隐神经、闭孔神经射频热凝术治疗小腿顽固性带状疱疹后神经痛:1例报道  

Radiofrequency thermocoagulation of saphenous nerve and obturator nerve for refractory postherpetic neuralgia in the lower leg:a case report

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作  者:徐新亮[1] 张亚东 公祥伦 张宝娟[1] 刘堂华 Xu Xinliang;Zhang Yadong;Gong Xianglun;Zhang Baojuan;Liu Tanghua(Department of Painology,Jining First People's Hospital,Jining City,Shandong Province 272000,China;Zhongguancun Sino-American Institute of Precision Medicine Science and Technology,Beijing City 100190,China)

机构地区:[1]济宁市第一人民医院疼痛科,山东省济宁市272000 [2]中关村中美精准医学科技研究院,北京100190

出  处:《中华疼痛学杂志》2023年第3期497-500,共4页Chinese Journal Of Painology

摘  要:本文报道1例右下肢顽固性带状疱疹后神经痛患者,经多种口服药物治疗,以及右侧隐窝注射、股神经阻滞、坐骨神经阻滞和L3~5脊神经根脉冲射频调控术,疼痛仍未能控制。短时程脊髓电刺激虽暂时有效,但严重疼痛再复发。后经右侧隐神经与闭孔神经浅支标准射频治疗,疼痛得以控制,随访未见复发。本例探索了隐神经及闭孔神经的感觉支射频热凝术在顽固性带状疱疹后神经痛患者中的应用价值,供临床医生借鉴。One patient with intractable postherpetic neuralgia in the right lower extremity,could not be controlled after multiple oral medications,right recess injection,femoral nerve block,sciatic nerve block,and L3-5 spinal nerve root pulse radiofrequency regulation.Although short-term spinal cord electrical stimulation was temporarily effective,severe pain recured.After standard radiofrequency treatment of the right saphenous nerve and the superficial branch of obturator nerve,the pain was controlled and no recurrence during follow-up.The radiofrequency thermocoagulation of sensory branches of the saphenous nerve and obturator nerve for treatment of intractable postherpetic neuralgia in the lower extremity was discussed.

关 键 词:神经痛 带状疱疹后 射频热凝 隐神经 闭孔神经 

分 类 号:R752.12[医药卫生—皮肤病学与性病学]

 

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