超声引导下的膝关节脉冲射频治疗与透视引导下的关节腔内脉冲射频治疗膝关节骨性关节炎相关疼痛的比较。

Burcu Ozalp Horsanali, Derya Guner
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引用次数: 0

摘要

目的比较超声引导下的膝关节脉冲射频(PRF)和透视引导下的膝关节内脉冲射频治疗膝骨关节炎相关疼痛的两种不同算法干预技术的效果:观察性研究。研究地点和时间2022年3月至2023年5月,土耳其伊兹密尔,伊兹密尔巴基尔凯大学,Cigli培训与研究医院和健康科学大学Tepecik培训与研究医院:纳入年龄在 60 岁及以上、患有 3 期和 4 期膝关节骨性关节炎、膝关节疼痛超过 6 个月、对保守治疗无效的患者。排除近期接受过膝关节手术或关节内注射的患者,以及不符合射频应用条件的患者。研究人员在超声引导下对患者进行了膝关节神经PRF治疗,并在透视引导下进行了关节内PRF治疗。采用视觉模拟量表(VAS)和西安大略与麦克马斯特大学骨关节炎指数(WOMAC)对手术前后的疼痛和生活质量进行评估:研究包括64名患者。超声引导下的膝关节PRF和透视引导下的关节内PRF都能在术后1个月和3个月显著降低VAS和WOMAC评分。两种技术的疗效无明显差异:结论:超声引导下的膝关节PRF和透视引导下的关节内PRF是治疗膝关节骨关节炎相关疼痛的有效且安全的选择:骨关节炎 脉冲射频 超声波 透视 疼痛
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Comparison of Ultrasound-Guided Genicular Pulse Radiofrequency and Fluoroscopy-Guided Intra-Articular Pulse Radiofrequency for Knee Osteoarthritis-Related Pain.

Objective: To compare two different algological intervention technique outcomes with ultrasound-guided genicular pulse radiofrequency (PRF) and fluoroscopy-guided intra-articular pulse radiofrequency for knee osteoarthritis-related pain.

Study design: Observational study. Place and Duration of the Study: Izmir Bakircay University, Cigli Training and Research Hospital and Health Science University Tepecik, Training and Research Hospital, Izmir, Turkiye, between March 2022 and May 2023.

Methodology: Patients aged 60 years and above with stage 3 and 4 knee osteoarthritis, experiencing knee pain for more than six months, and non-responsive to conservative treatments were included. Patients with recent knee surgery or intra-articular injections and those ineligible for radiofrequency application were excluded. Ultrasound-guided genicular nerve PRF and fluoroscopy-guided intra-articular PRF were administered to the included patients. Pain and quality of life were evaluated using the visual analogue scale (VAS) and Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) scores before and after the procedures.

Results: The study included 64 patients. Both ultrasound-guided genicular PRF and fluoroscopy-guided intra-articular PRF resulted in significant reductions in VAS and WOMAC scores at 1 and 3 months after the procedures. There was no significant difference in efficacy between the two techniques.

Conclusion: Ultrasound-guided genicular PRF and fluoroscopy-guided intra-articular PRF are effective and safe options for managing knee osteoarthritis-related pain.

Key words: Osteoarthritis, Pulse radiofrequency, Ultrasound, Fluoroscopy, Pain.

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