[1]吴 斌,杨长刚,徐小青.CT引导下胸神经根背根节脉冲射频治疗开胸术后疼痛综合征20例[J].介入放射学杂志,2019,28(05):444-447.
 WU Bin,YANG Changgang,XU Xiaoqing..CT- guided pulsed radiofrequency of dorsal root ganglion of thoracic nerve for the treatment of post- thoracotomy pain syndrome: a clinical study[J].journal interventional radiology,2019,28(05):444-447.
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CT引导下胸神经根背根节脉冲射频治疗开胸术后疼痛综合征20例()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年05期
页码:
444-447
栏目:
非血管介入
出版日期:
2019-05-25

文章信息/Info

Title:
CT- guided pulsed radiofrequency of dorsal root ganglion of thoracic nerve for the treatment of post- thoracotomy pain syndrome: a clinical study
作者:
吴 斌 杨长刚 徐小青
Author(s):
WU Bin YANG Changgang XU Xiaoqing.
Department of Thoracic Surgery, Affiliated Hai’an Hospital, Nantong University, Nantong, Jiangsu Province 226600, China
关键词:
【关键词】 胸神经根背根节 脉冲射频 CT 开胸术后疼痛综合征
文献标志码:
A
摘要:
【摘要】 目的 探讨CT引导下胸神经背根节脉冲射频治疗开胸术后疼痛综合征的临床疗效。方法2016年4月至2017年4月,采用CT引导下胸神经根脉冲射频治疗开胸术后胸廓切口痛患者20例,其中右侧胸廓切口痛8例,左侧胸廓切口痛12例。所有胸廓切口痛患者均接受胸神经背根节脉冲射频治疗每周1次,共行2次。并在治疗后1、2、3和6个月使用视觉模拟疼痛评分(VAS)评估胸廓切口疼痛程度。同时记录每个月阿片类药物消耗量且通过利兹评估神经病症状和体征问卷调查(LANSS评分)评估神经病理体征。结果 所有患者在接受治疗后开始跟踪随访,治疗后1个月患者VAS评分显著改善,并且随着时间持续改善,并可持续至6个月。所有患者的阿片类药物的消耗量也在显著下降,而且LANSS评分随着时间的推移在显著下降。结论 CT引导下胸神经背根节脉冲射频治疗开胸术后胸廓切口痛有效,能够显著降低患者疼痛的程度,有效改善生存质量。胸神经背根节脉冲射频之类的神经调节方法是对于延缓胸廓手术导致胸神经病变进展的有用选择。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2018-09-30)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-05-11