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神经痛缓解介入放射学程序。

Neurological pain relief interventional radiology procedures.

机构信息

Department of Vascular and Interventional Radiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828, Singapore.

出版信息

Clin Radiol. 2023 Apr;78(4):254-264. doi: 10.1016/j.crad.2022.03.026. Epub 2022 Jun 27.

Abstract

Neurological interventions have taken on a significant role in interventional radiology (IR) practice. Indications fall under three main categories: (1) intraprocedural pain management, (2) cancer pain palliation, and (3) chronic non-cancer pain control. Short-term regional anaesthesia can be achieved with local anaesthetics, while longer-term pain control can be attained with radiofrequency neuromodulation (pulsed or otherwise) or thermal/chemical neurolysis. This review article summarises the therapeutic options, applications, and techniques of commonly used peripheral nerve and plexus interventions in IR.

摘要

神经介入在介入放射学(IR)实践中发挥了重要作用。适应证主要分为三类:(1)术中疼痛管理,(2)癌症疼痛缓解,(3)慢性非癌性疼痛控制。局部麻醉药可实现短期区域麻醉,而射频神经调节(脉冲或其他方式)或热/化学神经溶解可实现长期疼痛控制。本文综述了 IR 中常用的周围神经和神经丛介入治疗的治疗选择、应用和技术。

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