3. 3. 3. 3. 这是一件很棒的事情. 疼痛源于腰部面部关节的疼痛
Sandra A S Van den Heuvel1, Steven P C Cohen2, Javier de Andrès Ares3
1Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Pain practice : the official journal of World Institute of Pain
|August 28, 2023
概括
腰部侧面关节疼痛在机械腰部疼痛中很常见. 腰部中间分支的射频除为经过精心挑选的慢性面关节疼痛患者提供了可靠的治疗选择.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛医学 医学 疼痛医学
- 放射学 放射学是一门学科.
背景情况:
- 腰部侧面关节疼痛来自内化关节结构.
- 在机械性腰部疼痛中,患病率差异很大 (4.8%50%+),在精心设计的研究中,患病率通常为10%20%.
- 疼痛随着年龄的增长而增加,并且通常是轴向的,辐射非皮肤到上腿.
研究的目的:
- 总结有关腰部面关节疼痛的诊断和治疗的当前文献.
主要方法:
- 在腰部面关节疼痛诊断和治疗方面的文献检索和综合.
主要成果:
- 没有病理学迹象存在;轴向腰部疼痛辐射到上腿是常见的.
- 放射学发现具有较低的诊断价值;SPECT有助于识别炎症.
- 中间分支块对于选择患者进行射频切除至关重要.
结论:
- 建议首先对腰部疼痛进行保守治疗.
- 腰部中间分支的射频切除可以使选择的患有慢性面关节疼痛的患者受益,这些患者对保守的护理没有反应.
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