脉冲射频消融术治疗腓肠神经痛
Pulsed Radiofrequency Ablation for Treating Sural Neuralgia.
作者信息
Abd-Elsayed Alaa, Jackson Markus, Plovanich Elizabeth
机构信息
Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Department of Podiatric Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
出版信息
Ochsner J. 2018 Spring;18(1):88-90.
BACKGROUND
Sural neuralgia is persistent pain in the distribution of the sural nerve that provides sensation to the lateral posterior corner of the leg, lateral foot, and fifth toe. Sural neuralgia is a rare condition but can be challenging to treat and can cause significant limitation. We present 2 cases of sural neuralgia resistant to conservative management that were effectively treated by pulsed radiofrequency ablation.
CASE REPORTS
A 65-year-old female developed sural neuralgia after a foot surgery and failed conservative management. She had successful sural nerve blocks, and pulsed radiofrequency ablation led to an 80% improvement in her pain. A 33-year-old female presented with sural neuralgia secondary to two falls. The patient had tried several conservative modalities with no success. We performed diagnostic blocks and pulsed radiofrequency ablation, and the patient reported 80% improvement in her pain.
CONCLUSION
Pulsed radiofrequency ablation may be a safe and effective treatment for patients with sural neuralgia that does not respond to conservative therapy. However, studies are needed to elucidate its effectiveness and safety profile.
背景
腓肠神经痛是指在腓肠神经分布区域出现的持续性疼痛，该神经负责小腿后外侧角、足外侧及小趾的感觉。腓肠神经痛是一种罕见疾病，但治疗颇具挑战性，且会导致严重功能受限。我们报告2例经保守治疗无效的腓肠神经痛患者，经脉冲射频消融治疗后获得有效缓解。
病例报告
一名65岁女性在足部手术后出现腓肠神经痛，保守治疗无效。她接受了成功的腓肠神经阻滞，脉冲射频消融使她的疼痛改善了80%。一名33岁女性因两次跌倒继发腓肠神经痛。该患者尝试了多种保守治疗方法均未成功。我们进行了诊断性阻滞和脉冲射频消融，患者报告疼痛改善了80%。
结论
对于保守治疗无效的腓肠神经痛患者，脉冲射频消融可能是一种安全有效的治疗方法。然而，尚需开展研究以阐明其有效性和安全性。
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