Gokhan Yildiz, Hamit Goksu, Erkan Yavuz Akcaboy, Seref Celik, Mustafa Yemliha Ayhan, Samet Sancar Kaya
{"title":"在背根神经节脉冲射频治疗中加入经椎间孔硬膜外注射类固醇是否会提高疗效?","authors":"Gokhan Yildiz, Hamit Goksu, Erkan Yavuz Akcaboy, Seref Celik, Mustafa Yemliha Ayhan, Samet Sancar Kaya","doi":"10.5606/tftrd.2024.13479","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the treatment outcomes between dorsal root ganglion (DRG) pulsed radiofrequency (PRF) and DRG PRF plus transforaminal epidural steroid injection (TFESI) in patients with chronic lumbosacral radicular pain.</p><p><strong>Patients and methods: </strong>Eighty-one patients (39 males, 42 females; mean age: 57.5±11.9 years; range 18 to 65 years) who underwent DRG PRF (Group 1) and 59 patients (34 males, 25 females; mean age: 58.7±12.3 years; range 18 to 65 years) who underwent DRG PRF plus TFESI (Group 2) between February 2021 and June 2022 were enrolled in the retrospective study. A Visual Analog Scale (VAS) was used to assess pain severity. Patients in both groups were evaluated before treatment and at four weeks and six months after treatment.</p><p><strong>Results: </strong>The four-week and six-month VAS scores were significantly lower than the baseline VAS scores in both groups. There was no significant difference between the groups in terms of the VAS scores at baseline, four weeks, and six months. There was no significant difference between the groups in terms of the rate of pain reduction of 50% or more at either measurement point. The presence or absence of a previous lumbar surgery had no effect on achieving a significant decrease in pain.</p><p><strong>Conclusion: </strong>Although DRG PRF and TFESI are easy to apply together, adding corticosteroids to DRG PRF treatment for patients with chronic radicular pain did not improve long-term outcomes.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 3","pages":"390-396"},"PeriodicalIF":1.1000,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639494/pdf/","citationCount":"0","resultStr":"{\"title\":\"Does transforaminal epidural steroid injection added to dorsal root ganglion pulsed radiofrequency treatment increase efficacy?\",\"authors\":\"Gokhan Yildiz, Hamit Goksu, Erkan Yavuz Akcaboy, Seref Celik, Mustafa Yemliha Ayhan, Samet Sancar Kaya\",\"doi\":\"10.5606/tftrd.2024.13479\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study aimed to compare the treatment outcomes between dorsal root ganglion (DRG) pulsed radiofrequency (PRF) and DRG PRF plus transforaminal epidural steroid injection (TFESI) in patients with chronic lumbosacral radicular pain.</p><p><strong>Patients and methods: </strong>Eighty-one patients (39 males, 42 females; mean age: 57.5±11.9 years; range 18 to 65 years) who underwent DRG PRF (Group 1) and 59 patients (34 males, 25 females; mean age: 58.7±12.3 years; range 18 to 65 years) who underwent DRG PRF plus TFESI (Group 2) between February 2021 and June 2022 were enrolled in the retrospective study. 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引用次数: 0
摘要
研究目的本研究旨在比较背根神经节(DRG)脉冲射频(PRF)和DRG PRF加经椎间孔硬膜外类固醇注射(TFESI)对慢性腰骶根性疼痛患者的治疗效果:在2021年2月至2022年6月期间,81名患者(39名男性,42名女性;平均年龄:57.5±11.9岁;18至65岁不等)接受了DRG PRF(第1组),59名患者(34名男性,25名女性;平均年龄:58.7±12.3岁;18至65岁不等)接受了DRG PRF加TFESI(第2组)。采用视觉模拟量表(VAS)评估疼痛严重程度。两组患者均在治疗前、治疗后四周和六个月接受了评估:结果:两组患者在治疗后四周和六个月的 VAS 评分均明显低于基线 VAS 评分。两组患者在基线、四周和六个月的 VAS 评分无明显差异。两组患者在任何一个测量点的疼痛减轻率达到或超过 50%,均无明显差异。曾否进行过腰部手术对疼痛是否明显减轻没有影响:结论:虽然 DRG PRF 和 TFESI 很容易同时使用,但在 DRG PRF 治疗慢性根性疼痛患者的同时使用皮质类固醇并不能改善长期疗效。
Does transforaminal epidural steroid injection added to dorsal root ganglion pulsed radiofrequency treatment increase efficacy?
Objectives: This study aimed to compare the treatment outcomes between dorsal root ganglion (DRG) pulsed radiofrequency (PRF) and DRG PRF plus transforaminal epidural steroid injection (TFESI) in patients with chronic lumbosacral radicular pain.
Patients and methods: Eighty-one patients (39 males, 42 females; mean age: 57.5±11.9 years; range 18 to 65 years) who underwent DRG PRF (Group 1) and 59 patients (34 males, 25 females; mean age: 58.7±12.3 years; range 18 to 65 years) who underwent DRG PRF plus TFESI (Group 2) between February 2021 and June 2022 were enrolled in the retrospective study. A Visual Analog Scale (VAS) was used to assess pain severity. Patients in both groups were evaluated before treatment and at four weeks and six months after treatment.
Results: The four-week and six-month VAS scores were significantly lower than the baseline VAS scores in both groups. There was no significant difference between the groups in terms of the VAS scores at baseline, four weeks, and six months. There was no significant difference between the groups in terms of the rate of pain reduction of 50% or more at either measurement point. The presence or absence of a previous lumbar surgery had no effect on achieving a significant decrease in pain.
Conclusion: Although DRG PRF and TFESI are easy to apply together, adding corticosteroids to DRG PRF treatment for patients with chronic radicular pain did not improve long-term outcomes.
期刊介绍:
The Turkish Journal of Physical Medicine and Rehabilitation (Formerly published as Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi) is the official journal of the Turkish Society of Physical Medicine and Rehabilitation. The journal is an international open-access, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of physical medicine and rehabilitation, and related fields. The journal publishes original articles, review articles, editorials, case reports (limited), letters to the editors. The target readership includes academic members, specialists, residents working in the fields of Physical Medicine and Rehabilitation. The language of the journal is English and it is published quarterly (in March, June, September, and December).