臀上皮神经射频消融术治疗慢性下腰痛
Superior cluneal nerves radiofrequency in the management of chronic low back pain.
作者信息
Arce Gálvez Leonado, Daes Mora Jesús, Valencia Gómez Rafael Enrico, Cuervo Pulgarín José Luis, Hernández Abuchaibe David, Guauque Marcelo Christian Vladimir
机构信息
Physical Medicine and Rehabilitation, Colombia.
Pain Medicine and Palliative Care, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia.
出版信息
Interv Pain Med. 2024 Jul 23;3(3):100428. doi: 10.1016/j.inpm.2024.100428. eCollection 2024 Sep.
INTRODUCTION
Chronic low back pain is a highly prevalent condition with multiple etiologies. Cluneal nerve neuropathy is an increasingly relevant condition in the management of this condition, and radiofrequency is an alternative management option.
METHODS
A case series, which included four patients who underwent ultrasound-guided conventional radiofrequency intervention of the superior cluneal nerves, using a previously undescribed technique and direction of intervention.
RESULTS
Patients reported a 50-90 % improvement in pain and a functional benefit for their daily activities of more than 40 % at 4- and 10-week follow-up, with no adverse events following the intervention.
CONCLUSIONS
Continuous radiofrequency of the cluneal nerves is an interesting alternative in the management of this pathology of low back pain. The ultrasound technique described may be a management proposal with lower risk and adequate effectiveness.
引言
慢性下腰痛是一种病因多样且高度普遍的病症。臀上皮神经病变在该病症的治疗中愈发受到关注，而射频是一种可供选择的治疗方法。
方法
本病例系列纳入了4例患者，他们接受了超声引导下对上臀上皮神经进行的传统射频干预，采用了一种此前未描述过的技术和干预方向。
结果
在4周和10周的随访中，患者报告疼痛改善了50%-90%，日常活动的功能获益超过40%，且干预后未出现不良事件。
结论
臀上皮神经的连续射频是治疗这种下腰痛病理状况的一种有趣的替代方法。所描述的超声技术可能是一种风险较低且疗效良好的治疗方案。
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