腰椎小关节注射治疗下腰痛：射频去神经术与假手术对照。系统评价。
Lumbar facet joint injection in treating low back pain: Radiofrequency denervation versus SHAM procedure. Systematic review.
作者信息
Al-Najjim Munnan, Shah Rohi, Rahuma Mahmoud, Gabbar Omar Abdul
机构信息
Leicester University Hospital, United Kingdom.
出版信息
J Orthop. 2017 Oct 27;15(1):1-8. doi: 10.1016/j.jor.2017.10.001. eCollection 2018 Mar.
Abstract
The lumbar facet joints have been implicated as one of the causes of low-back pain syndromes. About 15-40% of patients who presented with chronic low-back pain was attributed to lumbar facet joint pain. The purpose of this study was to analyse whether radiofrequency denervation is better than SHAM procedure in treating chronic low-back pain caused by lumbar zygapophysial joints pathology. From the four identified randomised control trials, there is conflicting evidence at an intermediate 3-6-month stage, however; one study demonstrates statistical significance of radiofrequency denervation at 3 months. Longer-term follow-up is needed to prove the efficacy of radiofrequency denervation technique.
摘要
腰椎小关节已被认为是下腰痛综合征的病因之一。约15%-40%的慢性下腰痛患者被认为是由腰椎小关节疼痛所致。本研究的目的是分析在治疗由腰椎关节突关节病变引起的慢性下腰痛方面，射频去神经术是否优于假手术。然而，从四项已确定的随机对照试验来看，在3至6个月的中期阶段存在相互矛盾的证据；一项研究表明射频去神经术在3个月时具有统计学意义。需要进行长期随访以证明射频去神经术的疗效。
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