脊神经后支射频治疗小关节源性胸腰背部疼痛的温度探讨

The ideal temperature of radiofrequency treatment for facetogenic back pain.

摘要:

【】 目的 探讨脊神经后支射频治疗小关节源性胸腰背部疼痛的理想温度。方法 小关节源性胸腰背部疼痛患者60例 ,随机分为3组,每组20例。A组做脉冲射频,温度42℃；B组连续射频,温度55℃；C组连续射频,温度80℃。于术后1周,3个月,12个月,观察其疼痛缓解程度(VAS评分),及其主要并发症(麻木)。结果 术后第1周,三组病人均能明显缓解疼痛(P>0.05),B组和C组出现麻木例数大于A组,术后3月,三组病人疼痛变化均不明显(P>0.05),A和B组麻木病人例数无明显差别,但C组麻木例数明显高于A、B组。术后1年,A组疼痛程度明显高于B、C组(P﹤0.05),C组麻木例数明显高于A、B组,B和C组疼痛程度无明显差别(P>0.05)。

Abstract:

【】Objective: To explore the ideal temperature of radiofrequency treatment for facetogenic back pain. Methods: There were 60 patients with facetogenic back pain, which were randomly divided into 3 group and 20 patients in each group. Group A do pulse radiofrequency, 42℃ temperature. Group B do continuous radiofrequency, the temperature is 55℃,and Group C do continuous radiofrequency ,the temperature is 80℃.In 1 week, 3 months, and 12months after surgery, were observed for pain relief and major complication(numb).