经导管栓塞在慢性肌肉骨骼疼痛中的应用现状  

The current clinical application status of transcatheter embolization in treating chronic musculoskeletal pain

作　　者：谭杰 方志勇[1] 王庆[1] 田壮博[1] 谷鹏 兰斌 TAN Jie;FANG Zhiyong;WANG Qing;TIAN Zhuangbo;GU Peng;LAN Bin(Department of Interventional Vascular Surgery,Hunan Provincial People's Hospital(First Affiliated Hospital of Hunan Normal University),Changsha,Hunan Province 410081,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)介入血管外科,湖南长沙410081

出　　处：《介入放射学杂志》2025年第2期213-217,共5页Journal of Interventional Radiology

摘　　要：慢性肌肉骨骼疼痛发病率高,是我国居民的主要致残病因之一,给社会造成了沉重的健康、经济负担。经保守治疗无效且不能手术的患者治疗方法有限,近期经导管栓塞已成为该部分患者一种潜在的治疗方式。慢性肌肉骨骼疼痛如膝骨性关节炎、粘连性肩关节囊炎(冻结肩)、肌腱病和颈背部肌肉疼痛等,均可形成病理性新生血管及炎性反应。通过经导管栓塞异常新生血管,可改善患者的疼痛和功能。目前国内关于慢性肌肉骨骼疼痛的栓塞治疗研究较少,国外也缺乏大规模的高质量临床研究。该综述探讨了介入栓塞治疗慢性肌肉骨骼疼痛的基本原理,简述该技术的操作以及最新临床证据。Clinically,the incidence of chronic musculoskeletal pain is relatively high,and it is one of the main causes of disability in Chinese residents,causing a heavy health and economic burden to the society.There are limited treatments available for patients who are ineffective to conservative treatment and whose disorders are inoperable.Recently,transcatheter embolization(TCE)has become a potential treatment method for such patients.Chronic musculoskeletal pain,such as knee osteoarthritis,adhesive capsulitis of the shoulder(frozen shoulder),tendinopathy,and neck/back muscle pain,can induce pathological neovascularization and inflammatory reactions.TCE of abnormal neovasculature can improve patient′s pain and limb function.So far,there are relatively few studies on the TCE of chronic musculoskeletal pain in China,and there are no large-scale high-quality clinical studies abroad.This paper aims to make a comprehensive review about the TCE for chronic musculoskeletal pain,focusing on its basic principles,operative techniques,and latest clinical achievements.

关 键 词：慢性肌肉骨骼疼痛 经导管栓塞 膝骨性关节炎 粘连性肩关节囊炎 病理性新生血管 炎性反应 

分 类 号：R658[医药卫生—外科学]