Kurklinsky Svetlana, Boone M Katherine, Candler Shawn A, Schwab Adam, Ghazi Salim
Department of Pain Medicine, Mayo Clinic Florida, Jacksonville, Florida.
Mayo Foundation Finance Department, Mayo Clinic Florida, Jacksonville, Florida, USA.
Pain Med. 2020 Aug 1;21(8):1532-1537. doi: 10.1093/pm/pnz295.
This study aimed to investigate the effectiveness of repeat cooled radiofrequency ablation (CRFA) in chronic posterior sacroiliac joint (SIJ) pain.
The electronic records of 41 adult patients who had successful CRFA were reviewed for duration of pain relief and utilization of medical care for six months before and after each CRFA procedure.
Academic, tertiary medical center.
Forty-one adult patients who had CRFA for chronic posterior SIJ pain.
A repeat ipsilateral CRFA ablation procedure provided 9.0 months of pain relief compared with 5.5 months after the first CRFA procedure (P = 0.0378). The total number of medical treatments decreased after the first CRFA procedure (from 343 to 201). The medical cost decreased by 51.0% after the first CRFA and by 70.4% after the repeated CRFA procedure.
Using repeated nonsurgical, minimally invasive approach, CRFA relieves chronic posterior SIJ pain and reduces patients' utilization of medical services.
本研究旨在探讨重复冷却射频消融术（CRFA）治疗慢性骶髂关节（SIJ）后疼痛的有效性。
回顾41例成功接受CRFA治疗的成年患者的电子记录，记录每次CRFA手术前后6个月的疼痛缓解持续时间和医疗护理使用情况。
学术性三级医疗中心。
41例因慢性SIJ后疼痛接受CRFA治疗的成年患者。
同侧重复CRFA消融术后疼痛缓解时间为9.0个月，而首次CRFA术后为5.5个月（P = 0.0378）。首次CRFA术后医疗治疗总数减少（从343次降至201次）。首次CRFA术后医疗费用降低了51.0%，重复CRFA术后降低了70.4%。
采用重复的非手术、微创方法，CRFA可缓解慢性SIJ后疼痛并减少患者的医疗服务使用。
