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腰椎小关节综合征与射频消融技术作为替代疗法的应用:一项系统评价

Lumbar Facet Syndrome and the Use of Radiofrequency Ablation Technique as an Alternative Therapy: A Systematic Review.

作者信息

Bernardes Anna Luisa Paiva Romano, Correa Renato Ferraz, Trajano Larissa Alexsandra da Silva Neto, Fontes Iberico Alves

机构信息

Curso de Medicina na Universidade de Vassouras, Vassouras, RJ, Brasil.

Curso de Educação Física da Universidade de Vassouras, Vassouras, RJ, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2023 May 25;58(2):199-205. doi: 10.1055/s-0043-1768695. eCollection 2023 Apr.

DOI:10.1055/s-0043-1768695
PMID:37252302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10212637/
Abstract

Lumbar facet syndrome stands out as a significant cause for the increasing prevalence of back pain complaints. Alternatives such as radiofrequency (RF) ablation may be a therapeutic option to relieve the chronic pain associated with this condition. It is critical to analyze the effectiveness of lumbar facet syndrome treatment using the traditional RF ablation technique and the relief generated by it in chronic low back pain (CLBP). This study is a systematic review using the following inclusion criteria: title, observational studies, clinical trials, controlled clinical trials, clinical studies, and publications over the last 17 years (from 2005 to 2022). The exclusion criteria included papers addressing other themes and review articles. The databases used for data collection included the Medical Literature Analysis and Retrieval System Online (Medline), PubMed, Scientific Electronic Library Online (SciELO), Lilacs, and (Virtual Health Library in Portuguese). The query used the following terms: facet, pain, lumbar, and radiofrequency. The application of these filters yielded 142 studies, and 12 were included in this review. Most studies indicated that the traditional RF ablation technique was beneficial in relieving CLBP refractory to conservative treatment.

摘要

腰椎小关节综合征是背痛主诉患病率不断上升的一个重要原因。诸如射频(RF)消融等替代疗法可能是缓解与此病症相关的慢性疼痛的一种治疗选择。分析传统射频消融技术治疗腰椎小关节综合征的有效性及其对慢性下腰痛(CLBP)的缓解作用至关重要。本研究是一项系统评价,采用以下纳入标准:标题、观察性研究、临床试验、对照临床试验、临床研究以及过去17年(2005年至2022年)的出版物。排除标准包括涉及其他主题的论文和综述文章。用于数据收集的数据库包括医学文献分析与检索系统在线数据库(Medline)、PubMed、科学电子图书馆在线数据库(SciELO)、Lilacs以及(葡萄牙语虚拟健康图书馆)。查询使用了以下术语:小关节、疼痛、腰椎和射频。应用这些筛选条件产生了142项研究,本综述纳入了其中12项。大多数研究表明,传统射频消融技术有助于缓解对保守治疗无效的CLBP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b21f/10212637/83af81a65ac7/10-1055-s-0043-1768695-i2200246pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b21f/10212637/c998fa2009b4/10-1055-s-0043-1768695-i2200246en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b21f/10212637/83af81a65ac7/10-1055-s-0043-1768695-i2200246pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b21f/10212637/c998fa2009b4/10-1055-s-0043-1768695-i2200246en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b21f/10212637/83af81a65ac7/10-1055-s-0043-1768695-i2200246pt-1.jpg

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本文引用的文献

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Endoscopic joint capsule and articular process excision to treat lumbar facet joint syndrome: A case report.内镜下关节囊及关节突切除术治疗腰椎小关节综合征:一例报告。
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脉冲射频治疗腰椎小关节疼痛:一种可行的治疗选择?一项回顾性观察研究。
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Biomechanics of the Lumbar Facet Joint.腰椎小关节的生物力学
Spine Surg Relat Res. 2019 Apr 26;4(1):1-7. doi: 10.22603/ssrr.2019-0017. eCollection 2020.
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Endoscopic rhizotomy for chronic lumbar zygapophysial joint pain.经皮内镜下腰椎关节突关节松解术治疗慢性腰椎关节突关节源性疼痛。
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A pilot cohort study of lumbar facet joint denervation in patients with chronic low-back pain.一项针对慢性下腰痛患者腰椎小关节去神经支配的前瞻性队列研究。
Dan Med J. 2019 Mar;66(3).
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Facet joint syndrome: from diagnosis to interventional management.小关节综合征:从诊断到介入治疗
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Randomised sham-controlled double-blind multicentre clinical trial to ascertain the effect of percutaneous radiofrequency treatment for lumbar facet joint pain.一项随机、假对照、双盲、多中心临床试验,以确定经皮射频治疗腰椎小关节疼痛的效果。
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