部和膝盖关节置换术后的慢性术后疼痛:关于机制,危险因素和干预治疗方式的最新情况
Dylan W Banks1, Hannah Park1, Whitman Oehlermarx1
1Department of Physical Medicine and Rehabilitation, New York University, New York, NY, USA.
Journal of pain research
|November 26, 2025
概括
在关节和膝关节置换术后的慢性术后疼痛 (CPSP) 是常见的. 射频除 (RFA) 与神经调节技术一起,在保守方法失败时,有望在管理这种疼痛方面发挥作用.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 神经调节是一种神经调节.
背景情况:
- 部和膝盖关节修复手术在美国是常见的选择性手术.
- 很大一部分患者在这些手术后经历了慢性术后疼痛 (CPSP).
- 目前的管理层缺乏针对部和膝盖CPSP的专用最佳实践指南.
研究的目的:
- 审查部和膝盖CPSP的干预治疗方式.
- 为了解决管理关节置换术后疼痛的知识差距.
- 为CPSP提供新兴治疗方法的概述.
主要方法:
- 对CPSP进行干预程序的审查.
- 讨论射频剥离 (RFA),脉冲射频 (PRF) 和神经调节技术 (PNS,SCS,DRG刺激).
- 包括内药物输送系统 (IDDS) 和新兴疗法.
主要成果:
- 射频剥离 (RFA),特别是冷却的RFA,对CPSP有最有支持的证据.
- 像PRF,PNS,SCS和DRG刺激等神经调节技术显示出有希望的结果.
- 缺乏比较分析,需要个性化治疗决策.
结论:
- 干预方式为管理关节和膝盖CPSP提供了替代方案,当保守的治疗方法不足时.
- 射频除和神经调节技术是关键的治疗选择.
- 分享决策对于根据假定的机制,资源和成本选择治疗方法至关重要.
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