射频消融治疗腰椎PKP术后关节源性疼痛的疗效分析  

Analysis on the efficacy of radiofrequency ablation in the treatment of arthrogenic pain after lumbar PKP

作　　者：马超 孔维云 马永 刘祥荣 舒钧[2] MA Chao;KONG Weiyun;MA Yong;LIU Xiangrong;SHU Jun(Department of Pain Treatment,Third People's Hospital of Yunnan Province,Kunming Yunnan 650011,China;Department of Trauma Surgery,The Second Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650000,China)

机构地区：[1]云南省第三人民医院疼痛科,云南昆明650011 [2]昆明医科大学第二附属医院创伤外科,云南昆明650000

出　　处：《云南医药》2025年第2期31-34,共4页Medicine and Pharmacy of Yunnan

基　　金：云南省教育厅科学研究基金项目(2023J0927);昆明市科技计划项目(2019-1-N-25318000003435)。

摘　　要：目的探讨脊神经后内侧支射频治疗腰椎PKP术后关节源性疼痛的临床疗效。方法选取2023年3月-2024年3月本院收治的PKP术后关节源性腰痛患者56例,随机分为2组,观察组30例行连续射频消融术,对照组26例行脉冲射频调节术。采用NRS评分、ODI指数及改良MacNab标准评估治疗效果。结果治疗后,2组患者NRS和ODI评分较前显著下降,观察组改善程度优于对照组,差异有统计学意义(P<0.05)。术后6个月,观察组优良率为96.7%。结论脊神经后内侧支连续射频消融术在改善腰椎PKP术后关节源性腰痛方面疗效显著、创伤小、易操作。Objective To evaluate the clinical efficacy of radiofrequency of posterior medial branch of spinal nerve in treatment of arthrogenic pain after lumbar PKP.Methods 56 patients with arthrogenic lumbago after PKP surgery admitted to our hospital from March 2023 and March 2024 were randomly divided into two groups.The observation group received 30 cases of continuous radiofrequency ablation method and the control group received 26 cases of pulsed radiofrequency modulation method.NRS score,ODI index and modified MacNab criteria were used to evaluate the therapeutic effect.Results After treatment,NRS and ODI scores pf both groups were significantly decreased,and the improvement degree of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Six months after operation,the excellent-and good rate of observation group was 96.7%.Conclusions Continuous radiofrequency ablation of posterior medial branch of spinal nerve is effective,less invasive and easy to operate in improving arthrogenic lumbago after PKP surgery.

关 键 词：腰椎关节源性疼痛 椎体后凸成形术 脊神经后内侧支 射频消融 

分 类 号：R687.3[医药卫生—骨科学]