射频消融治疗合并脊柱内固定的脊神经内侧支：病例系列及文献回顾。
Safety and Efficacy of Radiofrequency Ablation of the Medial Branch Nerves with Preexisting Spinal Hardware. A Case Series and Review of Literature.
机构信息
Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA.
University of Wisconsin-Madison, Madison, WI, USA.
出版信息
Curr Pain Headache Rep. 2019 Feb 21;23(2):11. doi: 10.1007/s11916-019-0752-6.
PURPOSE OF REVIEW
To explore the efficacy of radio frequency ablation in treating pain in patients with hardware at site of the procedure.
RECENT FINDINGS
There is very limited data in literature about this topic. One study performed in 2016 indicated no complications when performing RFA close to hardware in patients with chronic pain conditions. Radiofrequency ablation can be safely and effectively performed close to hardware. While heating of the hardware can happen which can theoretically lead to tissue injury or decreased heat going to target nerve, this does not seem to be of clinical significance. More studies are needed to confirm this finding.
目的综述
探讨射频消融术治疗手术部位有植入物患者疼痛的疗效。
最新发现
关于这个主题的文献资料非常有限。2016 年进行的一项研究表明，在慢性疼痛患者中，在靠近植入物的部位进行射频消融术时没有并发症。射频消融术可以安全有效地在靠近植入物的部位进行。虽然可能会发生硬件加热的情况，理论上这可能导致组织损伤或目标神经的热量减少，但这似乎没有临床意义。需要更多的研究来证实这一发现。
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