神经靶向技术治疗慢性肩痛的研究进展  

Research progress on neuromodulation techniques for chronic shoulder pain

作　　者：胡金鸽 徐松超 王云 HU Jin-ge;XU Song-chao;WANG Yun(Anesthesiology and Surgery Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院麻醉手术中心,北京100050

出　　处：《中国疼痛医学杂志》2024年第8期604-609,共6页Chinese Journal of Pain Medicine

基　　金：北京市医院管理中心临床技术创新项目(XMLX202106)。

摘　　要：慢性肩痛(chronic shoulder pain,CSP)是一类常见的功能受限性疾病,病因复杂,严重影响病人生活质量。治疗目标是缓解疼痛,恢复运动和功能。治疗方法多种多样,如外用和口服药物、糖皮质激素注射、理疗以及手术等。近年来,神经阻滞、脉冲射频和冷冻神经镇痛术通过靶向神经成为治疗关节和脊柱慢性疼痛的成熟方法,但关于CSP方面的临床应用研究却相对较少,且国内外文献报道结果不一。超声设备和局部解剖学的发展扩大了其临床应用范围。本文将重点讨论肩部神经分布,CSP的神经治疗靶点,神经靶向技术以及相关研究进展,为进一步的临床治疗提供新的思路与方法。Chronic shoulder pain(CSP)is a common functional limitation disease with complex etiology that significantly impacts patients'quality of life.The goal of treatment is to relieve pain and restore movement and function.There are a variety of treatment options,including topical and oral medications,corticosteroid injections,physical therapy,and surgery.In recent years,nerve blocks,pulsed radiofrequency,and cryoneurolysis have become mature methods for the treatment of chronic joint and spinal pain through targeting relevant nerves,but there are relatively few clinical studies on CSP,and the results of domestic and foreign literature are inconsistent.Progress in ultrasound equipment and regional anatomy has expanded their clinical applications.This article focuses on the distribution of shoulder nerves,neurotherapeutic targets of CSP,neural targeting technologies,as well as related research progress,offering new perspectives and methods for further clinical treatment.

关 键 词：慢性肩痛 解剖 神经阻滞 脉冲射频 冷冻神经镇痛术 

分 类 号：R68[医药卫生—骨科学]