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首页> 外文期刊>Frontiers in Neuroscience >CT-Guided Stellate Ganglion Pulsed Radiofrequency Stimulation for Facial and Upper Limb Postherpetic Neuralgia
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CT-Guided Stellate Ganglion Pulsed Radiofrequency Stimulation for Facial and Upper Limb Postherpetic Neuralgia

机译：CT引导星状神经节脉冲射频刺激治疗面部和上肢带状疱疹后神经痛

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Objective: Postherpetic neuralgia (PHN) is the most common complication of herpes zoster, manifesting as a persistent, spontaneous, knife-like pain or paroxysmal burning that seriously affects a patient’s quality of life. An effective treatment of PHN is lacking. This retrospective study examined the efficacy and safety of stellate ganglion (SG) pulsed radiofrequency (PRF) on facial and upper limb PHN. Methods: Eighty-four patients with PHN on the face or upper limbs were enrolled for the study. Patients were randomly divided into two surgical groups according to the order of enrollment; one group underwent SG block (SG-B group, n = 42) and the other underwent SG pulsed radiofrequency (SG-P group, n = 42). After surgery, patients were followed at 1 week, 2 weeks, 1 month, 3 months, and 6 months. Observation at each follow-up included basic patient characteristics, visual analog scale (VAS), quality of life (QOL) using Physical Component Summary (PCS), and Mental Component Summary (MCS) to assess, total effective rate, complications and side effects. Results: Compared with preoperative values, VAS decreased in both groups after surgery ( P & 0.05). In the SG-B group, VAS increased after 1 month, while in the SG-P group, VAS gradually decreased at later follow-up time points. VAS decreased more significantly in the SG-P group after 1 month ( P & 0.05). PCS and MCS increased in both groups after the operation, and the difference was significant compared with preoperative values ( P & 0.05). The total effective rates of the SG-B and SG-P groups were 64.3 and 83.3%, respectively. The total effective rate of the SG-P group was higher than that of the SG-B group ( P & 0.05). The incidence of complications and side effects in the SG-B group was higher than that in the SG-P group ( P & 0.05). Conclusion: SG pulsed radiofrequency treatment of facial and upper limb PHN is safe and effective. It is a treatment method worth promoting.
机译：目的：带状疱疹后神经痛（PHN）是带状疱疹最常见的并发症，表现为持续，自发，刀样疼痛或阵发性烧伤，严重影响患者的生活质量。缺乏对PHN的有效治疗。这项回顾性研究检查了星状神经节（SG）脉冲射频（PRF）对面部和上肢PHN的疗效和安全性。方法：选择84例面部或上肢PHN患者作为研究对象。根据入组顺序将患者随机分为两组。一组接受SG阻滞（SG-B组，n = 42），另一组接受SG脉冲射频（SG-P组，n = 42）。手术后，在1周，2周，1个月，3个月和6个月时随访患者。每次随访观察均包括患者基本特征，视觉模拟量表（VAS），生活质量（QOL）（使用身体成分汇总（PCS）和心理成分汇总（MCS）进行评估），总有效率，并发症和副作用。结果：与术前值相比，两组术后VAS均降低（P ＜0.05）。在SG-B组，VAS在1个月后增加，而在SG-P组，VAS在随后的随访时间点逐渐降低。 1个月后，SG-P组的VAS降低更为显着（P ＜0.05）。两组术后PCS和MCS均升高，与术前相比差异有统计学意义（P ＜0.05）。 SG-B和SG-P组的总有效率分别为64.3％和83.3％。 SG-P组的总有效率高于SG-B组（P ＜0.05）。 SG-B组的并发症和副作用的发生率高于SG-P组（P ＜0.05）。结论：SG脉冲射频治疗面部及上肢PHN是安全有效的。这是一种值得推广的治疗方法。

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