上肢和下肢的射频治疗在整形外科
E Carlos Rodríguez-Merchán1,2, Alberto D Delgado-Martínez3,4, Javier De Andrés-Ares5
1Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain.
EFORT open reviews
|June 8, 2023
概括
射频 (RF) 疗法通过准疼痛通路,为慢性疼痛提供了一个最小侵入性的选择. 虽然对各种肌肉骨疾病有效,但需要进一步的研究来确认其长期有效性.
科学领域:
- 疼痛管理 疼痛管理
- 最少侵入性手术的方法
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 射频疗法 (RF) 是一种最小侵入性技术,用于破坏可感知通路以缓解疼痛.
- 它适用于各种肌肉骨疾病,包括骨关节炎,表皮质炎和手术后疼痛.
- 射频疗法提供了诸如提高安全性,减少麻醉的需要和重复手术的可能性等优势.
研究的目的:
- 审查RF治疗在治疗慢性疼痛中的应用,益处,禁忌和潜在并发症.
- 评估目前支持RF治疗肌肉骨疼痛的证据.
- 突出RF治疗作为其他治疗方法失败时慢性疼痛的有希望的替代方案.
主要方法:
- 关于治疗肌肉骨疼痛的射频疗法研究的文献综述.
- 在肩膀疼痛,关节炎和手术后疼痛等疾病中对射频应用的分析.
- 评估与RF程序相关的报告的益处,禁忌和不良事件.
主要成果:
- 射频治疗至少可以缓解3-4个月的疼痛,改善关节功能,减少对口服止痛药的依赖.
- 通常治疗的疾病包括肩膀疼痛,骨关节炎,足底筋炎和手术后疼痛.
- 禁忌包括怀孕,关节不稳定,失控的糖尿病和感染;潜在的并发症很少见,但包括感染,出血和神经相关问题.
结论:
- 射频疗法是缓解慢性肌肉骨疼痛的宝贵技术,特别是当其他治疗方法无效时.
- 图像指导对于减轻与射频程序相关的风险至关重要.
- 虽然有希望,但需要进一步的强有力的证据来最终确定射频治疗的疗效.
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