颈后肌筋膜疼痛综合症射频热凝治疗

EFFECT OF RADIOFREQUENCE ABLATION FOR THE PATIENTS WITH NECK MAYOFASCIAL PAIN SYNDROME

目的:总结射频热凝治疗颈后肌筋膜疼痛综合症的临床效果。方法:32例颈后肌筋膜疼痛综合症患者,以颈后肌群压痛点为穿刺点,穿刺针抵达骨质后,调节热凝温度为75℃,时间为30秒,行穿刺点射频热凝;观察治疗前、治疗后1周、1月和3个月VAS评分、疼痛缓解优良率和镇痛药使用情况。结果:治疗前、治疗后1周、1月和3个月VAS评分分别是8.1±0.9、7.3±1.2、3.8±1.1、1.5±1.2;疼痛程度在治疗后1个月和3个月均较治疗前有明显缓解(P<0.01);治疗后1周内使用止痛药人次为85%,1个月后为10%(P<0.05),3个月后全部停止痛药。结论:射频热凝治疗颈肌筋膜疼痛综合症创伤微小、安全和疗效确切。

Objective： To sum the clinic effect of radiofrequence ablation for the patients with chronic neck myofascial pain syndrome. Methods ： 32 patients aged 22 - 84 years diagnosed chronic neck myofascial pain syndrome were involved in this study. The acupoints were determined through pressing to find the pain points on the muscles of posterior neck. The acupoints were ablated with temperature of 75 ℃ for 30 seconds after the radiofrequence needle reaching the bone membrane. The VAS scale, excellent and good pain relief rate, the analgesia administrated were recorded at the before therapy and 1 week, 1, 3 months after therapy respectively. Results ： The VAS scales was 8.1 ± 0.9, 3.8 ± 1.1 and 1.5 ±1.2 respectively before therapy and at 1,3 months after therapy. The VAS scales at 1,3 months after therapy were significantly lower than that before therapy（P 〈0.01 ）. The excellent and good pain relief rate at 1, 3 months after therapy was 93.7% and 100% respectively, but there was no significant difference. About 85 percent of patients used analgesia in 1 week after therapy and 10 percent of patients used analgesia in 1 month after therapy, whereas, there was no patient used analgesia in 3 months after therapy. Conclusion： Radiofrequence ablation is mini-invasive, effective and safe for chronic neck myofascial pain syndrome.