射频消融治疗头痛:最新系统综述。

4区 医学 Q2 Nursing Annals of palliative medicine Pub Date : 2024-07-01 Epub Date: 2024-07-08 DOI:10.21037/apm-23-528
Esha Jain, Justin K Tram, Morgen A Owens, Caroline A Varlotta, Kenneth J Fiala, Farrah S Asaad, Ahish Chitneni, Alaa Abd-Elsayed
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引用次数: 0

摘要

背景:射频消融(RFA)具有多种治疗功能,其中之一是长期治疗慢性头痛。因此,它的应用越来越广泛,尤其是在难治性头痛病例中。头痛可分为原发性头痛和继发性头痛,可由多种严重疾病引起。原发性头痛包括紧张性头痛、偏头痛和丛集性头痛,而继发性头痛包括感染或血管疾病引起的头痛以及颈源性头痛。这两种类型的头痛都会导致严重的衰弱和生活质量下降。慢性头痛的治疗通常包括改变生活方式、口服药物和注射药物。本研究旨在调查射频消融术治疗慢性头痛的主要和次要结果:方法:使用 PubMed、MEDLINE 和 Cochrane 数据库等三个不同的数据库进行了系统综述。关键词为 "射频消融 "和 "头痛"。搜索时间为 2023 年 6 月,包括过去 20 年的文章:结果:在找到的 580 篇文章中,有 32 篇被纳入综述。大多数研究侧重于疼痛评分、缓解持续时间、功能和患者满意度。在几项研究中,射频消融术被用于针对作为疼痛源的各种神经,并与局麻药或皮质类固醇等方法进行了比较:总体而言,RFA 在治疗慢性头痛疼痛方面显示出良好的效果。因此,RFA 可作为其他保守治疗方案失败患者的替代治疗方案。了解射频消融术治疗头痛的疗效可为患者和临床医生提供最合适治疗策略的证据。
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Radiofrequency ablation for headache pain: an updated systematic review.

Background: Radiofrequency ablation (RFA) has many treatment capabilities, one of which includes long term management of chronic headache. As a result, it has been increasingly used, especially in cases of refractory headache pain. Headaches can be classified as primary and secondary and can result from a variety of serious conditions. Types of primary headaches include tension, migraine, and cluster headaches whereas secondary headaches include headaches because of infection or vascular disease, and cervicogenic headaches. Both types can result in serious debility and diminished quality of life. The treatment of chronic headache pain commonly consists of lifestyle modifications, oral medications, and injectable medications. The aim of this study was to investigate the primary and secondary outcomes of RFA for chronic headache pain.

Methods: A systematic review was conducted using three different databases including PubMed, MEDLINE, and the Cochrane Database. The key concepts of "radiofrequency ablation" and "headache" were used. The search took place in June 2023, and it included articles from the past twenty years.

Results: Of the 580 articles found, 32 were included in the review. Most studies focused on pain scores, duration of relief, function, and patient satisfaction. In several studies, RFA was used to target various nerves as the pain generator and compared with modalities such as local anesthetic or corticosteroid.

Conclusions: Overall, RFA shows favorable outcomes in the management of chronic headache pain. Therefore, RFA can serve as an alternative treatment option for patients who fail other conservative treatment regimens. Understanding the outcomes of RFA for headache pain can provide patients and clinicians with evidence for the most appropriate treatment strategies.

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来源期刊
Annals of palliative medicine
Annals of palliative medicine Medicine-Anesthesiology and Pain Medicine
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发文量
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期刊介绍: Annals of Palliative Medicine (Ann Palliat Med; Print ISSN 2224-5820; Online ISSN 2224-5839) is an open access, international, peer-reviewed journal published quarterly with both online and printed copies since 2012. The aim of the journal is to provide up-to-date and cutting-edge information and professional support for health care providers in palliative medicine disciplines to improve the quality of life for patients and their families and caregivers.
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