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射频消融:致敬现代治疗创新的先驱者。

Radiofrequency Ablation: Honoring the Pioneers of Modern Therapeutic Innovations.

作者信息

Zhitny Vladislav P, Jannoud Ryan, Young Jake P, Dixon Brett, Bungart Brittani, Phillips Leroy, Sutin Kenneth, Bernstein Jeffrey, Issa Mohammed

机构信息

Department of Anesthesiology, Perioperative Care, and Pain Medicine, New York University, New York City, USA.

Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, Las Vegas, USA.

出版信息

Cureus. 2024 Nov 1;16(11):e72831. doi: 10.7759/cureus.72831. eCollection 2024 Nov.

DOI:10.7759/cureus.72831
PMID:39618755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11608556/
Abstract

Radiofrequency ablation (RFA) is a minimally invasive technique used to alleviate chronic pain by destroying pain-signaling nerve fibers. This procedure offers precise and focused pain relief, serving as an alternative to surgical and pharmacological treatments for chronic conditions such as arthritis, back pain, neck pain, and nerve pain. RFA has evolved over a long period, beginning with early work on electrical currents. Significant progress has been made in its application to pain management with continual technological improvements enhancing its safety and effectiveness. As technology and research continue to progress, RFA promises even greater efficacy and safety, enhancing the quality of life for patients with chronic pain. Additionally, as the understanding of pain mechanisms advances, RFA can be utilized as a procedure to treat a wider lexicon of chronic pain pathologies. This historical narrative outlines the history and clinical origins of RFA, the pioneers that pushed the development of the field, and the treatment's path to modern implications in chronic pain relief.

摘要

射频消融术(RFA)是一种微创技术,通过破坏疼痛信号神经纤维来缓解慢性疼痛。该手术提供精确且有针对性的疼痛缓解,可作为关节炎、背痛、颈痛和神经痛等慢性疾病的手术和药物治疗的替代方法。射频消融术经过了很长时间的发展,始于早期对电流的研究。随着技术的不断改进提高了其安全性和有效性,它在疼痛管理中的应用取得了重大进展。随着技术和研究的不断进步,射频消融术有望实现更高的疗效和安全性,提高慢性疼痛患者的生活质量。此外,随着对疼痛机制的认识不断深入,射频消融术可作为一种治疗更广泛慢性疼痛病理的方法。这一历史叙述概述了射频消融术的历史和临床起源、推动该领域发展的先驱者以及该治疗方法在慢性疼痛缓解方面的现代意义的发展历程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b632/11608556/a30fc8006f1f/cureus-0016-00000072831-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b632/11608556/d850dd78ea81/cureus-0016-00000072831-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b632/11608556/a4f1ca425a4a/cureus-0016-00000072831-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b632/11608556/a30fc8006f1f/cureus-0016-00000072831-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b632/11608556/d850dd78ea81/cureus-0016-00000072831-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b632/11608556/a4f1ca425a4a/cureus-0016-00000072831-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b632/11608556/a30fc8006f1f/cureus-0016-00000072831-i03.jpg

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本文引用的文献

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Narrative review of radiofrequency ablation applications in peripheral nerves.射频消融在外周神经中应用的综述。
Ann Palliat Med. 2024 Jul;13(4):893-900. doi: 10.21037/apm-24-8. Epub 2024 May 6.
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Is Radiofrequency Ablation Superior to Intra-Articular Injections for the Treatment of Symptomatic Knee Osteoarthritis?-A Systematic Review.射频消融术治疗症状性膝关节骨关节炎是否优于关节内注射?-一项系统评价。
J Pers Med. 2023 Aug 3;13(8):1227. doi: 10.3390/jpm13081227.
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A Review on Endoscopic Ultrasound-Guided Radiofrequency Ablation (EUS-RFA) of Pancreatic Lesions.
胰腺病变的内镜超声引导下射频消融术(EUS-RFA)综述
Diagnostics (Basel). 2023 Feb 1;13(3):536. doi: 10.3390/diagnostics13030536.
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Recent advances in bronchial thermoplasty for severe asthma: a narrative review.重度哮喘支气管热成形术的最新进展:一项叙述性综述。
Ann Transl Med. 2022 Mar;10(6):370. doi: 10.21037/atm-22-580.
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The Evolution of Radiofrequency Denervation for Pain Indications.用于疼痛适应症的射频去神经术的发展历程。
Pain Med. 2021 Jul 25;22(7):1465-1467. doi: 10.1093/pm/pnab180.
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Paradigms on Immunotherapy Combinations with Chemotherapy.免疫治疗联合化疗的范式。
Cancer Discov. 2021 Jun;11(6):1353-1367. doi: 10.1158/2159-8290.CD-20-1312. Epub 2021 Mar 12.
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The Efficacy of Radiofrequency Ablation for Pain Management in Patients with Pre-Existing Hardware at the Site of Ablation.射频消融术对消融部位已有植入物患者疼痛管理的疗效。
Pain Ther. 2020 Dec;9(2):709-716. doi: 10.1007/s40122-020-00201-4. Epub 2020 Oct 8.
8
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Eur Respir J. 2020 Nov 12;56(5). doi: 10.1183/13993003.01422-2020. Print 2020 Nov.
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