CT引导下射频热凝腰交感神经节治疗Ⅱ型复杂性区域疼痛综合征的临床效果  

Clinical Effect of CT-guided Radiofrequency Thermocoagulation of Lum⁃bar Sympathetic Ganglion in Treatment of TypeⅡComplex Regional Pain Syndrome

作　　者：陈加亲 倪传宝 崔胜 CHEN Jiaqin;NI Chuanbao;CUI Sheng(Department of Pain,Jinhu County People's Hospital,Jinhu,Jiangsu Province,211600 China)

机构地区：[1]金湖县人民医院疼痛科,江苏金湖211600

出　　处：《中外医疗》2024年第9期11-14,共4页China & Foreign Medical Treatment

基　　金：2022年淮安市科技局基金项目(HAB202249)。

摘　　要：目的探究CT引导下射频热凝腰交感神经节治疗Ⅱ型复杂性区域疼痛综合征的临床效果。方法方便选取金湖县人民医院于2020年6月—2023年6月接收的68例Ⅱ型复杂性区域疼痛综合征患者为研究对象。利用红蓝球法将患者分为对照组和观察组,各34例。对照组予以超声引导下腰交感神经阻滞治疗,观察组予以CT引导下腰交感神经节射频热凝治疗。对比两组治疗后血液流变学指标、疼痛程度、并发症情况及有效率。结果对照组各项血液流变学指标水平均高于观察组,差异有统计学意义(P均<0.05);观察组治疗后第3、7、14天疼痛评估量表(Numeric Rating Scale,NRS)评分均低于对照组,差异有统计学意义(P均<0.05);观察组治疗后并发症总发生率(5.88%)低于对照组(23.53%),差异有统计学意义(χ^(2)=4.221,P<0.05);观察组治疗总效率(94.12%)高于对照组(76.47%),差异有统计学意义(χ^(2)=4.221,P<0.05)。结论针对Ⅱ型复杂性区域疼痛综合征患者采取CT引导下射频热凝腰交感神经节治疗,有助于改善血液流变学指标,降低疼痛程度,安全性更高。Objective To explore the clinical effect of CT-guided radiofrequency thermocoagulation of lumbar sympa⁃thetic ganglion in the treatment of typeⅡcomplex regional pain syndrome.Methods 68 patients with typeⅡcom⁃plex regional pain syndrome admitted to Jinhu County People's Hospital from June 2020 to June 2023 were conve⁃niently selected as the study objects.The patients were divided into control group and observation group by red and blue ball method,34 cases in each group.The control group was treated with ultrasound-guided low back sympathetic nerve block,and the observation group was treated with CT-guided low back sympathetic ganglion radiofrequency thermocoagulation.Hemorheology indexes,pain degree,complications and effective rate were compared between the two groups after treatment.Results The hemorheology indexes in control group were higher than those in observation group(all P<0.05).The Numeric Rating Scale(NRS)scores of the observation group at 3,7 and 14 d after treatment were lower than those of the control group,and the differences were statistically significant(all P<0.05).The total inci⁃dence of complications in the observation group(5.88%)was lower than that in the control group(23.53%),and the difference was statistically significant(χ^(2)=4.221,P<0.05).The total treatment efficiency of observation group(94.12%)was higher than that of control group(76.47%),and the difference was statistically significant(χ^(2)=4.221,P<0.05).Conclusion CT-guided radiofrequency thermocoagulation of lumbar sympathetic ganglion for patients with typeⅡcomplex regional pain syndrome is helpful to improve hemorheology index,reduce pain degree and have higher safety.

关 键 词：CT引导下射频热凝 腰交感神经节 Ⅱ型复杂性区域疼痛 血液流变学指标 疼痛程度 并发症 

分 类 号：R45[医药卫生—治疗学]