膝关节外周神经射频热凝术与无水酒精毁损术治疗膝关节骨关节炎疼痛的疗效对比分析  

A comparative Analysis of the efficacy of Radiofrequency Thermocoagulation of peripheral Nerves of the Knee Joint and absolute Alcohol Ablation in the Treatment of Knee Osteoarthritis Pain

作　　者：俞金李[1] 袁宏杰 王宇峰[3] 沈艳丽 徐小青 吕钰 YU Jinli;YUAN Hongjie;WANG Yufeng;SHEN Yanli;XU Xiaoqing;LÜYü(Ultrasound Department,Nantong Hospital of traditional Chinese medicine,Nantong Jiangsu 226000,China;Pain Department,Nantong Hospital of traditional Chinese Medicine,Nantong Jiangsu 226000,China;Radiology Department,Nantong Hospital of traditional Chinese medicine,Nantong Jiangsu 226000,China)

机构地区：[1]南通市中医院超声科,江苏南通226000 [2]南通市中医院疼痛科,江苏南通226000 [3]南通市中医院放射科,江苏南通226000

出　　处：《临床研究》2021年第9期1-4,共4页Clinical Research

基　　金：南通市科技局指导性课题(MSZ18179)。

摘　　要：目的对比膝关节外周神经射频热凝术与无水酒精毁损术治疗膝关节骨关节炎疼痛的疗效。方法选取2017年1月至2019年5月于南通市中医院就诊的膝关节骨关节炎患者80例。将纳入患者随机分为A组、B组,各40例,分别接受膝关节外周神经无水酒精毁损术、膝关节外周神经射频热凝术。于术后1个月、3个月、6个月比较两组静息VAS评分、行走后VAS评分、WOMAC评分及复发情况。结果两组术后1个月、术后3个月及术后6个月静息VAS评分显著低于术前,差异有统计学意义(P<0.05)。且A组术后1个月、术后3个月、术后6个月静息VAS评分均低于B组,差异有统计学意义(P<0.05)。两组术后1个月、术后3个月、术后6个月行走VAS评分显著低于术前,差异有统计学意义(P<0.05)。且A组术后1个月、术后3个月、术后6个月行走VAS评分均低于B组,差异有统计学意义(P<0.05)。两组术后1个月WOMAC评分均低于术前,A组术后3月WOMAC评分低于术前,差异有统计学意义(P<0.05)。两组术前、术后1个月、术后3个月及术后6个月WOMAC评分比较,无统计学意义(P>0.05)。两组术后1个月、术后3个月、术后6个月复发率比较,无统计学意义(P>0.05)。结论膝关节外周神经射频热凝术和膝关节外周神经无水酒精注射,均能有效缓解膝关节疼痛。两种治疗方法在保守治疗无效而膝关节置换术有手术禁忌的患者中,有一定应用价值。两种治疗方法相比,膝关节外周神经无水酒精注射,缓解疼痛的疗效更优。Objective To compare the efficacy of radiofrequency thermocoagulation of peripheral nerves of the knee joint with absolute alcohol ablation in the treatment of knee osteoarthritis pain.Methods From January 2017 to May 2019,80 patients with knee osteoarthritis were selected from Nantong Traditional Chinese Medicine Hospital.The patients were randomly divided into two groups:group A and group B(40 cases each),which were treated by peripheral nerve absolute alcohol destruction and radiofrequency thermocoagulation.The rest score,VAS score,WOMAC score and recurrence were compared between the two groups at 1,3 and six month.Results One month,three month and six month after operation,the resting VAS scores of the two groups were significantly lower than those before operation(P<0.05),the resting VAS scores of group A were significantly lower than those of group B at one month,three month and six month(P<0.05).The VAS score of walking in one month,three month and six month after operation was significantly lower than that before operation(P<0.05).The VAS scores of walking in group A were significantly lower than those in group B at one month,three month and six month(P<0.05).The WOMAC scores of the two groups were lower than that of the preoperative one month after the operation,and the WOMAC scores of the A group were lower than that of the preoperative three months after the operation,and the difference was statistically significant(P<0.05).The comparison of WOMAC scores between the two groups before operation,one month after operation,three month after operation and six month after operation was not statistically significant(P>0.05).There was no statistically significant comparison of the recurrence rates between the two groups at one month,three month,and six month after surgery(P>0.05).Conclusion Radiofrequency thermocoagulation of the peripheral nerves of the knee joint and absolute alcohol injection of the peripheral nerves of the knee joint can effectively relieve the pain of the knee joint.The two methods of tre

关 键 词：膝关节骨关节炎 射频热凝 外周神经 无水酒精 疼痛 

分 类 号：R684.3[医药卫生—骨科学]