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脉冲射频治疗椎间盘源性腰痛:系统评价。

Use of Pulsed Radiofrequency for the Treatment of Discogenic Back Pain: A Narrative Review.

机构信息

Department of Rehabilitation Medicine, Ewha Woman's University Seoul Hospital, Ewha Woman's University School of Medicine, Seoul, Korea.

Department of Physical Medicine and Rehabilitation, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.

出版信息

Pain Pract. 2021 Jun;21(5):594-601. doi: 10.1111/papr.12978. Epub 2020 Dec 23.

Abstract

BACKGROUND

Low-back pain (LBP) is one of the most frequently reported symptoms of patients who visit pain clinics, and a significant proportion of them have discogenic pain. Pulsed radiofrequency (PRF) stimulation is an effective treatment for various types of pain.

PURPOSE

We reviewed articles which investigated the effectiveness of intradiscal PRF for controlling discogenic LBP.

METHODS AND MATERIALS

We searched PubMed for papers published prior to August 7, 2020, in which intradiscal PRF was used for treating discogenic LBP. The key search phrase was (intradiscal PRF) for identifying potentially relevant articles. We included articles in which intradiscal PRF was used for controlling LBP. Review articles were excluded.

RESULTS

Nine publications were included in this review. Except for one study, all other studies showed positive therapeutic outcomes after treating discogenic LBP using intradiscal PRF. However, the quality of these studies was not high.

CONCLUSIONS

This review showed that intradiscal PRF appears to be a helpful treatment method for patients with discogenic LBP. Our review provides insights into the degree of evidence of the therapeutic effects of intradiscal PRF for alleviating discogenic LBP. For confirmation of the effectiveness of intradiscal PRF on discogenic LBP, more high-quality studies are necessary.

摘要

背景

下腰痛(LBP)是疼痛科就诊患者最常报告的症状之一,其中相当一部分患者存在椎间盘源性疼痛。脉冲射频(PRF)刺激是治疗各种类型疼痛的有效方法。

目的

我们对评估椎间盘内 PRF 治疗椎间盘源性 LBP 的有效性的研究进行了综述。

方法和材料

我们在 PubMed 上检索了截至 2020 年 8 月 7 日发表的研究,其中使用椎间盘内 PRF 治疗椎间盘源性 LBP。关键搜索词是(椎间盘内 PRF),以确定潜在相关文章。我们纳入了使用椎间盘内 PRF 治疗 LBP 的文章。排除综述文章。

结果

本综述纳入了 9 篇文献。除了一项研究外,所有其他研究在使用椎间盘内 PRF 治疗椎间盘源性 LBP 后均显示出积极的治疗效果。然而,这些研究的质量并不高。

结论

本综述表明,椎间盘内 PRF 似乎是治疗椎间盘源性 LBP 患者的一种有用的治疗方法。我们的综述提供了椎间盘内 PRF 缓解椎间盘源性 LBP 治疗效果的证据程度的见解。为了确认椎间盘内 PRF 对椎间盘源性 LBP 的有效性,还需要更多高质量的研究。

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