We reviewed the records of 18 patients with articular lumbar facet pain, knee pain and sacroiliac pain. The Visual Analog Scale and Patient's Global Impression of Change scale show satisfaction at 1 month after cryoablation, with the best scores after three months. Only three patients showed a worse condition than the first month.

CONCLUSION

The majority of patients experienced a clinically relevant degree of pain relief and improved function following percutaneous cryoanalgesia.

摘要

背景

冷冻镇痛,也称为冷冻神经毁损术或冷冻神经溶解术,是一种用于提供长期疼痛缓解的专门技术。

方法

我们在此呈现关于冷冻镇痛技术后疼痛缓解及功能变化的回顾性数据:我们描述了该手术对关节小面综合征、骶髂关节疼痛和膝关节疼痛的影响。

结果

我们回顾了18例患有腰椎关节小面疼痛、膝关节疼痛和骶髂关节疼痛患者的记录。视觉模拟量表和患者整体变化印象量表显示在冷冻消融术后1个月时患者满意度较高,3个月时得分最佳。只有3例患者的情况比第一个月更差。

结论

大多数患者在经皮冷冻镇痛后经历了临床上显著的疼痛缓解且功能得到改善。

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