Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications-a review.
Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications-a review.
复制标题
DOI：
10.1007/s00701-010-0881-5
复制
发表时间：
2011-04
影响因子：
2.4
通讯作者：
Sluijter, Menno E.
中科院分区：
文献类型：
--
作者：
Chua, Nicholas H. L.;Vissers, Kris C.;Sluijter, Menno E.
关键词：
本次综述的目的是在随机临床试验（RCT）和精心设计的观察性研究中评估脉冲射频（PRF）治疗在慢性疼痛管理中的疗效。讨论了物理、作用机制和生物效应，为这种有前途的模式提供科学基础。我们系统地检索了 PRF 的临床研究。我们使用自由文本术语搜索了 MEDLINE (PubMed) 和 EMBASE 数据库：脉冲射频、射频、辐射、等温射频以及这些术语的组合。我们将信息分类在两个表中，一个仅关注随机对照试验，另一个包含前瞻性研究。最后一次电子检索的日期是 2010 年 5 月 30 日。所提交报告的方法学质量是使用 Jadad 等人提出的原始标准进行评分的。我们发现了六项评估 PRF 疗效的随机对照试验，一项针对皮质类固醇注射，一项针对假干预，其余针对传统射频热凝。对腰椎关节突关节疼痛引起的腰痛患者进行了两项试验，一项针对颈椎神经根性疼痛，一项针对腰骶神经根性疼痛，一项针对三叉神经痛，另一项针对慢性肩部疼痛。从现有证据来看，使用 PRF 治疗背根神经节来治疗颈神经根性疼痛是令人信服的。对于腰骶部对应物，鉴于纳入研究的方法学质量，不能同样提倡使用 PRF。研究发现，对于慢性肩痛患者，将 PRF 应用于肩胛上神经与关节内注射皮质类固醇一样有效。研究发现，PRF 在治疗腰椎小关节病和三叉神经痛方面的效果不如传统的射频热凝技术。
The objective of this review is to evaluate the efficacy of Pulsed Radiofrequency (PRF) treatment in chronic pain management in randomized clinical trials (RCTs) and well-designed observational studies. The physics, mechanisms of action, and biological effects are discussed to provide the scientific basis for this promising modality. We systematically searched for clinical studies on PRF. We searched the MEDLINE (PubMed) and EMBASE database, using the free text terms: pulsed radiofrequency, radio frequency, radiation, isothermal radiofrequency, and combination of these. We classified the information in two tables, one focusing only on RCTs, and another, containing prospective studies. Date of last electronic search was 30 May 2010. The methodological quality of the presented reports was scored using the original criteria proposed by Jadad et al. We found six RCTs that evaluated the efficacy of PRF, one against corticosteroid injection, one against sham intervention, and the rest against conventional RF thermocoagulation. Two trials were conducted in patients with lower back pain due to lumbar zygapophyseal joint pain, one in cervical radicular pain, one in lumbosacral radicular pain, one in trigeminal neuralgia, and another in chronic shoulder pain. From the available evidence, the use of PRF to the dorsal root ganglion in cervical radicular pain is compelling. With regards to its lumbosacral counterpart, the use of PRF cannot be similarly advocated in view of the methodological quality of the included study. PRF application to the supracapular nerve was found to be as efficacious as intra-articular corticosteroid in patients with chronic shoulder pain. The use of PRF in lumbar facet arthropathy and trigeminal neuralgia was found to be less effective than conventional RF thermocoagulation techniques.
登录
查看更多内容
影响因子：
3.1
作者：
Cosman, ER;Cosman, ER
通讯作者：
Cosman, ER
DOI：
10.1179/crn.2004.003
发表时间：
2004-01-01
影响因子：
1.6
作者：
Al-Badawi, EA;Mehta, N;Zawawi, KH
通讯作者：
Zawawi, KH
影响因子：
1.7
作者：
Igarashi, Akira;Kikuchi, Shin-ichi;Konno, Shin-ichi
通讯作者：
Konno, Shin-ichi
影响因子：
5.1
作者：
Aksu, Recep;Ugur, Fatih;Boyaci, Adem
通讯作者：
Boyaci, Adem
影响因子：
3.6
作者：
Hamann, W;Abou-Sherif, S;Hall, S
通讯作者：
Hall, S