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首页> 外文期刊>Open Journal of Urology >Radiofrequency Thermo-Ablation of Morton’s Neuroma: A Valid Minimally Invasive Treatment Procedure in Patients Resistant to Conservative Treatment
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Radiofrequency Thermo-Ablation of Morton’s Neuroma: A Valid Minimally Invasive Treatment Procedure in Patients Resistant to Conservative Treatment

机译:莫顿神经瘤的射频热消融:对保守治疗有抵抗力的患者的有效微创治疗程序

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Background: The authors present the personal results of the review of a group of cases treated for Morton’s neuroma with continuous radiofrequency (CRF) thermo-ablation of the plantar intermetatarsal nerve. Methods: This retrospective review consisted of 29 patients treated between January 2008 and December 2011, with a minimum 1 year follow-up. Three patients underwent bilateral treatment and 10 patients underwent concomitant treatment procedures for associated foot disorders: hallux valgus (7), tailor’s bunion (2) and hammertoe (5). The procedure was performed in a day hospital setting under direct fluoroscopic control. Results: The follow-up protocol used a visual analog scale (VAS) for pain (0 = no pain, 10 = worst pain) and a visual analog scale (VAS) for patient satisfaction (0 = no satisfaction, 10 = complete satisfaction). Success was defined by a decrease of 5 points in pain at 1 year after the treatment procedure. From these 29 cases, with a VAS pain score between severe and worst pain ever, treatment with CRF thermo-ablation at one year follow-up yielded these results: 14 cases with no pain (48%), 7 cases with mild pain (24%), 5 cases with moderate pain (17%), 3 cases still with severe pain (10%). The overall benefit was that 88% of the patients had significant pain improvements. From another point of view, 26 cases (89.6%) had a decrease of the VAS score between 5 and 10 points and in only 3 cases (10.3%) severe pain was reported, even though it was slightly diminished after the procedure. Conclusion: Continuous radiofrequency (CRF) thermo-ablation of Morton’s neuroma (Entrapment) was a safe and minimally invasive surgical procedure which gave these patients great satisfactions and a rapid return to normal activity. ? ?
机译:背景:作者介绍了一组对Mor肌间神经进行连续射频(CRF)热消融治疗莫顿神经瘤的病例的个人结果。方法:这项回顾性研究由2008年1月至2011年12月之间接受治疗的29例患者组成,至少随访1年。 3例患者接受了双边治疗,10例患者接受了相关足部疾病的伴随治疗程序:​​拇外翻(7),裁缝拇囊炎(2)和锤头(5)。该程序在日间医院设置的直接荧光透视控制下进行。结果:随访方案使用视觉模拟量表(VAS)评估疼痛(0 =无痛苦,10 =严重疼痛)和视觉模拟量表(VAS)评估患者满意度(0 =不满意,10 =完全满意) 。成功的定义是治疗程序后1年疼痛减轻5点。在这29例患者中,VAS疼痛评分介于重度和重度疼痛之间,在一年的随访中采用CRF热消融治疗产生了以下结果:14例无疼痛(48%),7例轻度疼痛( 24%),中度疼痛5例(17%),重度疼痛3例(10%)。总的好处是88%的患者疼痛得到了明显改善。从另一个角度来看,有26例(89.6%)的VAS评分降低了5到10分,只有3例(10.3%)的严重疼痛被报告,尽管手术后疼痛有所减轻。结论:莫顿神经瘤的连续射频(CRF)热消融术是一种安全且微创的手术方法,使这些患者感到满意,并迅速恢复了正常活动。 ? ?

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