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关节神经射频消融的技术考虑因素:优化结果。

Technical considerations for genicular nerve radiofrequency ablation: optimizing outcomes.

机构信息

Department of Physical Medicine and Rehabilitation, University of Utah School of Medicine, Salt Lake City, Utah, USA

Department of Anesthesiology, Pain Medicine Division, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

出版信息

Reg Anesth Pain Med. 2021 Jun;46(6):518-523. doi: 10.1136/rapm-2020-102117. Epub 2021 Jan 22.

Abstract

Genicular nerve radiofrequency ablation has emerged as a treatment option for patients with painful knee osteoarthritis who have failed conservative management but who may not qualify or wish to avoid a surgical procedure. Radiofrequency ablation techniques targeting the genicular nerves have evolved as our understanding of the anatomy of the anterior knee joint capsule has become more defined. The article aims to review the basic anatomy of the anterior knee joint and both the traditional and revised approaches to nerve ablation.

摘要

关节神经射频消融术已成为治疗膝关节骨关节炎疼痛患者的一种选择,这些患者经保守治疗失败,但可能不符合手术条件或不愿接受手术。随着我们对膝关节前关节囊解剖结构的认识越来越明确,针对关节神经的射频消融技术也在不断发展。本文旨在回顾膝关节前关节的基本解剖结构,以及传统和改良的神经消融方法。

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