Likar Rudolf, Auer Johann, Chavanne Albert, Ilias Wilfried, Kern Michael, Krepler Petra, Kress Hans-Georg, Lischnig Ulrike, Maurer Gernot, Sommer Oliver, Spendel Martin C, Thurnher Siegfried, Wohak Karl, Wolf Andreas, Wölkhart Michael
Abteilung für Anästhesiologie und Intensivmedizin, Klinikum Klagenfurt am Wörthersee, Feschnigstraße 11, 9020, Klagenfurt am Wörthersee, Österreich.
Institut für Anästhesie und Schmerzambulanz, Marienkrankenhaus Vorau, Vorau, Österreich.
Schmerz. 2021 Apr;35(2):124-129. doi: 10.1007/s00482-020-00526-1. Epub 2021 Jan 14.
Radiofrequency denervation has been established for many years as an important minimally invasive procedure for the treatment of chronic pain conditions. Positive experiences of many users for various indications are contrasted by a nonuniform evidence. With meticulous patient selection and correct assessment of the indications a longer term reduction of pain, a reduced need for analgesics and an improvement in the quality of life can be achieved. The aim of this interdisciplinary position paper is to present the value of radiofrequency denervation in the treatment of chronic pain. The summarized recommendations of the expert group are based on the available evidence and on the clinical experiences of Austrian centers that frequently implement the procedure. The position paper contains recommendations on patient selection and proven indications. We discribe safety aspects, complications, side effects and contraindications.
射频去神经术作为治疗慢性疼痛疾病的一种重要的微创手术已开展多年。许多使用者针对各种适应症的积极经验与证据的不一致形成对比。通过精心的患者选择和对适应症的正确评估,可以实现疼痛的长期减轻、对镇痛药需求的减少以及生活质量的改善。本跨学科立场文件的目的是阐述射频去神经术在治疗慢性疼痛中的价值。专家组的总结建议基于现有证据以及奥地利经常实施该手术的中心的临床经验。该立场文件包含关于患者选择和已证实适应症的建议。我们描述了安全方面、并发症、副作用和禁忌症。