圣关节皮化-一种针对圣侧面分支的新方法:一种实用方法
Victor M Silva-Ortiz1, Kenneth B Chapman2, George C Chang Chien3
1Department of Pain Management, Hospital Zambrano Hellion, Tec Salud, Batallon de San Patricio 112, Real San Agustín, San Pedro Garza Garcia, Nuevo León, México. drvictorsilva@gmail.com.
Pain and therapy
|February 26, 2024
概括
一种新的射频除技术提供了一种具有成本效益的方法,用于神经关节皮化. 这种精简的方法针对交叉侧面分支来缓解腰部疼痛.
科学领域:
- 疼痛管理 疼痛管理
- 最少侵入性手术的方法
- 脊柱干预手术 脊柱干预手术
背景情况:
- 关节 (SIJ) 疼痛是腰部疼痛的常见原因之一.
- 目前用于SIJ的穿皮射频 (RF) 技术主要是消除后部SIJ内.
- 现有的射频消光方法 (传统的热,冷却,脉冲,双极,多针) 可能会产生额外的成本.
研究的目的:
- 引入一种新的,成本和时间高效的技术,用于圣关节皮化.
- 描述一种简化的射频除方法,以向十字侧枝为目标.
主要方法:
- 使用解剖学标志和一个单一的射频管用于SIJ消神.
- 涉及将两个脊柱针放置在后部S1和S2神经孔的侧面.
- 通过向前推进一个曲的射频管,在这些针的侧面进行切除,并重复损伤.
主要成果:
- 这种技术成功地引导射频管到侧面的十字分支.
- 两针的放置确保了精确的准在骨后部,侧向前.
- 这种方法会在侧面的圣孔上产生带状损伤.
结论:
- 介绍了一种成本和时间高效的技术,用于射频切除十字侧枝的射频切除.
- 利用十字骨解剖学,以最大限度地利用单个射频针来进行活跃的尖端损伤.
- 与其他神经骨剥皮技术和设备相比,减少了时间和成本.
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