腰椎和腰骶融合并诊断为骶髂关节疼痛患者的射频去神经治疗及疗效

Zeki Serdar Ataizi, Hasan Emre Aydın
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摘要

目的:成人腰痛是最常见的疼痛原因。手术后,一些患者可能会有与手术前不同的腰痛。本研究的目的是证明这种融合后疼痛起源于骶髂关节。方法:本研究选取2011年7月至2014年9月在我院门诊就诊的93例腰椎或腰骶融合手术患者,患者术后持续慢性疼痛(3个月以上)不同于术前疼痛。结果:融合患者的VAS评分分别在L5和S1处结束。S1组和L5组患者的平均术前VAS评分表明,S1融合结束的患者入院时疼痛更严重。结论:经皮三极电极射频装置是一种安全、易用、激励的方法,可减少不必要的手术干预和精确的翻修手术。这也会增加外科医生的成功率。
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Radiofrequency Denervation Treatment And The Outcomes In Patients With Lumbar And Lumbosacral Fusion And Diagnosed With Sacroiliac Joint Pain
Objective: Low back pain in adults is the most commonly reported cause of the pain. After the surgery, some patients may have low back pain that is different from that seen before the surgery. The aim of the present study was to demonstrate that this post-fusion pain is originated from the sacroiliac joint. Methods: This study was carried out on 93 patients previously underwent lumbar or lumbosacral fusion surgery and admitted to our outpatient clinic between July 2011 and September 2014 with postoperative persistent chronic pain (for more than 3 months) which is different from the preoperative pain. Results: The VAS scores in patients having fusion ending at L5 and S1, respectively. Mean pre-procedural VAS scores of the patients from S1 and L5 groups suggest that patients having fusion ending at S1 have admitted to our clinic with a more severe pain. Conclusion: The percutaneous tripolar electrode RF device designed as a safe, easily applied and encouraging method will eliminate the unnecessary and in accurate surgical interventions and revision surgeries. This will also increase the success of the surgeon.
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